I feel like we are rapidly reaching jump ship level. My own sister (in her 40s with 4 kids and natural born Texas/US citizen) is actively migrating her family to Canada next year. Her daughter with a clef pallet cost her family 90K last year WITH insurance. Her husband makes $150K a year, so they managed...but Christ! My sister is so serious that she already submitted all her immigration papers and is waiting to hear back.
I work in a clinic. The ER at the hospital I work for has sent critical patients to our clinic because they 1) apparently have no staff that know how to evaluate for a emergency (I say this having 8 years ER experience under my belt). I had a patient go to the ER twice in 24 hours for urinary pain, bleeding 1 week post op. They sent him to the clinic pale AF, orthostatic blood pressure 80/40, bladder scan showed 330 after voiding (ended up being a giant number of clots that I got to try to hand irrigate in the OFFICE!). The ER did a UA at both visits and NOTHING ELSE.
You might want to say this is my institution in particular...however I haven't held a job at 1 institution for more than 3 years. I've traveled. So, yes, there are better and worse.....but they are ALL getting worse. Process improvement usually involve trying to make up care gaps with unlicensed, under educated, unqualified people OR have one qualified person do the work of 3-4 people (both of which create gross care gaps).
I wish I could go with my sister. This has only gotten worse in the 15 years I've been a nurse. I'm not proud of my field.
Oh I'm sorry about that! I thought NYT always offered a number of free articles even if you don't subscribe
I skip over all their articles because they want you to register with them and give them your email. I just don't feel like doing that. I'm not sure if you have to pay it somewhere along the line. The advertising that they collect should be enough in my opinion.
I work in a small, rural hospital. Currently, 4 of our 21 med surg beds are occupied by elderly dementia patients who aren't acutely ill, but can't be discharged b/c their families will not or cannot care for them and there are no beds available in local nursing homes. One has advanced dementia and requires a sitter b/c he's constantly climbing out of bed and is a high fall risk. The nurse assigned to him must constantly keep eyes on him as the sitter cannot touch him. Meanwhile, he or she must also care for 4 additional patients. I can only see this getting worse as the local population ages. It's exhausting.
I don't know of anyone who's out of pocket max with insurance is $90k. That's pathetic "insurance" as you know
I don't know what the answer is, but it's not sustainable, as we all know. People who have not had a recent medical crisis don't know how bad things are. I'm glad my kids want nothing to do with healthcare. What a shame
Even if it isn't, it's kind of tacky to correct people's spelling. It doesn't win hearts. If there are any mistakes in my posts, it's probably voice recognition, since I'm too lazy to type out things anymore. Especially on my tablet.
Specializes in Surgical Specialty Clinic - Ambulatory Care.
Emergent said:
LOL, I'll bet that's a voice recognition typo.
Even if it isn't, it's kind of tacky to correct people's spelling. It doesn't win hearts. If there are any mistakes in my posts, it's probably voice recognition, since I'm too lazy to type out things anymore. Especially on my tablet.
Thanks for the defense. Auto correct kept correcting it and I just gave up. ??
I work in a single payer system. If we need equipment that is not on the ward, we go to our CNM who files a rec and we get it by the end of business. Worst case scenario it might take a solid 24 hours
If our patients need stuff, they get it and I'm talking top of the line most up to date treatments. We arent talking 30 year old med tech thats been dragged out of a cupboard somewhere,.
I never mentioned 30 year old equipment, but the very newest advertised in the US aren't used. If a wheelchair is needed, a basic wheelchair is given. I have multiple patients who think that they're going to get a motorized scooter with the horsepower of a racecar
Emergent, RN
4,300 Posts
I skip over all their articles because they want you to register with them and give them your email. I just don't feel like doing that. I'm not sure if you have to pay it somewhere along the line. The advertising that they collect should be enough in my opinion.