[NPInfo]hospital care now

Mon Sep 10 08:22:21 PDT 2007

Yes,

  I will speak to someone, but I am trying to get records which as the executor they are supposed to give me, and no one has yet, and I had a letter stating that 5 of the executives of each department wanted to meet with me all at once, and I was not about to do that and get attacked or have them defend themself.  If I do that, it will be with an attorney, but I want to see what the records say. I will definitely refute the bills. 

  I am sorry about your mom, one thing that I hope if it can bring you peace, is that she wont have to suffer long.  Some people suffer for years, and I hope she is not, and that she will go when it is time for her and that her mind is being protected by a lot of the extraneous stuff going on.  Carla

Priscilla Merrill <prispunnyfnp at metrocast.net> wrote:
  I'm so sorry, Carla. I would speak to management and dispute this bill and
make sure someone near the top hears of your experience so changes can be
made. 

Priscilla Merrill (thanks for the thoughts for mom. Things are status quo.
She dwindles away, a bit weaker day by day as a trend).

-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Carla Anderson
Sent: Sunday, September 09, 2007 7:05 PM
To: NP Info
Subject: RE: [NPInfo]hospital care now

Of course, you all know my dads story, and I just got a bill yesterday,
from the Care Facility that had him for one night, and was hypoxic and dying
as you know in the morning. No care was done, period, no nurses notes for 8
hrs,..no meds, no rehab, just lying in bed hypoxic for hours, the bill was
for 1400.00! Come to think of it, they were probably charging for his
furniture still in his room as he was rushed to the hospital and then
hospice. 

And prior to this, about 5 months ago, the landscaper that was doing my
lawn, told me that his mother, age 62 went to a different hospital here in
Oregon for a hip replacement. She was very healthy, and she died. They just
told her that she got chest pain and died. That is all he knows. We all know
the differentials of course, but this should not be happening. 

Another person I know, her relative was hours post op, left alone and pain
pump malfunctioned. Happened to be that a friend was visiting and went
screaming for a nurse to come to the empty room as the patient (my friends
relative) had stopped breathing. Narcan was given, but this would have had
a very tragic ending and maybe the family would have been told the same
story as my landscaper was, if a friend had not been in the room. I can
tell far too many stories and I should not have to. It is happening at
different places, not just one place. It literally makes me sick. Carla

Shelby Havens wrote:
Could this have something to do with why healthcare in the United States
is 
considered substandard to healthcare in some other countries?

Best Regards,

Shelby Havens, ARNP

>From: "Marilyn Dean" 
>Reply-To: NP Info 
>To: "NP Info" 
>Subject: RE: [NPInfo]hospital care now
>Date: Sun, 9 Sep 2007 14:51:53 -0500
>
>Thanks for the note Dena. I was pretty much shocked. She was never out of
>the bed with assistance of anyone, but PT and sessions were skipped if
>someone was doing vital signs or she was otherwise engaged in some other
>activity. It certainly was hard work getting those new post-op patients up,
>but you darn well knew that was to be done.
>Oh well, progress????? Really pretty sad. She had much better care a few
>weeks earlier in a small community hospital. Less patients (maybe less
>computers too?).
>Marilyn
>
>-----Original Message-----
>From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net]On
>Behalf Of Dena
>Sent: Sunday, September 09, 2007 2:10 PM
>To: 'NP Info'
>Subject: RE: [NPInfo] My Reply...Back to Sue
>
>
>I worked Ortho for many years in the early 1980-1989 when joint 
>replacements
>was still "relatively" new and patients were in the hospital 7-10 days
>before going home (no sending them to rehab-- they rehabbed there). Pts 
>were
>up in the chair 2-3x a day for meals for 1-2 hours by post-op day 2 (and if
>they were my patients, they were bathed and up in the chair before
>breakfast-- after PT they were returned to a beautifully, and wrinkle-free,
>freshly made bed and fluffed pillow ) and had PT 2x/day. The nursing
>assistant, ortho tech, or nurse got the patients up to the BR, and walked
>them in the halls in between therapy sessions once cleared by PT. Actually,
>these poor patients got very little time to rest and sleep during the day
> but I don't remember using anything other than TED hose and SCDs (once
>they were invented) to prevent DVTs. Of course, back in the early '80s was
>before the whole DRG thing started...
>
>In my last job on a new NeuroSurgery unit, the nurses and CNAs NEVER got a
>patient out of bed in a chair or walked them in the hall-- they were
>supposedly too busy. PT managed to see the patients once a day although
>frequently didn't see them at all and actually had little notes in the
>charts about being "short staffed" (YIKES!).
>
>I really fail to see how this is progress.....
>Dena Galler
>
>-----Original Message-----
>From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
>Of Marilyn Dean
>Sent: Sunday, September 09, 2007 11:22 AM
>To: NP Info
>Subject: RE: [NPInfo] My Reply...Back to Sue
>
>I have to agree. I was very disappointed in the care my Mom-in-Law had
>recently in a large hospital after an extensive surgery to redo a 
>prosthetic
>hip which had loosened over time and finally resulted in a femur fracture.
>At 88 it was a great risk. 5 people were in each day for a care conference,
>but no one but PT got her up and she went to a care center on Friday AM
>after having surgery on Tues late afternoon. She had not been sitting in a
>chair yet. Does it make you wonder why we now have to have all the DVT
>prophylaxis with meds with hospitalizations. She is completely non-weight
>bearing on one leg with a congenial hip malformation on the other where she
>may bear weight.
>Now in the care center they are doing a great job of getting her up, but I
>can't quite get anyone to order something for her gerd, although I have
>talked to them twice and she has lost her "cookies" a couple of times
>because of it. They have till Tues to get an order or I will personally 
>call
>her Dr. I think communications are a real problem. Promises don't cut it.
>Marilyn
>
>
>-----Original Message-----
>From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net]On Behalf 
>Of
>Priscilla Merrill
>Sent: Saturday, September 08, 2007 5:37 AM
>To: 'NP Info'
>Subject: RE: [NPInfo] My Reply...Back to Sue
>
>
>Amen to that! Couldn't have said it better, Dena. I'm truly heartsick to
>see this part of nursing go by the wayside. True nursing care for the most
>part has gone down the toilet as nurses are more and more multitasked and
>forced to be documentation/computer queens. My friends that have stayed in
>nursing are few and far between and burnt to a crisp with the new mountains
>of expectations, shorter than ever staffing and the fluffing has suffered 
>as
>have the patients. That's been my mantra over and over on these threads- -
>the patient MUST be our center. It's not all about money, power, prestige,
>turf, role delineation -- we must put CARE in the center and all would be
>happy.
>OK, I salute you my JANGO sister! This obviously made us fluffers from a
>very early age. When you take care of men and do your hs perineal care, 
>does
>that make you a Fluffer-Nutter? And as my 2 cents, there's a difference
>between comfort and fluffing and waking folks for mundane tasks when you
>don't have to. That's why they call it the ART of nursing. OK< flame suit
>on, POOF.
>
>Priscilla Merrill FNP
>
>
>-----Original Message-----
>From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
>Of Dena
>Sent: Saturday, September 08, 2007 2:39 AM
>To: 'NP Info'
>Subject: RE: [NPInfo] My Reply...Back to Sue
>
>I remember back in the '80s working 3-11, pushing a cart from patient to
>patient starting at 9:00p.m., handing out a hot wet washcloth, a towel,
>changing the drawsheet, putting a new pillow case on the pillow before
>fluffing it, and offering a back rub to everyone. It was my favorite part 
>of
>the shift. Did I ever think I was playing the stereotypical handmaiden role
>while I was doing it? No-- I only knew I was helping my patients relax and
>feel better. Several years ago while working agency on the floor for extra
>money, I fell back into the same pattern and the nurses were astonished.
>None of them had ever heard of p.m. care before. When working the day 
>shift,
>I was shocked to find out that none of the nurses apparently had ever heard
>of a.m. care or baths before either.
>
>My girlfriend's 20 yr old son was in the ICU a couple of years ago with
>bilateral spontaneous pneumothorax and was, appropriately, scared to death.
>He later told his mom (a NP herself) that the best nurse he had was one who
>gave him a back rub one night and then pulled up a chair and spent 20
>minutes just talking to him. That was what he needed more than anything 
>else
>at the time.
>
>I have often said that people go into nursing for one of two reasons-- the
>art of nursing (the nurturing, hand holding, talking) or the science of
>nursing (the machines, the numbers, the technical aspects). I'm definitely
>the hand-holding nurturer type, always have been and always will be-- and I
>will never apologize for it.
>Dena Galler
>
>
>
>
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Carla R. Anderson, FNP-C
Healing Presence Family Practice, PC 
carla_rayne at yahoo.com
503 819 9726
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Carla R. Anderson, FNP-C
  Healing Presence Family Practice, PC  
  carla_rayne at yahoo.com
  503 819 9726