Sunday, September 30, 2012

yea but at home i take 6 a day

heres the problem when you come into the hospital and have been taking meds ordered by doctor not as prescribed. you cant have them that way when you are admitted into the hospital. i understand and have confirmation that most people especially on pain meds dont take them as ordered. i understand it and its your choice. but when you  come into the hospital and the doctor orders "every four hours" thats how i have to give them to you. i cannot go along with your schedule at home. many people are coming in now doing their own schedule. cant in the hospital.so there in is the conflict. either get the doctor to change the script or just go along with whats ordered. nurses have to follow the doctors orders. if not, we may get suspended or at worse case situation lose our license. yes we have a license. no license no work. i will give you whatever the doctor says even if i think it may possibly be alittle much. why?cause i know at home youve been taking it as you want. then i just watch you more closely. i had a woman patient the other night. swear if i took just one of what i gave her i would be asleep for a week. one more of something else wasnt enough. so just gave her whatever she asked for as long as it was ordered. made her happy,had less conflict for my shift and tried to make her comfortable. plus she was nice. if you arent nice i wont go the extra mile for you. people please realize that not only taking all of the narcotics and benzos are the making of a lethal cocktail but having cocktails with them is courting with disaster. shuts off your respiratory system and you die. just like numerous people have done and will do. these are dangerous drugs and are not to be taking lightly. be safe.

Monday, September 17, 2012

suicide precautions:dont threaten then complain

alittle enlightenment, when people come into the ER threatening suicide the hospital has a legal duty to prevent you from doing just that. patients are brought up to the unit on "suicide precautions" which means you have a babysitter (someone who is paid to sit and watch you do everything sleep, go to the bathroom, watch television,etc) and ALL  belongings get taken away from you. don't complain to me that you want your cell phone. not gonna happen. cant have it. ALL  belongings get taken away.i love the ones that come in and say "i didn't say i wanted to kill myself" OK, then ya we just get a babysitter for random people. no, you had to have said something that alerted the ER  staff you wanted to off yourself. so please be careful with what you say. or you might get something you don't want. including a psycho consult and maybe a placement in a facility in lockdown. and NO  you cant leave to go smoke a cigarette. the only thing you can do is lay in bed and watch tv. so dont
lets talk about suicide precautions. come into the er saying something like "i was trying to kill myself" or "i want to die" this stuff is taken seriously. hospital staff has to. its the law. you get admitted to a room. have a babysitter. that babysitter watches you do everything including go to the bathroom. you cant have your cell phone. dont ask. everything is taken away except your gown. thats all you get. so before you say something stupid, think and dont complain when you get a babysitter. we have to its the law.

Monday, August 27, 2012

you cant have everything,no matter what they say

OK, so when you go into the hospital pretty much you are told you can have what you want,when you want it, how you want it. wrong, its not a hotel. and you aren't in a spa. reality is, we do have cable television. probably not gonna get all the channels you might get at home. so don't complain to me you are missing one of your shows. i cant do anything about that. I'm a health care professional. ok i deal with health care issues. your complains should be addressed to the CEO of the hospital. these are the idiots telling us the staff what to wear how, to wear our name badges and so forth. staff doesn't set the rules. but we get the brunt of the complaints. when i have a really sick person down the hall the last thing i want to hear is that you are missing the latest episode of whatever. i don't care. I'm worried about my patient. not that you aren't important. its just i have other things on my mind. so direct the complaint to the CEO. these are the people making the rules. i have nothing, believe me nothing to do with how things run on the floor.
second, when you know you are coming into the hospital please don't think we are a Starbucks or a MacDonald's. truth is, no coffee and no fries. if i really like you and you are nice, i might go the extra mile and try to find you a coffee or treat. its gonna be really hard though. we have virtually nothing on the unit to snack on. so if you know you are coming in please stop at a fast food or bring your own. no salads at 3 in the morning. sorry. the best very best i can do is give you a premade sandwich. i wouldn't though. stop somewhere and eat or have someone bring you something. i will never tell someone "you shouldn't be eating that", unless you come in with a bowel obstruction and have a chance of puking it up all over the place. what you eat is none of my business. this goes back to having what you want when you want it. its just not reality. no Starbucks or anything good to eat. i love the patients that come in with abdominal pain and the first thing they say when hitting the room is," I'm hungry". right then and there i wont take you seriously. if you are really sick and in pain that's the last thing any normal person wants to do is eat. first sign of going downhill is loss of appetite. look it up.same thing with "I'm nauseated" do you have anything to eat. if you are nauseated dummy who wants to eat. those two things don't go together. just saying and just the truth.


Thursday, August 23, 2012

Caregiver or visitor?

I came across a ridiculous blog where the daughter of the woman in a nursing home is calling herself a "caregiver" please.......obviously oblivious to the definition of the word caregiver. And ignorant of the facts of caregiving. Visiting your mother in a nursing home does not make you a caregiver. how misinformed. or delusional.She's at best a visitor. Caregiving involves blood, sweat and tears. Many people across this country are dealing with taking care of elderly in their own homes. Balancing that with a job is caregiving. Finding time to even shop for household supplies is a challenge. All this broad needs to do is get dressed and drive. How bout bathing your mom, doing laundry, getting/giving  medications, balancing appointments,being responsible for her finances etc. plus work your own job? that makes a caregiver.there are some who have the moral fortitude to take care of their own rather than let someone else do it and then there are people who really dont understand whats involved cause they dont want to understand. just be selfish and let some stranger do it for you. i personally was told by three doctors and a discharge nurse to put my mother in a nursing home. would not do it. could not do it. no matter how much i was told to. i couldnt live with myself. now this broad crowing cause her mother is in a nursing home and she calls herself a caregiver. what a joke.

Wednesday, August 22, 2012

Idiot kids

Gotta love the kids who put their patents in a nursing home or as I call it old people storage. Love the parents when they say "I have 7 children" I totally have to stop myself from laughing. That's because this old person was found lying on the kitchen or bathroom floor for say,two days. I really want to say " where were those children when you were on the floor?" but of course I can't and wouldn't. But I can see in their eyes, the humiliation and sadness. Lying in your own piss and shit while those you gave  life are living theirs. Ashamed. I really feel bad about these situations cause its a shame, when our older loved ones can't take care of themselves what do most of us do? Put them away in nursing homes. I don't care what kind Of home it is, it's still a nursing home. I don't care what you call it, it's still a nursing home.shame shame. What you afraid of? Wiping your mom or dads ass? They did it for you! Be a responsible adult and take care of your own. I love it especially when there are more than one child. Why not take turns watching mom or dad. I know you are too busy. With what morons. Not working. Yea let other people do it and on the taxpayers dime. That's even better. I love when children have their parents in a home and when they come into the hosptial act all concerned and try to direct care. I have personal experience along this line and that's to come at a later date. It will put all others to shame. Probably not though some people have none.

Tuesday, August 21, 2012

Future of healthcare if they aren't careful

If the politicians in this Country aren't careful we are soon going to have many hospitals going out of "business" many people using the emergency room for ailments that could wait and be taken care of at walk in centers or at the doctors office. I understand when you don't have insurance and can't go to those places why people are over loading the ER. We need a comprehensive insurance system for all. I myself, am hoping for something similar to what England has. From everything I have researched that would be the best. If you have something that could wait then you wait to have it done. The sicker are taken first. Makes sense to me. Hope it might clear up the ER congestion with people wasting hospital money for "rashes" or other stupid complaints. If you have a rash and say difficulty breathing that's different. The backlog of minor complaints need to stop. Because the rate of pay to doctors and hospitals are slow at best and basically it costs them money to see say Medicaid patients in the near future I see many doctors refusing. This is dangerous and are going to even more clog up the ERS.

Saturday, August 18, 2012

lets get something straight, the nurse taking care of you can either make you safe, comfortable,get you what you need and want. or he she can make your hospital stay a miserable experience for the 12-14 hours you are with him or her. so be nice. common courtesy like "thank you" "please" goes a long way.more to come.