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Smith-Lee

Smith-Lee

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  1. Smith-Lee

    In your experience have you seen this happen?

    Thank you for the information. The administrator is equally involved as she is protecting the facility. There have been many issus that are under investigation at this time.
  2. Smith-Lee

    CT contrast via Port a cath Hmmmmm... IDK

    I am an RT and my license allows me to do any procedure that I have been trained in. Many years ago there were not any RNs assigned to the Radiology Department. As long as the Tech is adequately trained and knows the limitations of the PICC line and how to make sure that it is a useable line. If there are questions that you have you could contact ARRT American Registry of Radiologic Technologists. I was at a conference a couple of years ago and there was a speaker there that was an RT and an Attorney at Law and she spoke of the broad scope of practice of the RT. Smith-Lee
  3. Smith-Lee

    In your experience have you seen this happen?

    For all of you and your wonderful support. I have some follow up for all of you. I am waiting for a final report as it has been investigated. The Dr. is very involved and wonderful. There have been 4 discharged so far: Head nurse, assistant Head Nurse, Social worker inhouse, and another night nurse. Thanks to all of you and the support you offered. You all gave me the confirmation for what I already knew in my heart. Thanks, for all of your professional advice and concern for the patient eventhough not directly in your care.
  4. Smith-Lee

    I'm so heated right now and just need to vent !!@!!

    Sounds like this person is very insecure and trying to make herself look important and attentive. It is too bad when people try to make decisions where they have little or no knowledge. In the old days known as butt-in-skies!
  5. Smith-Lee

    CT contrast via Port a cath Hmmmmm... IDK

    I agree if they need it for pressure infusion be very careful with pressure injector Depending on the procedure if they just need to see contrast would work great. GOOD THINKING ABOVE entries... Have them check port type and how much pressure to infuse with cath hotline for question.
  6. Smith-Lee

    Inmates as Patients in Hospital

    I am Radiology manager for Department of Corrections in Oregon. And I appreciate this article. We do need to treat them as patients as above stated. Staff and other public safety comes above all. You have to remember that the living quarters they are assigned to are very small especially if they are in a segregation cell only out in a small exercise area for 1 hr a day. If in general population it is somewhat bigger some institutions have large yards for sports. It is easier for the transort officers to assure the safety of others when there are less others in the vacinity. Depending on circumstances someone could recognize them and let someone else know where they are etc. to use for escape or to harm. Working in this environment you always expect the worst case to be prepared for anything.
  7. Smith-Lee

    In your experience have you seen this happen?

    I want to thank all of you again for your wonderful input. Because of your support and help in direction. The Dr. is involved has seen actual pictures and notified the facility and will be in soon. They are to determine what really happened as he confirmed along with all of you not from a cath placement alone. They are in the process of investigating further. It has been documented with authorities. The clonidine issue has had an incident report also but since then there was another delay (clonidine) that my sister noticed only a couple of days brought to there attention and the incorrect date was put on the new one that showed the date it should have been changed so now they are investigating that one. At least I think we have there attention this time. We are still looking for a place to take her there is a new thing coming on board in Oregon to happen soon. A new Foster Care called "on the move" for the more difficult pt. Oregon will pay more and there will be less clients at each home like only 3 instead of 5. But you all know how States move....slow.... I want to thank COTJOCKY for the message, it is the facility you were talking about. As a new member I am not allowed to send private message yet or able to reply. Thanks again to ALL. Maybe we can help them get these problems on the mend. I think part of the problem is the Administrator is very willing and wants to make it better but she is not a medical professional so is relying on her Nursing staff which are not very seasoned nor willing to learn unfortunate for them as we all learn in this field every day and learn from every experinece. They need to start honing ther assement skills and think about cause and effect. Being creative and problem solving, how can we make things better.
  8. Smith-Lee

    Afebrile, profuse diaphoresis, pleuritic pain: WHY?

    Sorry that should read rll..
  9. Smith-Lee

    Afebrile, profuse diaphoresis, pleuritic pain: WHY?

    TB would typically present in RT apex and would look cavernous. Could this person have asperated. Many asperation pneumonias will present in rrl
  10. Smith-Lee

    New direction on in your experience

    Today after the Dr. Got involved I was told that they think it was the hoyer lift. Actually more believable...But I asked why they didn't even put ice on to keep the swelling and bleeding down. We were told by the head nurse they can't do that unless it is ordered. Is that true with an acute inj? I thought that was just common first aid. They aren't hot packing it now either. It seems that it is in a position with the area not having a lot of circulation there as she is not ambulatory I would think there is a good chance it will solidify. The Dr. will go in to see her next week as he has only seen pictures thus far. Working it through...I want to thank all of you for your input and bless you for your interest in the medical field and your professionalism!
  11. Smith-Lee

    In your experience have you seen this happen?

    All good questions..No she is not on anything to thin her blood as her CVA was a Bleed. The CNAs are all great with her, it is the nursing staff and head nurses as we as family have refused to let them put another narcotic patch on her as her pain is from the bowel gas she has from the ogelvies syndrome. They want her to be quiet as she hollers when she needs to be on the comode. She is 90 and the only way we can keep her bowel moving at all after it was in complete shut down from narcotics is to give her reglan 4 times a day to promote motility form above along with many stool softeners and antigas meds. They don't want to put her on the comode after her meals and have become very upset with the family that we are insisting as that is the only way to keep her from getting another pseudo obstruction. Each time the family has asked the nursing staff to check for a UTI because she is showing symptoms that family has recognized it has been a hastle and they insist she doesn't have one and it has every time been wrong. You would think they would begin to trust our instincts but it just makes them upset and I think they are starting to take it out on her. It is very difficult to find another place for her in her condition but we are desperately trying and are there every day most of the day.
  12. Smith-Lee

    In your experience have you seen this happen?

    Thank you so much for your input. We are trying to move her and family is there almost 24-7. She is in Albany Or and there isn't a lot to choose from. I have had so many things I could have turned in but don't even know where to start. Wheather to turn in the facility or individuals and have licenses investigated. They know I have the knowledge to do that but I don't want to harm someones future but want Mom taken care of. We did contact her Dr. and took pictures in for him. He hasen't gotten back to us yet. I suggested they should put hot packs on it now to get it to absorbe and the head nurse said that it was get this "like a sandwitch with mayo on it when it is squeezed out it spreads out" it is hard to believe the incompetence.
  13. I am not a nurse but a Radiologic Technologist for 39 years. Medicine has been my life many modalities. My mother is in a nursing home unable to verbalize because of a CVA. She has ogelvies syndrome caused by over medication with narcotics in this same home. She gets frequent UTIs. I was in checking on her last week and when we put her on the toilet via hoyer lift. I noticed a contusion at the pubic area. Looked live it had been pinched (fingers). She also had a large tear on her arm, not uncommon because of her thin skin. Although I told the nurse on duty when I went to remind her that her clonidine patch was 6 days over due for change, she didn't even look at the area of injury. The next day when I went in it was BLACK BLUE and as big as a baseball. I inquired again as how it happened. Got many different stories, was also told that she vomited that morning when I had observed the contusion. I think it was because it hurt so bad when they damaged her. The final story that administration gave me was that it was done when they did the cath for UA. I have done many caths for VCUGs etc and never heard of that happening. The report that they had given the Dr. as I inquired was there was a bruse about the size of a thumb. I don't want to cause any trouble but there has been ssooo many problems. In a routine cath placement could this happen?
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