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Vital Signs and Remedies for a Full Spectrum World
by Roxanne Nelson

14 November 2010

Nurses Must Be Able to Scale Snow Drifts, Leap Out of Airplanes…

hospital

Not sure how I missed this story considering that I used to work at this hospital.

D.C. hospital fires 11 nurses, 5 staffers for snowstorm absences

The Washington Hospital Center, which I believe is the largest facility in the area, fired several nurses because they were unable to show up at work during one of the worst–if not the worst–snowstorms in the city’s history. Strange how most of the nurses that were canned have seniority and have been there a while. What a nice way of getting rid of the best paid people and those that might come around begging for a pension sooner rather than later.

In a letter sent to the staff on Friday, hospital President Harry J. Rider sought to quell rumors that hundreds of people had been fired. He said he expects fewer than 20 people will be dismissed.

“Sadly, we did experience some issue with associates who did not show the same commitment as most of their co-workers to the community, our patients and their fellow associates. They are the few who turned away from their scheduled shifts and who tried — and are still trying — to turn the focus on themselves rather than the thousands of Washington Hospital Center workers who fulfilled their commitment to their patients and colleagues, and made it to work,” he wrote.

I wonder if Henry and his other peons managed to make it into work during the snowstorm, and show their “commitment” to the hospital. Did management make it in?

If they hospital was really committed to its staff and patients, they would have made an effort to help nurses get into work. Send out army humvees if need be, but get the nurses to work. Or offer to pay them to come in ahead of the snowstorm, and give them a place to stay. It works both ways, Henry. Nurses are committed to their jobs, but they are not about to kill themselves trying to make it to work, or abandon their children (I guess that Henry never thought of that either–that schools and daycare were closed, so what should nurses do with their kids–not that he’d think to offer daycare at the hospital’s expense).

On one forum, some nurses were saying that their hospitals expected them to come in ahead of time if a storm or something was anticipated. They didn’t get paid for their time, and they could stay in an empty patient room, or stay in a hotel at their own expense. And baah baah baah, most nurses just follow like sheep.

Well I hope all of these fired nurses suit the crap out of the WHC, and in another article, it says that the nurses have voted to become part of a larger union. Yay!

— roxanne @ 3:04 pm — Comments (0)

11 November 2010

Happy Vets Day

veteransday2010-psHappy Veteran’s Day to all vets out there. And in keeping with the theme of this blog, I will specifically acknowledge healthcare workers who have served in the military.

Nurses became a formal part of the military following the Spanish-American War, after about 1500 civilian nurses had been contracted to serve in Hawaii, Cuba, Puerto Rico, Guam and the Philippines, as well as to the Hospital Ship Relief.

The Army Reorganization Act of 1920 gave nurses a little more status–and granted military nurses the status of officers with “relative rank” from second lieutenant to major (but not full rights and privileges). It wasn’t until after WW II that nurses were given permanent commissioned officer status.

— roxanne @ 4:27 pm — Comments (0)

10 November 2010

More Bitching…

An addendum to the story of my mother…well, they operated on her hip on Monday afternoon. She had also received a blood transfusion because she was a little anemic. I spoke with a friend of hers last night and he told me that she wasn’t eating, and still had an IV in. I also spoke with her PCP, who said that depending on how she was doing, she would be discharged to rehab on Thurs or Friday.

Well, my favorite caseworker called me this am to tell me that my mother was being discharged from the hospital today and going to rehab. She was her usual abrupt pseudo-friendly self. I can’t tell if she’s just overworked/underpaid (the usual drill) or if she really just hates her job. Maybe a combination. She couldn’t answer any questions, of course.

I’m at least glad that they waited for her anesthesia to wear off before discharging her. On one hand, its good to get out of the hospital asap, so you don’t catch something there. And a somewhat debilitated old woman, who just had surgery, is a likely candidate for the infection of the day. But on the other, it doesn’t sound like she is ready to go out into the world yet. I would think they would keep her at least one more day, just to make sure she is eating and drinking, and everything stable.

But as the world turns…of course we don’t need healthcare reform. Everything is just so peachy cool as is.

Grrr….

9 November 2010

A Trip to the Hospital

crocodileShould be everyone’s worse nightmare, but in all fairness, some places are better than in others.

Florida, and in particular South Florida on the Atlantic side, is probably not one of the best places to either be a patient or to be an employee.  The pay sucks, unions are almost non-existent, the work force transient (there’s always an enormous number of travel jobs available in Florida), and basically, it shows.

No, I haven’t done a survey or scientific study, but many of the hospital horror stories take place in Florida. Nurses on forums report the often pitiful wages paid to them, and the severe under staffing. And although I worked in Florida quite a long time ago, I felt like I had gone back in time 20 years.  I briefly worked on staff and then through the registry/per diem, and it was an overall nightmarish experience.

But now, I guess I am aiming on one facility in particular. My mother fell and broke her hip, and I have to deal with an assortment of people, ranging from nice and helpful to total incompetent morons. We can start with someone from the county sheriff dept, who didn’t know where Seattle was and thought that I could just get in my car and drive right over. He didn’t seem to understand the distance from California to Florida either. And this is someone who is an officer of the law?

Next, the hospital operator was a total moron, who kept transferring me to arbitrary voice mails and fax machines.  The floor nurses were okay, although they could have been more helpful. I realize that they are probably extremely short staffed, and don’t have time to chat with me, and probably wish that I would just come in and take care of my mother. When I spoke with my mother, before she had surgery, she was trying to get a nurse to come because she had to use the bathroom. And nobody had bothered at first to help her with her hearing aids. They assumed she was demented because she couldn’t hear them.

The ER nurse had asked for my permission to do surgery because my mother is “demented.” Granted, my mother has a lot of mental problems, and she can drive you up the wall, but demented she’s not. I told the ER nurse that I would give my permission, but that the women was dehydrated, had been traumatized, did not have her hearing aids–and that does not add up to dementia.

The best one was this moron nurse caseworker (yes, she is a moron) who called me from the hospital and was trying to talk in that silly “nurse talk” like I have an IQ of 10.  Uh, I don’t think so. She wanted to know if I was the one who would help my mother make a decision on where to go for rehab. I told her that she might first try by asking my mother if she has a preference, or maybe doing something really radical like asking her primary care physician?

We already established that I live 3,000 miles away, so why would she think that I would be familiar with rehab in their area? Or does she think that I spend my spare time reading up on rehab in Florida. She seemed a little surprised by my answer–like it never occurred to her to ask the patient, or doctor.

Anyway, that’s my rant for today. My stepfather died in this hospital, and the ICU nurse that I spoke with right before he died was about as intelligent as the nurse case worker described above.  I’m not impressed with the place, and again, I imagine that the employees are overworked and poorly paid. The caseworker couldn’t wait to push me off the phone. Nice customer service.

— roxanne @ 2:58 pm — Comments (0)