justgoofie

the lowest i have seen was

I know in the ICU I work in is closed to all visitors and phone calls 6-8 am and pm. allows for a smooth transition between shifts. also discourages after 11pm visitation. of course exceptions for familys of pt's expected to die at any time. otherwise it suppose to be 10 mins per hour or the nurses discretion. most allow longer visitation with the understanding we may ask them to leave if interfering with their loved ones care.

didn't fire off a letter but had personal conference with ceo,don house supervisor, and of course unit manager. their attitude was one of "so sorry that happened, but really not much we can do about it" I haven't been back their since but have heard from others in the community including doctors that practice their as well as the hospital I work in nothing has changed. As for their advertising 4:1 ratio, found out that that is the overall ratio. so since they take the amt of nurses they have including the ones that work in the ICU's the transplant departments it does average out to 4:1 As for the conditional accreditation their major problems were not protecting privacy, such as patients charts left open, computers left visible to all, . no evidence of narcotic count, nurses who didn't know two patient identifiers, all the safety stuff that JACHO is pushing this year. I do realize that every hospital has it's problems, including the one I work in.But I would hope that upper management would take a harder look at complaints, and try and correct them instead of just blowing off a customer. because that is how i felt when I left the meeting with upper management

About a year ago I had to take my son to the hospital because of a head injury with neuro changes. The hospital I work in does not do children, So off the ambulance went to the "magnet" hospital. It was the worse service I have seen in any facility. After being seen in the ER and determining that he should be admitted we got to the floor. Didn't see a RN or LPN for about 4 hours. Only saw them when I decided to take him home AMA. :angryfire Funny thing is this hospital advertise that they have 4:1 patient ratios. And this year they received conditional accreditation from JACHO. Seems to me like that Magnet status doesn't mean much

thank you guys for you insight's. The bad part is we do bedside reports, on all our patients. The unfortunate part is she felt that there was motor movement while doing her bath in the middle of the night, and then the motor movement was gone by morning?

I work in a med/surg icu, that also does small amts of neuro patients. Recently I was the nurse to a male patient who came in status podt cardiac arrest at home. Currently intubated and comatosed. EEG's done x3 with no changes, technically not brain dead as he had a little brain activity. gave report to rn assuming care that pt was posturing but no purposefull motor movement. pupils sluggish in response and about a 4-5 in diameter. came in next morning and was told pt had strong motor movement upper extremities and moderate motor movement to lower extremities. So of course when i went to do my assessment I expected a improvement in his assessment. The 4th EEg was scheduled for that morning so family could decide their next step. IE: withdraw support and apply comfort measures, or trach and peg while he slowly recovers. Needless to say the EEG continued to show no improvement, and when I did my assessment he was still posturing. Unfortunantly the family was told by the previous nurse that he was responding. so It was like the first day with them again explaining what they were seeing. When shift change came and the same rn took the patient back I questioned her about her assessment. asking if she had seen something that I wasn't, just to clear up my confusion. I was naive in thinking that maybe i was missing something. (being new to neuro) the Rn became defensive and said I don't bathe the patient so of course i wouldn't see the same things as her. Her feeling was when she lifted his arm up to wash and he tried to keep his arm next to him that was a strong motor movement. Am I wrong or was that him still posturing? Needless to say after he was in our icu for 2 weeks the family said enough is enough and withdrew life support and placed him in hospice. and as of yesterday he was still alive, but then again he was only 41. any advice?