aseekeri

i work on a renal floor(read diabetes, heart failure, obesity, hypertension). i realize that you get to be on the renal floor because your renal failure et.al. are advanced and/or out of control. but, and i speak from experience, our patients are chronically noncompliant. its not that unusual for patients to deliberately miss dialysis to get admitted. why? standard treatment is dilaudid 2-4mg iv q 2 hours prn. oh, and dont forget the phenergan and run down to the cafeteria for a cheeseburger and fries with that. how long does it take to figure out that there is a payoff for their noncompliance? why be at home where you have to handle life when you can be in the hospital with room service, maid service and drugs on tap? this is a nonsustainable system. maybe thats what was ment by three strikes and your out. you lay out from dialysis dont come here for emergency middle of the night dialysis and all the potassium and sugar that you can consume. and dont suggest nursing interventions and refusing to get them what they want. been there, done that, got shot down. afterall there is the patient satisfation surveys. yeah. three strikes you should be out.

i too am looking for a sample acuity scale. surely there must be some out there. if anyone has one please share. thanks