@@theywalkinguptoyouand4060 Fun Fact: William Stewart Halsted, the founder of the modern residency training system for doctors today, founded the system based off of his own studying speed, efficiency of performing procedures, and patient appointments. He claimed that any good doctor needs to be able to keep up with him if they are to practice medicine
@@chadfalkin6850 Yep addicted to coke and morphine, the least amount of morphine he had per day was 200 freaking mg, the surgery rate is normally 1-2 mg per hour. He took at least 8.34 mg per hour. He was high out of his mind.
What I said was starting dose though (forgot to mention) but over 4 times higher than starting dose in surgery and he wasn’t the one under is concerning.
Practically, "continuous improvement" is impossible. Even after a major discovery or innovation, the process of "improvement" is only a refinement of what is already there as a foundation. New discoveries or breakthroughs are not always significant or actually helpful, and rushing into what we might immediately interpret as an "improvement" may turn out to be negative in the long run--this is why historical precedence matters. "Don't fix what isn't broken" is a fine phrase, though, of course, it's balancing act. Too much adherence and the field may stagnate; too much "innovation" and we fall into chaos, where nothing is true.
@@PaleGhost69 Of course, but trying to apply "fixes" to non-problems may create new ones. The question is in what even counts as "broken" and why public perception may differ. People don't "resist" for no reason.
@@ianian4162 people resist because they fear Change. If we followed your logic we would have never made it past sharpened stick and cracked rocks. Nothing about them needed "fixing." There was no "problem" but we went on to learn how to smelt copper and tin to make bronze, then iron, then steel. Those innovations didn't need to happen. Hell, many resisted the change because it wasn't the way we've always done it. People resist change until it is detrimental to their way of life and even then some people refuse to change.
@@PaleGhost69 Ah yes, becouse weapons technology advancements are always positive. Nuclear bombs, chemical warfare, missle drones, etc. No, you're right. It's just becouse we're afraid of "change."
This is the perfect example of how the hospital system isn't actually designed with patient care in mind. Especially since all the interruptions and lack of sleep have been shown to make patient health worse
The worst part of being hospitalized for 6 months with leukemia wasn’t the constant infections, spinal taps, or looming fear of death. It was getting woken up every 2 hours by a cna, nurse, med student, or doctor. I still feel badly because after 4 months I became a real jerk, but it wasn’t me, it was the cumulative effect of sixteen weeks of broken sleep destroying all sense of empathy or social awareness. Sorry, Nurse Bev.
I get what you're saying. I was hospitalized for a month once. I swear, someone walked into my room every 30 minutes to 2 hours during daylight hours, and every 2-3 hours at night. No sleep was had that month. It was like the first 3 months with my first baby.
Not before either. 2 hr checks, at least once a shift full assessment, IV pump continously beeps errors, turn immobilized patients every 2 hours, dressing changes at anytime, labs drawn around 4am, prerounds at 6. No wonder patients are not pleasant always. Very few hours for sleep.
@@Noneyun not me I have narcolepsy and my nurses no not to let ekg techs come in before 8am/ I’m the last bed to be rounded on/ and I have a port so I just leave my access out of my shirt and they sneak in for morning blood draws off my port. Luckily with a port pumps don’t beap and I let them know what meds I need and when so there is no reason for any one to ever come in my room until 8am. Plus I’m a pacemaker pt. I’m on countinous monitor so they don’t need to come in for vitals except before bed . Then I’ll be last in the morning again at 8. Lol. It can all be worked out especially if you have serious sleep issues.
@@bravo795mp You said that they sneak in for blood draws. Staff are required to round. Breakfast is served well before 8. Sure ports don't beep 🤣🤣🤣 Think the Dr cares about what the nurses say to techs? Not once.
@@Noneyun andtheywontheal we need six to eight hours to sleep, under four kills us slowly - why don't they know. And why do they turne them from back to belly and not from leftside to rightside...
@@lll-xo6nk I understand to reduce the fluid pressure in the chest cavity if you were referring to that virus. Normally patients are turned side, back, side to reduce pressure sore risk.
Yep. Many call centers train you and say you have to check in with the cmr every few minutes. Some agents don’t care tho, it’s usually for quality assurance purposes.
One of my favorite quips from the mental hospital. Nurse: why are you late to our morning group therapy and being extra rude? Patient: I didn’t sleep well last night on account that someone decided to take my blood sample at 2 in the morning and then proceed to shine a flashlight in my face every two hours. That guy was based. Made my time there way more enjoyable.
I went to rehab at our biggest city hospital and all the patients (including me) were going through terrible withdrawals and we just needed some damn SLEEP. They didn't let us close the doors with hallways full of Walmart fluorescent lights leaking through, shone flashlights in our damn faces every 2 hours and then wondered why we were all nervous wrecks the next morning and just chalked it up to withdrawals. Vicious circle. So much of behavioral health is like this and probably hospital medicine in general.
"Tell me who your supervisor is so I can chew him out. If he dares reprimand, you get a recording of the event, and I will go to bat for you. Now let me sleep"
the most awkward thing during my hospitalization was waking up in the middle of rounds or prerounds it’s crazy waking up to like a group of 7 people watching you and talking about you
I was hit by a drunk driver like 13 years ago. I was in the hospital and I was sleep. I woke up to like 10 people in my room. Lol they all introduce themselves and I can tell they felt bad lol.
Maybe that's why people think they've been abducted by aliens. Half waking up w a blinding light in their face & unbeknownst to them, a group of people doing rounds lol
Then I have to argue with them to give sleeping pills BEFORE I eat so that they actually work. Instead, they want me to take them after dinner, but I can't wait until my stomach is empty so that they actually work. Then they complain that I don't sleep.
When I was in a pediatric unit, the nurses were like spies. They never woke me up, but they still took all my vitals throughout the night and checked my IV, etc. I loved those nurses.
I aspire to this every shift and have a wearable light so I don't have to touch a light switch. I've had patients get mad I "never checked on them". Psssht. I cleaned their whole room while they slept. 🏆
I'd imagine that, for a small child, it'd be scary to wake up randomly in the middle of the night, and there's a stranger in scrubs standing by your bed. Even if they're there looking at your monitoring screens and checking your IV.
@@EvilPaladin11I was 5 years old and was in the house when our kitchen caught fire. I spent the night in the hospital because I inhaled quite a lot of smoke. I remember waking up to a nurse hovering a nebulizer mask over my face to try and treat my lungs without waking me up. I felt so save in that moment, I immediately fell back asleep.
I had a different experience . I had blood draws every 4 hours and finger pricks . Shit was wild . This was for 2 weeks straight . I had blood clots and they had to check my blood for heparin therapy levels . It was terrible
When I had my third child I was woken up CONSTANTLY. I pleaded with them to stop waking me and my baby up, since I was already feeding her consistently and we didn’t have any medical issues. They utterly refused to let us sleep. I left the hospital running out with my bags and the baby, crying, because I was soooo tired. I didn’t even wait for my husband to arrive. I was at the curb ready for him to pick me up and just broke down in the car. Just freaking let us sleep for a while!
We had this same situation when my wife had our first son. They would come bursting in the room at like 2 in the morning and just flip on the lights. I learned that nurses name fast because I always just said "ugh...freakin Becky again!" Luckily, by the time our second was born, the other hospital near us had opened their birthing center and it was a MUCH better experience. My wife asked "can you not wake us up unless it's an emergency?" and they looked at her like she was nuts and said "that's how we always do it...."
Curious as to what the experience is like in other countries. I had surgery in Brazil, fantastic care and facilities, but they kept coming in to change the IV. I assumed this was for pain although I didn't think it was that necessary. I wonder if I asked them to stop if they would have. My Portuguese was fine then, but I still tend to just go with the flow when I am in another country.
I finally had to tell my ob-gyn when he visited to put a do not disturb sign on my door unless i was flatlining to all staff so I could get a few hours of sleep. I was having trouble falling asleep after my baby was born and every time I would start to drift off with peace, lights go on and you are getting your pulse checked etc. I get it. You have a job to do, but maybe consider that unless my vitals starting going off like a pinball machine, leave me be for 4 to 6 hours so I might be able to sleep.
THANK YOU! I never understood why every time I was in the hospital (sadly, it's been many), they've counseled me to "get rest" but then wake me up every two damn hours for some nonsense! As someone who has struggled with insomnia for decades, this is absolutely awful. I would JUST be getting back to sleep when they'd come wake me again. :/
Nurses really don't want to bother patients but the Docter orders vitals and labs etc q4 hrs or more so we either do it or lose our job. I was a night nurse. Hated drawing blood 5 am and the patient is sleeping on their arm I need to draw from or hook an over up to.
@@luna-mo3olwell a lot can change in little time. If doctors missed something you all would be the first to pick up clubs to attack. Damned of we do damned if we don't. Just know that when things like this happen in a hospital, it's because there have been events with patients that have forced us to structure it in that manner.
Just think they treat you like a project to solve. Give you meds based on symptoms. They need lab results to prove its working, or they need to prescribe something else. If it got worse, they need to know that right away and not 2 days later while you are in the hospital. And they should check for results if they do something to you, not assume it went well and revisit if someone notices it got worse. So short turnaround time.
Yes. Hospitals are a great place to stay if your condition is dangerous, or you need urgent or emergency care. They are a terrible place to stay if you need rest and convalescence.
@@weebmaster9591 since you've already got the definition from others, I'll add that you will also see the term convalescent home as an alternative to using nursing home. So now you can impress your friends or threaten gammy with that!
why are hospitals so determined to deprive anyone and everyone of sleep? the staff is working 24 hour shifts, the patients are getting blood drawn at 2 am. it’s insane
Don’t forget the volunteers coming in every 4 hours to check if the room is fully stocked! Best part is it’s a new one each time and they’re all like “so if you don’t mind why are you in here?”
Because nobody wants to do these jobs and we are constantly understaff. After the vaccine mandate from Biden we lost 30% of our nursing staff almost overnight.
I've had that happen to me while I was in the hospital for appendicitis. I just came back from surgery and woke up to the pre rounds. They asked me if I could try to walk, but was so exhausted that I collapsed while trying to do it. Good that one of them catched me and placed me back into the bed, leaving me to sleep off.
When my grandad was in the hospital, they woke him up at like 4 am to weigh him and it was just one nurse to assist him. He was really old and super unstable on his feet and almost fell. So my mom told them they were not going to do that again, no more weighing him at 4 am. They could weigh him when they came in later. You can say no, you do not have to do whatever they tell you.
Yea but doctors and nurses are scumbag filth, ive had many friends openly tell me as nurses that they will do things to manipulate patients, he said for example if an elderly patient doesn't want to take their meds we distract them and inject them when they dont know it, to which i replied uh homie thats a fucking federal offense to force medical care upon those who dont want it......... And he said is it? And i was like ok these fucksticks commit felonies daily....... And ive even had a nurse openly in the room for all to see and hear threaten to forge my signature to make her life easier........ She outright did that and NOT ONE SINGLE OTHER FUCK EVEN LOOKED HER WAY WHEN SHE OPENLY SAID THAT.....
Yep for some reason they decide they need to get a patient's weight at 4 in the Flippin morning. I would get so angry everytime they did that. Literally not one real reason someone should be woken up and pulled out of bed to stand on a cold scale in the middle of the night/early morning. Despicable tbh.
@@Jaguar21010 There is a reason. If a patient is at risk of fluid overload due to kidney disease (kidneys not secreting enough urine to maintain fluid balance in the body) or heart failure (heart not able to pump blood efficiently, also leading to fluid buildup in the body's tissues), one of the ways we can tell is by weighing the patient in the morning before breakfast. If the patient gains more than 2 kg of weight over 3 days they are at risk of cardiac arrest because the heart is pumping so hard to circulate all that fluid. It can quite literally be life or death. Another reason is to adjust medication dosages for meds whose effectiveness/toxicity is heavily sensitive to weight, such as chemotherapy drugs. The reason why it's done before day shift is because it needs to be done before breakfast which usually occurs during morning vital checks & med pass, so the morning nurse will have too many tasks to do if they need to get weights too, especially if they're short staffed. And on night shift the nurses usually have to get vitals and bloodwork as well so it's an opportune time to get patients weights as they normally don't have any meds due before 0700. And often nurses will have 6-7 patients on night shift so if we want to get everything done on time we have to start our morning tasks early.
What the heck is so important about getting a weight in the middle of the night? It’s unbelievable that you really have to tell these people you need to sleep at night. They are medical personnel. They should know the importance of sleep.
My favorite thing was hearing my case loudly discussed outside my door with alllll kinds of opinions about my psychiatric state. High doses of prednisone and pain medication had really sent me for a loop, and listening to the conversations going on about my chart did wonders for the induced paranoia.
Sounds like at some point a doctor didn’t want to be bothered by med students before he had, had his coffee in the morning and invented “pre rounds” to keep them busy and it stuck 😂
I know med students using the chief not wanting to be disturbed to their advantage. Where i studied it was not uncommon in hospitals that had few med students, to give them a bad review so they had to stay longer. One guy this happened to had quickly figured out when the chief was leaving for home and made sure he went to his office 5 min before 'to discuss today's patients'. Chief could hardly refuse him as he was there to get his grading up. That lasted less than a week and he was let go with a good review
As a night nurse..this is absolutely one of my pet peeves .most patients fall asleep after 3AM. That's exactly when everyone starts coming in and waking them up. Then everyone wonders why they need a Psychiatrist or why they sleep all day.
I got woken up because I couldn't sleep on my back and had shifted to sleep on my side. The nurse didn't want the doctor to see me that way,it easnt causing sny actual problems or risks. After i kept rolling over because my gallbladder hurt (theyd yet to figure that out) she pumped me with Valium or that painkiller or something just so id not be inconvenient.
I'm glad that my only big hospital stay I've had was supposed to be sleep deprived because of this. Being constantly woken up (and not being able to sleep in the hospital bed) was fine because that just made things easier
My daughter was in the ICU with 3 separate teams. They came one at a time from 4-7am. By day three she just slapped one of the docs when they went to assess her. Another asked if he could feel her tummy (abdominal wound) and he was the third for that morning and she told him no. He had to go to look at me to try to convince her. I just told him, you asked her yes or no question and she said no.
This feels like something they give the med students so they can check they can do rounds properly, whilst still doing rounds properly in case they didn’t
I know what the med student missed, they missed just talking to the RN about what happened during the night. Rather, they attempted to get 12 hours worth of info from the patient they just woke up (who has had maybe 3 hours of sleep cumulatively throughout the night) to ask them the vague yet loaded question, “how are you feeling?” The answer to which is probably less than informative because the patient is still trying to orient themselves to where they actually are and they likely don’t have enough medical knowledge to provide much useful info beside their pain rating. 🤣
@markelleholmes6105 as someone who has had brain surgery and spent the night in ICU, I can definitely agree, that is such an accurate depiction. Not to mention the multiple times you are having to repeat yourself everytime someone comes into the room. I honestly find hospital visits exhausting.
Reminds me of an old saying. "The light on top of the tower is for planes so that they see it and don't crash. And the point of the tower is to hold up the light."
"The factory of the future will have only two employees, a man and a dog. The man will be there to feed the dog. The dog will be there to keep the man from touching the equipment."
LMFAO what an AMAZING saying, it does sound super old! I totally get it, I hate the barriers/cones they put up on roads between me and a car crash. Like, the barriers/cones are WAY closer to me than I am to the car crash, so I’m in more danger of hitting the cones than the crash!!!! Wtf it’s so stupid, my car could totally hit those cones, they’re like 4 feet from my car. If they want me to avoid the crash, they need to put the cones ON the crash, not way around it. So dumb. It’s just giving me more things to crash into. Anyway, I really love that old saying. It’s perfect and I’m going to keep using it. They’re just giving planes more things to crash into, it’s sooooooo redundant. There’s NO REASON like literally EVER to warn somebody that something dangerous is coming up: just put the warning ON the dangerous thing. Otherwise, you’re just creating MORE danger. People are so stupid.
I cannot imagine the physical toll that it takes on hospital patients to not be getting a full night of sleep - something that is always a top 5 to getting better.
Being pregnant with my first child, I was hospitalised because of some medical issues (I had gotten really sick and wasn't recovering well). I had finally gotten to sleep when a doctor came bursting in talking loudly, scaring me so bad that I started having a severe panic attack. My medical notes clearly stated to not to make sudden noises because of my anxiety that can trigger an severe asthma attack. Then he has the audacity to say he didn't know about it. Being extremely pissed and having almost died I scream at him and tell him to never wake me up in the middle of the night like that unless me or my baby were dying or in danger. Luckily it worked because cause no one bothered me at night anymore. The look on my husband's and the doctor's faces were priceless.
@@Moribund_Conqueror per google: Panic attacks won't kill you. But they can be scary - especially since they can cause physical symptoms, like a racing heart, trouble breathing, and chest pain. The good news is that, for most people, panic attacks are very treatable. If you're having frequent panic attacks, talk to your healthcare provider.
The worst thing about being in the hospital isn’t having your chest cut open or your face rebuilt, it’s the CONSTANT interruptions. In critical care you’re lucky to get three hours’ rest at a time.
I work registration and I'm always told that it's okay to go into patient rooms whenever I need them to sign something but I always feel so bad about being the 90th person to interrupt them and their sleep so I have to spend at least five minutes hyping myself up to get a signature. Idk how nurses do it. I feel like the patient hates me and wants me to die.
@@CoryPchajek had my forearm veins used to teach a med student where they typically are. best compliment i've ever gotten. sleeping is very important but I suck at it
That shit is so true when my daughter was in hospital they had couches for parents to sleep in the room and the nurses would come in grumpy as hell about me sleeping in there like I’m in their way or something and it’s like 5:45 in the fucking morning while they wake up my infant, make her cry, and leave with her wailing for me to deal with at 5:45 am. Couldn’t stand that shit
In vet med, pre-rounds are secretly extra-time to cuddle with the new puppy/kitty litter that was delivered overnight. The length of the round is also directly proportionate to the cuteness of the patients. All need to be informed repeatedly they are the goodest of girls/boys. UPDATE: Wow, wasn't expecting this many likes. If you're reading this, please say a kind word to a veterinarian today. There is a dark side to this light banter - the DVM profession has one of the highest rates of suicides. This is due to being exposed to patients dying/performing eutanasia very often (compared to the majority of medical doctors), working under stress, being at the receiving end of angry/grieving owners. We're talking about highly empatic people, often with inadequate mental health care support, and having relatively easy access to medication that can be unfortunately used to end one's life. Thanks for reading.
I accidentally skipped the part where you are a vet med and was wondering why you cuddled your patients and why you described them as good boys and good girls lmao
I have literally barred people from my room until 8 am or after because I spent all night in the ER, didn't get to my room until super early morning and then got woken up at 4 for vitals... and literally went off. I had been over 24 hours with no sleep. I made it clear that unless I was dying do not come in.
When I last gave birth, I was oddly thrilled at how much less the nurses at this new hospital bothered me, and it was likely due to them being short-staffed, especially the overnight crew. I didn’t sleep because of my newborn, but having peace that usually doesn’t occur at the hospital was lovely. I couldn’t wait to get out of there!
Patient POV: My daughter has a condition that has led us to be in the hospital way too much. Anyway, when it's about your kid who's sick and you're happy they made it through the night, pre-rounds are something you set your alarm for, you schedule your poops around, you live for those things so the doctor can give you hope for the remainder of the day. Rounds are where you get an idea of where the entire team is at and what the goals for the day are. Pre-rounds usually feel more intimate, Rounds feel more like a couple coaches coming together to come up for a game plan . That's just me though
That's a good POV to have. It's nice to have a more of an informal round and then a formal round. I feel like they would see you more as a human during pre round than an object as well
“Please inform them I do not wish to be disturbed before 8 am.” Can’t tell you how many times I’ve asked for something this simple and it’s been honored at the VA.
It is a hospital not a hotel. Believe me no one wants to wake up at 6 let alone wake someone up at that hour. But work is work, and if I get in trouble for not preparing for prerounds, you are waking up.
Your medical progress is so important to us that we'll continue to interrupt you as often as possible to get what we want regardless of whether it helps or not because this is how we do it. Happy recovering.
As patient, I once talked to medstudent during pre-round but forgot to mention certain details. During round, the doctors talked to me and scolded the medstudent for not getting all details. She almost burst into tears. I felt really bad for her and feeling guilty.
@@brandonbent2713 or you're telling yourself that to feel better lol. It most certainly would've made the doctor stop because the patient pointed out they forgot to mention it. Even if just because the patient has noticed the Doctor being a dick which by itself would give him pause and stop him from bitching.
You missed the best part of pre-rounds -- none of the blood work has come back (or hasn't even been drawn) and last vitals were at 2 am, so absolutely nothing relevant to present to the team other than patient cursed at me for waking them up early. Good times.
This reminds me of this one clinic I had to go for some time where the always made you draw blood right before your appointment with the doctor. So I would walk into the check up with the doctor who would, of course, not have my results yet! I understand they didn't wanted to make all the patients come to the hospital twice if they didn't want to, but I would have preferred to have the option, so we could have gone over the results instead of having a consult with a doctor in which we had nothing to discuss!
@@daan8695 I had one who did the same basic thing, then he’d decide during the appointment that he wanted additional blood work and you’d go right back to the lab. 🙄
@@badgermccullins6729 Excellent point. Completely forgot how I'd be presenting as a student/intern and say labs not yet back for pt A. Then some well-rested PGY3 at a computer would jump in and say they came back 15 min ago and we need to do x, y, z. ugh...
YES! THANK YOU!!! I was in the hospital for 10 days. I had horrible pneumonia and had surgery. All I wanted to do was SLEEP! I finally learned doctors and nurses tend to leave you alone after 10am so that is when I'd get as much rest as possible. I'm sure there is a great reason for waking sick ppl up so early but it still freaking sucks
Seriously! If someone's healing in the hospital, sleep is one of the most important things they need. It's deranged that it isn't a priority in a HEALTHCARE facility.
many nurses are quitting their field permanently. I dont blame them. This is a fucked up system and if our leaders aren't going to make proper adjustements well fuck we might as well just go back to survival of the fittest. Save up some money and get out while you can. There are lots of deaths on the way... but it's not anybody's fault except the corporate white collar fuckers who keep justifying their immoral behavior.....
Yup was in the hospital with pneumonia at 16 for 10 days (8 in the icu) and they kept telling me to get sleep but kept waking me every two hours to draw blood! On top of that I was the oldest patient in the unit and the baby voice talking was pissing me off on top of lack of sleep. Heart goes out to all the nurses cause being nice is the last thing on a patients mind when they’re in that much pain and exhausted.
Pre rounds are basically done by the meds students so they don’t look incompetent when doing the actual rounds with their seniors. I’m a nurse and this is what the nurse perspective is at our hospital 😂😂😂
As a vet tech and not a human nurse stuff like this baffles me. The term "let sleeping dogs lie" takes on an entirely new meaning if those dogs you don't let lie end up making the entire ward a giant stadium's worth of screams for the next six hours.
Exactly! I had a c-section and I was exhausted from all the anxiety & meds...they came to my room like every 2 hours to "check on me". I couldn't sleep and they kept waking up the baby
Girl, yes. "Hey let me come push on your incision at 4 am for shits and giggles and get angry at you when you reflexively push my hand away because you're sleep deprived, constipated and in pain. "
@@katierasburn9571 I understand and I never said the nurses did a bad job/thing. They were doing their job. As a first time mom, I wasn't aware of how often they would come check on everything
I felt similarly when I had an appendectomy. I spent the whole night in the er triage, couldn’t sleep. Got admitted to the hospital at like 5am. Still couldn’t sleep. Then I finally got “sleep” only because I got general anesthesia. Oh and I only got like an hour nap after surgery before a nurse came in and told me I had to do a breathing exercise if i was awake…like bro you woke me up 😭. I was so sleep deprived and I was only at the hospital for just under 24 hours 😢
@@katierasburn9571 Lack of sleep has severe negative effects for hospital patients. It makes them heal slower, and increases the chance of hospital psychosis. Many medical professionals think the current check in schedule needs to be adjusted to allow for more sleep, particularly since you can monitor vitals remotely.
I remember my ex was in the hospital, she finally fell asleep after having multiple seizures. A doctor making rounds came in, woke her up less than half an hour after she finally fell asleep and had the audacity to say "a hospital is not a place to rest."
That sort of disconnect is why people are losing faith in healthcare. Obviously resting is the best thing you can do when you're healing from a major health event. But the grueling pace and overbearing expectations on medical staff quickly burns them out and burns up their empathy or even good sense. I don't know why this healthcare crisis gets no attention. Burned out, exhausted, overworked healthcare professionals make mistakes and when they make mistakes at their job people die. People suffer poorer health outcomes. Or suffer severe health effects including a thing that is being recognized as medical trauma. Which makes it harder to treat them in the future. Which burns healthcare professionals out faster. We need long term holistic solutions to the healthcare system. Not just for it to be more affordable.
@@alex.b755I wouldn't trust doctors and hospitals to do something in your best interest. Only you have your own bets interests at heart. No one else. This system doesn't work the way you think it does. Sick people are farmed, not cured. I hope you don't spend enough time in the Healthcare system to see how bad it is however I wish everyone still understood that it's a completely backwards system at it's foundation.
Stayed in the hospital for a month because water broke early and they were trying to prevent uterine infection and keep the baby in for a little longer to develop. That was a month that I did not sleep. Hospitals do not believe in sleeping patients. I was pregnant hormonal and not allowed to sleep. This made for me becoming a very bitchy cry baby patient. All of my symptoms got worse and I'm thoroughly convinced it was because of the lack of sleep I was allowed. They woke me up at 10pm, midnight, 3am, 6am, and again at 9am and then the day nurses always wondered why I was always so unpleasant. There was also the annoying fact that it was clear that the medical staff was not communicating well at all because they would say things like "you need to exercise its good for the baby." So I would go for a walk in the garden outside. The nurses at the desk on the way out would say things like "What are you doing?" Me:"going for a walk. They told me to exercise.""You can't do that! You're a high risk pregnancy and your water broke at seven months!" WHAT DO YOU PEOPLE WANT FROM ME?!?!!😒
@tomwatson1116 as someone who has spent a few nights in the hospital. You don't get sleep. The "sleep" you get isn't restful as you are usually in the first stage of sleep and keep being reset to that. It has been proven scientifically that getting sleep like this is only slightly better than no sleep at all xD
@@tomwatson1116youve clearly never had to be in the hospital for more than a day or had the unpleasant experience of being sleep deprived at any point in your life. must be nice to be so ignorant about medical complications, especially when you use your brain and realize month is a very long time in a hospital and means it was extremely bad to be admitted that long. for context, you know since you're a man (typically uneducated about anything related to women and birth, yet they feel entitled enough to talk like they're experts despite most not even knowing the difference between the vag and pee hole) you normally give birth and go home in a day or 2, even with having a major surgery like c section, hysterectomy, and even amputations, it's all a few days without complications, so a month is pretty insane to be there still on top of caring for a baby and having 0 sleep. get educated or at least learn empathy before you end up wondering why no one wants you around
My pre-round post spinal surgery was surgical resident and anesthesiologist coming in to tell me that I made them laugh hysterically when they were putting me under. Because allegedly, I stopped them while they were injecting me, and went "Is that propofol?" them "yes." "FYI, that feels like fire in the veins, probably why we don't use it in the vet clinic. Anyways, have fun with my intestines and spine boys!" and was out. ...I remember NONE OF THIS INTERACTION PRE SURGERY.
We generally don't use propofol in vetmed because it's quite difficult to obtain(at least in my country, due to some people using it recreationally. It is safer to use on patients with pre-existing renal and liver conditions compared to dex-medetomidine and ketamine combination. But its interesting to hear about how uncomfortable it is, that explains why they fight back so much.
I've had nurses that didn't want to wake me up so they would just check on someone else until then. It could be because it's the maternity wing. Idk if I would have had the same experience any other part of the hospital. They were so sweet.
Being a 4th year med student, I finally understood pre-rounds. Being med students, we don't actually know about half the things that come up during the rounds. So, pro-rounds allow me about half an hour to read up/ revise some of these things before the actual rounds. It's not efficient but certainly increases your understanding.
I love the contradictory orders i get to deal with - "delirium precautions" and "routine neuro/cms checks every 4 hours" cannot both be followed. That 4am check is gonna be closer to 6 when phlebotomy, the pre-round med student/ortho intern, or the scheduled Tylenol is due.
I felt the part where he asks why not let the patient sleep more 😭. After my appendectomy I was woken up super early, was asked a few questions, then was told I had to pee now or get a catheter in me... Wasn't going with option B so I forced myself to get up and pee. Was probably standing up for at least 30min leaning on the wall dying while trying to piss. After the 3rd check in, the nurse finally told me "well if you dont have to pee now we can try later".... As if she didn't just threaten me with a catheter not too long ago
@@Nekoriz lmfaoo nooooo I'm good! I heard the pain was insane after it's removed. Can't imagine what its like getting it put it (they put it in when he was asleep).
@@JirkeDonker i could understand that, makes sense lol. What made the situation worse though was i didn't know what a catheter was at the time... and they wouldn't explain it to me. They asked if they've done it and I said "idk" and she was going to write down "no". I explained that I didn't know what it was so I needed to know what she was talking about 1st because if its important we gotta be accurate. We went back and forth like that a few more times and then she made the gesture of shoving her finger in the hole she made with her fist...then it clicked...
@@MindOfACouch I have had a catheter. It going in isnt bad because usually you are knocked out when it goes in. But the taking out just feels like a deflated balloon coming out of your pee hole. just a weird sensation. But take my ease with a grain of salt, ive been told i have an extreme pain tolerance.
I am a software engineer, not a doctor, but this is instantly recognizable to anyone in my field. We are "managed" by people who have far less formal training and education.
I still remember being nine years old, recovering from major surgery for something that nearly killed me but is relatively rare. I was at a teaching hospital and every morning the doctors and all the med students would come in to see me, but they weren't actually there to talk to me or my parents or do anything for me. They were literally just talking about me and the thing that almost killed me and the med students would just nod and stare at me like I was some kind of alien or had three heads. I really just wanted them to leave me alone so I could sleep, lol.
I know that it was traumatizing for u at such a young age but on the other side u helped in the study of many future doctors who will always keep this rare disease in the back of their mind and hopefully save other children with the same condition in the future, cause as medstudents its different when u see a patient with the disease than reading about it in the books, thank you and hope u feel better now❤
Yeah teaching hospitals suck. I know they're necessary, but you usually don't know what kind of hospital it is until ten or more people are huddled around you speaking about you like a cadaver 😤
Sleep is literally the most important part of a healing process, the fact that they're not placing ANY importance on it is very telling of how much thought and care was put into patients' wellbeing.
after being sedated and waking up in hospital i was extremely drowsy and exhausted for the following few days, so when nurses would come into my room at 3am to draw blood while i was really confused wasn’t the best. worst part was when i was moved from my own room in the icu to a recovery room or whatever you would call it, i was awoken at 4am and put in a wheelchair and just whisked away without a clue as to where i was going, not knowing where my stuff is, or my parents- and moving into a room where an elderly woman would rant to herself all night and open the curtains to my bed and watch me
It’s even better when you’re a scribe who pre-rounds for the doctor and the med students, collects and presents all the data, and then watch everyone repeat your work while you’re on standby. But heaven forbid you didn’t collect all that information for them.
My mom was begging for weeks to just let her sleep while in ICU. She's been sleep deprived for way too long and was part of the reason she was there. Doctor would come by at 4am, and neither of us ever understood what he was saying fully because we were just asleep. I needed to wake for class at 8 (slept with her in the nearby chair), and some of those nights I didn't sleep at all, neither did she unless she was drugged. So much for natural recovery during that time.... She did eventually get permission for a sign to be left alone for most of the morning. That stopped at least half of the check-ins.
The person giving you the shot & drug generally does not have any control over the times medication is ordered to be given, and are simply giving it as they were told to do. If not, it comes back on them.
yes unfortunately, because it's scheduled that way. we can either give it to you in that 1 hour block or say you refused it. it's totally fine for you to refuse it, just let them know and they'll be more than happy to have one less patient to give medications to.
i remember having a bad case of appendicitis and the nurses needing to check blood pressure & change things over in the middle of the night, and i vividly remember most of them trying their absolute best to not wake me :') i awoke almost every time but it was still nice to know they were trying hahah
Luckily we don't have med students all the time. But on the other hand, that's how they learn and become a doctor later on. Can't blame them, probably blame the system.
@@phucth91 How about have the med student do the actual rounds with a doctor behind them to supervise and step in if necessary? :') I mean sure they need the practice but just practice doesn't make perfect. Perfect practice makes perfect. Random unsupervised practice just solidifies what you are already doing which might as well be the wrong thing. You solidify your mistakes and you get incompetence in the work field later on when they become full doctors.
@@reznovvazileski3193 unfortunately we need to do pre rounds bc we get yelled at during rounds if we don’t know literally EVERYTHING about everyyy patient :”) so we need to check up on everyone and get info on any new update with the patient
@@lyna5184 Well yea but why do you get yelled at? They only expect you to know everything already because you do pre-rounds :p In my country I know about no such thing as prerounds having spent quite a lot of time in a hospital recently and nothing is falling apart here. We got the nurses doing their rounds, the lunch cart doing their rounds, and if you're actually in trouble the doctor might actually show up as well though in my admission where I wasn't actually dying they had me wheelchaired out towards them instead lol.
I know the med students are learning but, as a patient pre rounds and phlebotomy coming in at 4 AM are the most annoying things😭. You can barely sleep in the hospital😅
I’m all for learning but I need to sleep. Medical staff get pissy when I ask to be left alone to rest whenever possible with minimal interrogations/repeat questions. I’ve even asked them to put a note on the door saying “read the chart first” to avoid them asking the same 100 questions. They might hate me and label me as a problem patient but idc, i need sleep and they can read the damn chart/monitor screens before grilling me. I’ve been a social worker, I know it’s not doctors procedure to read the chart first. But it improves patient experience tenfold.
As a person who was a 26 year old kidney failure patient in the hospital for almost a week nearly a decade ago.... I was often woken up around 6 am for breakfast, checking my BP, drawing blood, etc. Not that I slept much with the weird moving bed and constant sound of the hospital. But docs and nurses came in at weird hours all day and all night. They did amazing and I know they were just doing their jobs and they did keep me from dying and I eventually fully recovered. But I don't want eggs at 7 am. After 2 days I told them I don't eat in the mornings well by nature and they started brining me thinks like fruit instead of eggs, grits, etc. 8 or 9 is better for breakfast than 6 or 7.
Don’t worry about sleeping in a hospital. You rarely get to sleep! Was recently hospitalized for a few weeks and I started requesting being “ready for bed” no later than 9AM since the lab work people arrived by 6AM at the latest, then AM nurse check before they go off duty, then new nurse check for day shift by 8AM, also add in pre-rounds then rounds….how the hell are you supposed to HEAL when you can’t even get 8 hours uninterrupted sleep yet the doctors tell you to get adequate sleep to heal.
Which is exactly why I've checked myself out AMA more times than is good for my health. At one point, I had a damn hospital room at my house, so there was no reason to go the ER unless things got REALLY bad.
I was in the hospital awaiting diagnosis for the seizures I kept having. Nurses/techs had to come in like every 3 hours. Turns out one of my main triggers is lack of sleep. It was a rough 4 days.
The worst is when you do your pre rounds then you do them with the residents then again with the attending and the same exact thing for evening rounds. It gets to a point we’re a person goes seriously nada changed we’re just wasting board time now. So happy those days are finished!
Ideally, pre-round is for medical students to practice managing their assigned patients. Back in my school, med students are allowed to write orders in medical chart which will not be taken w/o attending physician /residents signature. Not getting ur orders erased is like one of med student's honorary badge.
This is exactly why pre-rounds is used. It’s not for the attendings. It’s for the medical students and junior residents. They need to independently come up with a plan rather than being told what to do. Attendings don’t pre-round. Sadly, med students think this is scut, and that pride at being able to come with a assessment and plan is gone.
As the parent of a medically complex baby I love the pre rounds because I'm able to mention things to the med student or resident first thing in the morning then when they do rounds slightly later in the morning all his specialists and the attending are already aware so if it affected his plan of care they can have that decision made right away instead of me hearing "I'll talk to (whichever specialist) and get back to you". I apreciate all the work that med students have to do and all the time you take to talkto patients/families, you guys are awesome.
Pre-rounds are an exquisite excuse for us, poor, med students to take difficult histories that the patient isn’t willing to give. Also we wake up at extremely ungodly hours if we want to complete the ward. Then we get publicly ridiculed while “presenting the data” as the patient denies ever being diabetic.
Well, take some solace in the fact they will be dead soon and you will be there still taking people's blood without doing anything to actually help them. Let me get you off your pity party, and tell you "poor med students" you choose your line of profession and I hope you did it to help people and not get recognition, money, or public praise... Oh and the patient was up at ungodly hours BECAUSE THEY'RE DYING. Not because they're afraid of public ridicule. And right when they get some sleep, Here comes the med students taking blood, then the doctors come in, a whole work day goes off without rest for the patient. Then all night they hear the nurses talking loudly and taking blood every 4 hours. And then they have to deal with the emotional Sad med student with no empathy who's angry at the fact they forgot they have high blood pressure....
@@NoalFarstrider ??? Are you okay?? No need to be angry, they're just sharing their experience, not saying the patients are abusive or anything. And even if they were, what's the problem? They're not attacking anyone, unlike you
@@NoalFarstrider people like you are why working in healthcare is such a nightmare. I'd take a belligerent drunk who doesn't believe they broke their wrist over a self righteous grandstanding person who's never actually been sick but still thinks they know better any day.
@@NoalFarstrider The fact that you manage to misunderstand and not relate to a single word told everyone about how mature you are (and that you’re obviously not in this field). Patients aren’t up at ungodly hours. We have to wake them up unfortunately regardless of whether we want or not, to collect data (if you missed that). Also med students don’t draw any blood. Please, educate yourself before slandering someone’s profession and questioning their intentions.
I remember I was in pain so much but the drip finally kicked in and was able to fall asleep somewhere between 2 and 4 am in the morning. I got woken up by a doctor at 6am asking how I was feeling and checking vitals and asking questions (don't remember what questions). I cried and asked why they woke me up as that was the first sleep I had in 48 hours due to pain, vomiting, etc.
That's what I'm saying. Can't they look at a chart or something to see when someone has been up forever like you were for f ing 48 hours because of pain. I thought they might talk to EACH OTHER.
As a recent patient in the hospital, I was ALWAYS asleep when the med student would come in at 5am. They will wake you up and smile in your face while talking loud as you glare at them. I finally asked one of them to come back after they visited the other patients since I was just plain exhausted. They weren't the only ones that never let me sleep. You don't get any rest while in the hospital.
They probably want everyone's condition to get worse so they'll stay longer people who are on the ground in hospitals theoretically could be nice people but anyone in an administrative role or higher deserves, well put bluntly stuff I won't talk about.
I am a *deep* sleeper. Fuck their pre-rounds, I'm gettin my Z's in. They wake me up? My ass goin right back to sleep without saying a word, maybe a "sleeping leave me alone" while still 3/4 asleep
i know nothing about the medical field, but pre rounds sound like a good way for med students to learn how to do rounds while also being checked relatively quickly so even if they messed something up it’s not an issue
I will never forget the experience of my son’s birth. He was a terrible sleeper, and I could not sleep at all due to the trauma of the delivery and anxiety of being a first time parent. After the first time finally falling asleep, I am woken up by a team of students and a doctor asking me questions I can barely comprehend while I was so sleep deprived and in pain, completely out of it. 😭 I was never so happy to be discharged. The worst two days of my life.
As a patient, I’d like to hereby give a big FU to the pre-rounders for waking me up after just falling asleep, after being woken up for vitals all thru the night. While I’m at it, a big FU to all the others who need to wake me up SEPARATELY after just falling asleep… the resident, the attending, the fellow, the person emptying my damn trash at 6am. YES MY BP IS HIGH and every time u wake me up it gets higher & won’t get better if I can’t get any sleep. Someone really needs to figure out a better system.
@@cneer17 it’s called a joke. I do however politely make it known I do NOT want multiple docs disrupting me at different times. Patients have more rights to make these calls than they realize.
@@cneer17Lol no. I'm not from America, in fact I am from Europe, and they do the same fucking thing here. I was in the hospital in the height of covid, it was literally October 2020, they had so much covid patients, and still had time to wake me up 6 times at night. If my mom didn't get me discharged AMA, I would have to stay there for a few more days just to wait for a blood doctor to get there (they apparently have only one hematologist in the newest children's hospital in the capital city). I went to my local bloodwork clinic, got the results a day before that hematologist even got there, and had everything I need that day which was literally just iron supplements. I am really gratefull for all they've done during covid, but fuck that preround bullshit. Personally the hospital stay was more traumatising than the accident I was in which caused me to go there.
My son was in NICU for 3 months. Rounds are so confusing lol 4 people come and talk to each other in terms you don't understand and then ask if you have any questions...I have a billion. And its not always the same people so everytime someone recommends something different. But I do appreciate every single one of them ❤
It's not supposed to be like that tho. One resident normally presents your case (that should be familiar to you), then another say what if any new development, while they assess the patient. Then they say what new will be done to the patient. It's supposed to be in terms you can understand. If you don't you should ask. The aim of doing the rounds is also for you to participate in your care.
Everyone was great but honestly mostly the nurses! They would explain things more. Maybe because they had so many littles and with 2 babies in each space as big as a small bathroom they had so many to visit. they would come roll up with their computers talk to each other while I just nodded and go to the next stall. He was 3 months early and in a small town we didn't have delivery..even the paramedics didn't know what to do on the ride to the hospital..I had to tell them he came out on the ride to the closest city. He was helicoptered to another city. It was the most terrifying and confusing thing I've been through. I lived in a hotel the whole time after to be with him every day and I was hours away from my other kids . I had my baby at almost 40. My teenagers were alone for months so also in a daze and constant worry
I have had chronic daily migraines for years. I had to get a kidney auto transplant. I was in the hospital getting absolutely disturbed every couple of hours. I got the worst migraine, and puked my guts out for 3 days after having major gut surgery! They decided to send me home 3 days early because I couldn't tolerate the hospital!😂😭 It was awful!
Honestly, one of the more benignly annoying parts of being in a nursing home was how early and how often they'd wake me up and expect me to be able to function immediately and answer questions. The phlebotomist would come in at 5 am, turn on the brightest light and poke you in the arm then tell you to go back to sleep just to be woken for vitals around 6 then meds then breakfast
Can confirm trying to sleep in a hospital is about the hardest thing. Nurses will come and take blood samples at 2 am and doctors will come to do regular check ups. Even if you manage to fall right back asleep you’ll still be sleeping intermittently with several interruptions. Hate it.
Okay.. American hospitals are weird.. in europe night equals min staff nurses , mostly to react to patient having pushed the buttom.for some help, and min doctor, that only gets called if nurse thinks it is something that cant really wait a few hours. Taking blood samples and such for most part only start at 8 in the morning or so.. and most shift most nurses can have normal shifts with only minimal staff at nights.
My mom was a clinical nursing instructor. The students began their day on the floor at 8, so Mom would get there before 7 to go over the charts and make assignments. The students left at 4, so Mom would go over their charts and assess their performance, leaving the hospital around 5:30 or 6. She NEVER complained. She really loved teaching nurses.
No pre-rounding = serious bullying during the round or grand round. at which point you'll be singled out at every bedside for murky arbitrary questions
@@akaraven66 I'm not sure if Americans have The Grand Round. That's really usually a British system thing. We have Grand Rounds and regular rounds here in the Caribbean. Pre round is more like running around asking nurses for info on pts so that you don't get picked on during rounds.
I was hospitalised in Germany and the amount of times these nurses and doctors woke me up in my drug induced state was Annoying AF, just let me sleep and heal please!
I saw a British satire channel that showed that doctors there sit in an office and the patients come to them. So MAs aren’t cleaning rooms and having to come tell the doctor which patient is ready. Because patients just show up at their appointment time. In order. In the same place. BLEW MY MIND.
Some of my biggest trauma from the hospital is them coming in at six in the morning, turning on all of those fluorescent lights, and drawing more blood when I barely got five minutes of shut eye from the last blood draw. It literally feels like you’re being probed by aliens. Hospitals need to be more efficient because that type of treatment only leaves patients feeling sicker.
Just finished my internal medicine rotation. We basically do 4 rounds. 1st just me alone. 2nd rounds with the resident. 3rd rounds with the fellow or consultant. And 4th rounds are basically post rounds where we discuss the plans we got from our seniors and make sure all the ward work is done. I tried to explain this to my sister and she couldn't stop laughing.
This exchange hurts my head. Not because it’s wrong, it is, but because this is exactly how things are. Doctors, you think this is tedious, so do the patients. The only people who like this are the people in records, and most of them truly hate this too.
Me, a hospital security officer: "Who called the code gray? (Combative patient)" Doc: "It was me, he just got combative out of nowhere!" Me: "Are you sure nothing lead up to this?" Doc: "Well the nurse woke up him every hour between midnight at 5 AM for meds and he kept telling her to leave him alone so he can sleep but that probably doesn't have anything to do with it". Me: (attempts to not facepalm in front of the doctor so I don't get fired)
@@Dragon_Peterson well if you get wake up every hour till 5am then you get annoy and if you are a easily anger then yea it would explain why you be piss
Pre-rounds sounds like one of those things that an overachiever kept doing that quickly became the standard.
Lol. Some medical student who just wanted that extra edge and the doctors were like "why can't you be like them?" To everyone else.
Hate that person
@@theywalkinguptoyouand4060 Fun Fact:
William Stewart Halsted, the founder of the modern residency training system for doctors today, founded the system based off of his own studying speed, efficiency of performing procedures, and patient appointments. He claimed that any good doctor needs to be able to keep up with him if they are to practice medicine
@@msachin4885 I believe he was also the guy who had such good speed because he was on massive ammounts of cocaine or something like that
@@chadfalkin6850 Yep addicted to coke and morphine, the least amount of morphine he had per day was 200 freaking mg, the surgery rate is normally 1-2 mg per hour. He took at least 8.34 mg per hour. He was high out of his mind.
What I said was starting dose though (forgot to mention) but over 4 times higher than starting dose in surgery and he wasn’t the one under is concerning.
“Because that’s how we’ve always done it.” Is one of the biggest inhibitors of continuous improvement.
Practically, "continuous improvement" is impossible. Even after a major discovery or innovation, the process of "improvement" is only a refinement of what is already there as a foundation.
New discoveries or breakthroughs are not always significant or actually helpful, and rushing into what we might immediately interpret as an "improvement" may turn out to be negative in the long run--this is why historical precedence matters.
"Don't fix what isn't broken" is a fine phrase, though, of course, it's balancing act. Too much adherence and the field may stagnate; too much "innovation" and we fall into chaos, where nothing is true.
@@ianian4162 As you demonstrated, there is a problem with "don't fix what isn't broken" when people refuse to admit something is broken.
@@PaleGhost69 Of course, but trying to apply "fixes" to non-problems may create new ones. The question is in what even counts as "broken" and why public perception may differ. People don't "resist" for no reason.
@@ianian4162 people resist because they fear Change. If we followed your logic we would have never made it past sharpened stick and cracked rocks. Nothing about them needed "fixing." There was no "problem" but we went on to learn how to smelt copper and tin to make bronze, then iron, then steel. Those innovations didn't need to happen. Hell, many resisted the change because it wasn't the way we've always done it. People resist change until it is detrimental to their way of life and even then some people refuse to change.
@@PaleGhost69 Ah yes, becouse weapons technology advancements are always positive. Nuclear bombs, chemical warfare, missle drones, etc.
No, you're right. It's just becouse we're afraid of "change."
This is the perfect example of how the hospital system isn't actually designed with patient care in mind. Especially since all the interruptions and lack of sleep have been shown to make patient health worse
I agree, a lot of patients complain about those med student rounds.
True
This!
Probably due to changes implemented by meeting increased regulations due to lost law suits.
Just because something is a common practice doesn't make it a best practice.
The worst part of being hospitalized for 6 months with leukemia wasn’t the constant infections, spinal taps, or looming fear of death. It was getting woken up every 2 hours by a cna, nurse, med student, or doctor. I still feel badly because after 4 months I became a real jerk, but it wasn’t me, it was the cumulative effect of sixteen weeks of broken sleep destroying all sense of empathy or social awareness. Sorry, Nurse Bev.
i hope you're ok now, really sorry you had to go through that.
😂 same
As a CNA, and on behalf of all CNAs... I'm sorry, we wish we could let you sleep too...
tell me about it! I don't think I slept more than 3-4 hours straight ever in my over 100 days at the hospital leukemia treatment!
I get what you're saying. I was hospitalized for a month once. I swear, someone walked into my room every 30 minutes to 2 hours during daylight hours, and every 2-3 hours at night. No sleep was had that month. It was like the first 3 months with my first baby.
"Isn't the patient sleeping?"
Well, not anymore
Not before either. 2 hr checks, at least once a shift full assessment, IV pump continously beeps errors, turn immobilized patients every 2 hours, dressing changes at anytime, labs drawn around 4am, prerounds at 6. No wonder patients are not pleasant always. Very few hours for sleep.
@@Noneyun not me I have narcolepsy and my nurses no not to let ekg techs come in before 8am/ I’m the last bed to be rounded on/ and I have a port so I just leave my access out of my shirt and they sneak in for morning blood draws off my port.
Luckily with a port pumps don’t beap and I let them know what meds I need and when so there is no reason for any one to ever come in my room until 8am. Plus I’m a pacemaker pt. I’m on countinous monitor so they don’t need to come in for vitals except before bed . Then I’ll be last in the morning again at 8. Lol.
It can all be worked out especially if you have serious sleep issues.
@@bravo795mp You said that they sneak in for blood draws. Staff are required to round. Breakfast is served well before 8. Sure ports don't beep 🤣🤣🤣 Think the Dr cares about what the nurses say to techs? Not once.
@@Noneyun andtheywontheal
we need six to eight hours to sleep, under four kills us slowly - why don't they know. And why do they turne them from back to belly and not from leftside to rightside...
@@lll-xo6nk I understand to reduce the fluid pressure in the chest cavity if you were referring to that virus. Normally patients are turned side, back, side to reduce pressure sore risk.
Pre rounds are the equivalent of customer service saying “I’m still here, please continue to hold”
such a good analogy, really
We're forced to do those check ins, btw. Some centers get docked pay if they don't meet certain metrics.
Yep. Many call centers train you and say you have to check in with the cmr every few minutes. Some agents don’t care tho, it’s usually for quality assurance purposes.
Trust us we hate it too but we have to keep our metrics low
Honestly though! Some people love the check in. Mostly old people. They love knowing their shit is getting worked on lol
One of my favorite quips from the mental hospital.
Nurse: why are you late to our morning group therapy and being extra rude?
Patient: I didn’t sleep well last night on account that someone decided to take my blood sample at 2 in the morning and then proceed to shine a flashlight in my face every two hours.
That guy was based. Made my time there way more enjoyable.
I might have thrown a punch if a flashlight was put in my face that often while I was trying to get some sleep.
I went to rehab at our biggest city hospital and all the patients (including me) were going through terrible withdrawals and we just needed some damn SLEEP. They didn't let us close the doors with hallways full of Walmart fluorescent lights leaking through, shone flashlights in our damn faces every 2 hours and then wondered why we were all nervous wrecks the next morning and just chalked it up to withdrawals. Vicious circle. So much of behavioral health is like this and probably hospital medicine in general.
"Tell me who your supervisor is so I can chew him out. If he dares reprimand, you get a recording of the event, and I will go to bat for you. Now let me sleep"
Every 2 hours? Mental hospitals shine lights on patients every 15 minutes during the night.
the most awkward thing during my hospitalization was waking up in the middle of rounds or prerounds it’s crazy waking up to like a group of 7 people watching you and talking about you
I was hit by a drunk driver like 13 years ago. I was in the hospital and I was sleep. I woke up to like 10 people in my room. Lol they all introduce themselves and I can tell they felt bad lol.
@@champslimHope everything's well. That's super scary
The truth
Maybe that's why people think they've been abducted by aliens. Half waking up w a blinding light in their face & unbeknownst to them, a group of people doing rounds lol
I had one where the head nurse told the others, "He never sleeps" I said, "No, you just keep waking me up"
Then I have to argue with them to give sleeping pills BEFORE I eat so that they actually work. Instead, they want me to take them after dinner, but I can't wait until my stomach is empty so that they actually work. Then they complain that I don't sleep.
When I was in a pediatric unit, the nurses were like spies. They never woke me up, but they still took all my vitals throughout the night and checked my IV, etc. I loved those nurses.
I aspire to this every shift and have a wearable light so I don't have to touch a light switch. I've had patients get mad I "never checked on them". Psssht. I cleaned their whole room while they slept. 🏆
I'd imagine that, for a small child, it'd be scary to wake up randomly in the middle of the night, and there's a stranger in scrubs standing by your bed.
Even if they're there looking at your monitoring screens and checking your IV.
Peds nurses really can be ninjas
@@EvilPaladin11I was 5 years old and was in the house when our kitchen caught fire. I spent the night in the hospital because I inhaled quite a lot of smoke. I remember waking up to a nurse hovering a nebulizer mask over my face to try and treat my lungs without waking me up. I felt so save in that moment, I immediately fell back asleep.
I had a different experience . I had blood draws every 4 hours and finger pricks . Shit was wild . This was for 2 weeks straight . I had blood clots and they had to check my blood for heparin therapy levels . It was terrible
When I had my third child I was woken up CONSTANTLY. I pleaded with them to stop waking me and my baby up, since I was already feeding her consistently and we didn’t have any medical issues. They utterly refused to let us sleep. I left the hospital running out with my bags and the baby, crying, because I was soooo tired. I didn’t even wait for my husband to arrive. I was at the curb ready for him to pick me up and just broke down in the car. Just freaking let us sleep for a while!
We had this same situation when my wife had our first son. They would come bursting in the room at like 2 in the morning and just flip on the lights. I learned that nurses name fast because I always just said "ugh...freakin Becky again!" Luckily, by the time our second was born, the other hospital near us had opened their birthing center and it was a MUCH better experience. My wife asked "can you not wake us up unless it's an emergency?" and they looked at her like she was nuts and said "that's how we always do it...."
Curious as to what the experience is like in other countries. I had surgery in Brazil, fantastic care and facilities, but they kept coming in to change the IV. I assumed this was for pain although I didn't think it was that necessary. I wonder if I asked them to stop if they would have. My Portuguese was fine then, but I still tend to just go with the flow when I am in another country.
Same here. That's when I realized 72 hours was my meltdown point
😮
I finally had to tell my ob-gyn when he visited to put a do not disturb sign on my door unless i was flatlining to all staff so I could get a few hours of sleep. I was having trouble falling asleep after my baby was born and every time I would start to drift off with peace, lights go on and you are getting your pulse checked etc. I get it. You have a job to do, but maybe consider that unless my vitals starting going off like a pinball machine, leave me be for 4 to 6 hours so I might be able to sleep.
THANK YOU! I never understood why every time I was in the hospital (sadly, it's been many), they've counseled me to "get rest" but then wake me up every two damn hours for some nonsense! As someone who has struggled with insomnia for decades, this is absolutely awful. I would JUST be getting back to sleep when they'd come wake me again. :/
Nurses really don't want to bother patients but the Docter orders vitals and labs etc q4 hrs or more so we either do it or lose our job. I was a night nurse. Hated drawing blood 5 am and the patient is sleeping on their arm I need to draw from or hook an over up to.
@@jaspetersmjWhy do doctors do that??? That's just absurd
@@luna-mo3olwell a lot can change in little time. If doctors missed something you all would be the first to pick up clubs to attack. Damned of we do damned if we don't. Just know that when things like this happen in a hospital, it's because there have been events with patients that have forced us to structure it in that manner.
@@shallomn4746 That does make sense.
Just think they treat you like a project to solve. Give you meds based on symptoms. They need lab results to prove its working, or they need to prescribe something else. If it got worse, they need to know that right away and not 2 days later while you are in the hospital.
And they should check for results if they do something to you, not assume it went well and revisit if someone notices it got worse.
So short turnaround time.
Yes. Hospitals are a great place to stay if your condition is dangerous, or you need urgent or emergency care. They are a terrible place to stay if you need rest and convalescence.
Exactly
Bro. Wtf that word mean
@@weebmaster9591 time spent recovering from an illness or medical treatment; recuperation.
I googled it don't worry I ain't smart
@@weebmaster9591 bro. Google.
@@weebmaster9591 since you've already got the definition from others, I'll add that you will also see the term convalescent home as an alternative to using nursing home. So now you can impress your friends or threaten gammy with that!
why are hospitals so determined to deprive anyone and everyone of sleep? the staff is working 24 hour shifts, the patients are getting blood drawn at 2 am. it’s insane
Don’t forget the volunteers coming in every 4 hours to check if the room is fully stocked! Best part is it’s a new one each time and they’re all like “so if you don’t mind why are you in here?”
@@MsStarSwordPlays what volunteers? And fully stocked with what?
😲😬😕
Because nobody wants to do these jobs and we are constantly understaff. After the vaccine mandate from Biden we lost 30% of our nursing staff almost overnight.
I've had that happen to me while I was in the hospital for appendicitis. I just came back from surgery and woke up to the pre rounds. They asked me if I could try to walk, but was so exhausted that I collapsed while trying to do it. Good that one of them catched me and placed me back into the bed, leaving me to sleep off.
When my grandad was in the hospital, they woke him up at like 4 am to weigh him and it was just one nurse to assist him. He was really old and super unstable on his feet and almost fell. So my mom told them they were not going to do that again, no more weighing him at 4 am. They could weigh him when they came in later. You can say no, you do not have to do whatever they tell you.
Yea but doctors and nurses are scumbag filth, ive had many friends openly tell me as nurses that they will do things to manipulate patients, he said for example if an elderly patient doesn't want to take their meds we distract them and inject them when they dont know it, to which i replied uh homie thats a fucking federal offense to force medical care upon those who dont want it......... And he said is it? And i was like ok these fucksticks commit felonies daily....... And ive even had a nurse openly in the room for all to see and hear threaten to forge my signature to make her life easier........ She outright did that and NOT ONE SINGLE OTHER FUCK EVEN LOOKED HER WAY WHEN SHE OPENLY SAID THAT.....
Hell yes. Stand up for yourself or a loved one. It takes quite a few times...
Yep for some reason they decide they need to get a patient's weight at 4 in the Flippin morning. I would get so angry everytime they did that. Literally not one real reason someone should be woken up and pulled out of bed to stand on a cold scale in the middle of the night/early morning. Despicable tbh.
@@Jaguar21010 There is a reason. If a patient is at risk of fluid overload due to kidney disease (kidneys not secreting enough urine to maintain fluid balance in the body) or heart failure (heart not able to pump blood efficiently, also leading to fluid buildup in the body's tissues), one of the ways we can tell is by weighing the patient in the morning before breakfast. If the patient gains more than 2 kg of weight over 3 days they are at risk of cardiac arrest because the heart is pumping so hard to circulate all that fluid. It can quite literally be life or death. Another reason is to adjust medication dosages for meds whose effectiveness/toxicity is heavily sensitive to weight, such as chemotherapy drugs. The reason why it's done before day shift is because it needs to be done before breakfast which usually occurs during morning vital checks & med pass, so the morning nurse will have too many tasks to do if they need to get weights too, especially if they're short staffed. And on night shift the nurses usually have to get vitals and bloodwork as well so it's an opportune time to get patients weights as they normally don't have any meds due before 0700. And often nurses will have 6-7 patients on night shift so if we want to get everything done on time we have to start our morning tasks early.
What the heck is so important about getting a weight in the middle of the night? It’s unbelievable that you really have to tell these people you need to sleep at night. They are medical personnel. They should know the importance of sleep.
My favorite thing was hearing my case loudly discussed outside my door with alllll kinds of opinions about my psychiatric state. High doses of prednisone and pain medication had really sent me for a loop, and listening to the conversations going on about my chart did wonders for the induced paranoia.
Sounds like at some point a doctor didn’t want to be bothered by med students before he had, had his coffee in the morning and invented “pre rounds” to keep them busy and it stuck 😂
This is definitely how this started.
lmaoooo
BTW you can say "had had" without the comma, it's still correct.
I know med students using the chief not wanting to be disturbed to their advantage. Where i studied it was not uncommon in hospitals that had few med students, to give them a bad review so they had to stay longer. One guy this happened to had quickly figured out when the chief was leaving for home and made sure he went to his office 5 min before 'to discuss today's patients'.
Chief could hardly refuse him as he was there to get his grading up. That lasted less than a week and he was let go with a good review
Yeah sick em on the patients lmao
@@Ed19601 😂😂 the dude took away the cheifs home time for a good review
As a night nurse..this is absolutely one of my pet peeves .most patients fall asleep after 3AM. That's exactly when everyone starts coming in and waking them up. Then everyone wonders why they need a Psychiatrist or why they sleep all day.
I was just at the hospital and they wouldn’t give me melatonin because it was past 2:30 AM and some patients have therapy at 9 (I was not one of them)
Or they wonder why the patient doesn’t improve more and more quickly! It’s been proven we need sleep from 10p-5a.
I got woken up because I couldn't sleep on my back and had shifted to sleep on my side. The nurse didn't want the doctor to see me that way,it easnt causing sny actual problems or risks. After i kept rolling over because my gallbladder hurt (theyd yet to figure that out) she pumped me with Valium or that painkiller or something just so id not be inconvenient.
I thought I was crazy that I couldn't sleep. Glad it's typical
I'm glad that my only big hospital stay I've had was supposed to be sleep deprived because of this. Being constantly woken up (and not being able to sleep in the hospital bed) was fine because that just made things easier
“So what’s the point of pre-rounds?”
Me…a frequent, long term “guest” of my local hospital… “to wake up the patient and annoy the eff out of them”. 😅😂
My daughter was in the ICU with 3 separate teams. They came one at a time from 4-7am. By day three she just slapped one of the docs when they went to assess her. Another asked if he could feel her tummy (abdominal wound) and he was the third for that morning and she told him no. He had to go to look at me to try to convince her. I just told him, you asked her yes or no question and she said no.
This feels like something they give the med students so they can check they can do rounds properly, whilst still doing rounds properly in case they didn’t
It's good for them because when the residents and the attending come the med students get to understand what they missed.
Yeah it's literally training
I know what the med student missed, they missed just talking to the RN about what happened during the night. Rather, they attempted to get 12 hours worth of info from the patient they just woke up (who has had maybe 3 hours of sleep cumulatively throughout the night) to ask them the vague yet loaded question, “how are you feeling?” The answer to which is probably less than informative because the patient is still trying to orient themselves to where they actually are and they likely don’t have enough medical knowledge to provide much useful info beside their pain rating. 🤣
@markelleholmes6105 as someone who has had brain surgery and spent the night in ICU, I can definitely agree, that is such an accurate depiction. Not to mention the multiple times you are having to repeat yourself everytime someone comes into the room. I honestly find hospital visits exhausting.
found the person with common sense.
Reminds me of an old saying. "The light on top of the tower is for planes so that they see it and don't crash. And the point of the tower is to hold up the light."
"The factory of the future will have only two employees, a man and a dog. The man will be there to feed the dog. The dog will be there to keep the man from touching the equipment."
Not to ruin the saying, but usually the lights warn pilots of other nearby structures at that height like power lines or wind farms
@@HCG I know. That or they are a radio tower or satellite antenna.
LMFAO what an AMAZING saying, it does sound super old! I totally get it, I hate the barriers/cones they put up on roads between me and a car crash. Like, the barriers/cones are WAY closer to me than I am to the car crash, so I’m in more danger of hitting the cones than the crash!!!! Wtf it’s so stupid, my car could totally hit those cones, they’re like 4 feet from my car. If they want me to avoid the crash, they need to put the cones ON the crash, not way around it. So dumb. It’s just giving me more things to crash into. Anyway, I really love that old saying. It’s perfect and I’m going to keep using it. They’re just giving planes more things to crash into, it’s sooooooo redundant. There’s NO REASON like literally EVER to warn somebody that something dangerous is coming up: just put the warning ON the dangerous thing. Otherwise, you’re just creating MORE danger. People are so stupid.
I mean the only thing like that near me is on top of a tall hill, so pilots dont smack into the hill
I cannot imagine the physical toll that it takes on hospital patients to not be getting a full night of sleep - something that is always a top 5 to getting better.
Being pregnant with my first child, I was hospitalised because of some medical issues (I had gotten really sick and wasn't recovering well). I had finally gotten to sleep when a doctor came bursting in talking loudly, scaring me so bad that I started having a severe panic attack. My medical notes clearly stated to not to make sudden noises because of my anxiety that can trigger an severe asthma attack. Then he has the audacity to say he didn't know about it. Being extremely pissed and having almost died I scream at him and tell him to never wake me up in the middle of the night like that unless me or my baby were dying or in danger. Luckily it worked because cause no one bothered me at night anymore. The look on my husband's and the doctor's faces were priceless.
How'd you almost die from a panic attack?
@MWard-kp3dk Because it triggered a severe asthma attack.
@@Moribund_Conqueror per google: Panic attacks won't kill you. But they can be scary - especially since they can cause physical symptoms, like a racing heart, trouble breathing, and chest pain. The good news is that, for most people, panic attacks are very treatable. If you're having frequent panic attacks, talk to your healthcare provider.
@@MWard-kp3dkdude are you an AI? or just the world's smelliest ass with no reading comprehension?
@@Moribund_Conqueror There's no need to be rude
I love how doctor's are all "rest and recover" and you're awoken at 12am, 3 am, 5am, etc.
"Yeah doc, rest is NOT happening." 😒
It's because of the Hypocritic Oath they take. "Do no harm, except for devastating monetary demands."
Lol no, you can sleep at home
well they didn't say rest in peace
To check your vitals? You are in a hospital for not being well after all
@@cicatrixnictophilii thank you!
The worst thing about being in the hospital isn’t having your chest cut open or your face rebuilt, it’s the CONSTANT interruptions. In critical care you’re lucky to get three hours’ rest at a time.
Thats why it feel like heaven when you got the empty room
I work registration and I'm always told that it's okay to go into patient rooms whenever I need them to sign something but I always feel so bad about being the 90th person to interrupt them and their sleep so I have to spend at least five minutes hyping myself up to get a signature. Idk how nurses do it. I feel like the patient hates me and wants me to die.
Meanwhile my gf and I sat for 4hrs waiting for her discharge
That shit is the worst, haven't slept in days because you're so sick then as soon as you fall asleep in comes everyone.
@@CoryPchajek had my forearm veins used to teach a med student where they typically are. best compliment i've ever gotten. sleeping is very important but I suck at it
That shit is so true when my daughter was in hospital they had couches for parents to sleep in the room and the nurses would come in grumpy as hell about me sleeping in there like I’m in their way or something and it’s like 5:45 in the fucking morning while they wake up my infant, make her cry, and leave with her wailing for me to deal with at 5:45 am. Couldn’t stand that shit
My uncle tells a story of being woken up to take a sleep aid during his hospital stay 😂
Lol
In vet med, pre-rounds are secretly extra-time to cuddle with the new puppy/kitty litter that was delivered overnight. The length of the round is also directly proportionate to the cuteness of the patients. All need to be informed repeatedly they are the goodest of girls/boys.
UPDATE: Wow, wasn't expecting this many likes. If you're reading this, please say a kind word to a veterinarian today. There is a dark side to this light banter - the DVM profession has one of the highest rates of suicides. This is due to being exposed to patients dying/performing eutanasia very often (compared to the majority of medical doctors), working under stress, being at the receiving end of angry/grieving owners. We're talking about highly empatic people, often with inadequate mental health care support, and having relatively easy access to medication that can be unfortunately used to end one's life. Thanks for reading.
@Apparently…My hats off to those of you in vet med. I’m such a softy when it comes to animals I’d probably never want to go home.
I accidentally skipped the part where you are a vet med and was wondering why you cuddled your patients and why you described them as good boys and good girls lmao
@@midoastraeus1398 hahaha 🤣🤣
Very important and serious work 😤.
Understandable. That is an important work indeed.
*me trying to sleep in the ICU*
Doctor every few hours: "aye, you good?"
If you’re in icu i would damn hope they’re keeping a constant eye on you…
I mean yeah you sure are getting intensely cared for man
I just want to say that your comment was @ 999 likes. So I liked it, and made 1k. 🫣😎🙌🏼
Bro I overdosed and yeah there was always someone up in there
They're checking that you're not dead. Lol
I have literally barred people from my room until 8 am or after because I spent all night in the ER, didn't get to my room until super early morning and then got woken up at 4 for vitals... and literally went off. I had been over 24 hours with no sleep. I made it clear that unless I was dying do not come in.
When I last gave birth, I was oddly thrilled at how much less the nurses at this new hospital bothered me, and it was likely due to them being short-staffed, especially the overnight crew. I didn’t sleep because of my newborn, but having peace that usually doesn’t occur at the hospital was lovely. I couldn’t wait to get out of there!
Patient POV: My daughter has a condition that has led us to be in the hospital way too much. Anyway, when it's about your kid who's sick and you're happy they made it through the night, pre-rounds are something you set your alarm for, you schedule your poops around, you live for those things so the doctor can give you hope for the remainder of the day. Rounds are where you get an idea of where the entire team is at and what the goals for the day are. Pre-rounds usually feel more intimate, Rounds feel more like a couple coaches coming together to come up for a game plan . That's just me though
That's a good POV to have. It's nice to have a more of an informal round and then a formal round. I feel like they would see you more as a human during pre round than an object as well
True
You are the only person that I’ve ever known to say something good/optimistic about pre-rounds
So true.
Is this only at teaching hospitals? I usually only see one doctor I feel like, not a team.
“Please inform them I do not wish to be disturbed before 8 am.” Can’t tell you how many times I’ve asked for something this simple and it’s been honored at the VA.
Sorry, med rounds begins at 6am for some patients and at 7am there is change of shift then to med round again at 8am. So no, wakey wakey 😂
You can also refuse to have students be part of your team too and avoid the whole thing.
It is a hospital not a hotel. Believe me no one wants to wake up at 6 let alone wake someone up at that hour. But work is work, and if I get in trouble for not preparing for prerounds, you are waking up.
@@bilinmeyennumara2173 I'll just report you to the hospital manager sweetie.
Y'all responding with "no" as if he didn't literally just say it was honored by those he asked need to learn reading comprehension lmao
Nah speaking from experience your patients love being woken up at 6am to answer questions they’re going to have to answer again in a couple hours 😊
Your medical progress is so important to us that we'll continue to interrupt you as often as possible to get what we want regardless of whether it helps or not because this is how we do it. Happy recovering.
Ya fuck them for checking on your condition its not like diseases and stuff can change
As patient, I once talked to medstudent during pre-round but forgot to mention certain details. During round, the doctors talked to me and scolded the medstudent for not getting all details. She almost burst into tears. I felt really bad for her and feeling guilty.
Don’t feel bad, you were half asleep. Plus I’m pretty sure the student was going to get yelled at for something else regardless 🫠🥲
@@jazmineokoro001 #Facts
I hope that you then told the doctor that you just didn't tell the student everything...?
happens lot of time...
@@brandonbent2713 or you're telling yourself that to feel better lol. It most certainly would've made the doctor stop because the patient pointed out they forgot to mention it. Even if just because the patient has noticed the Doctor being a dick which by itself would give him pause and stop him from bitching.
You missed the best part of pre-rounds -- none of the blood work has come back (or hasn't even been drawn) and last vitals were at 2 am, so absolutely nothing relevant to present to the team other than patient cursed at me for waking them up early. Good times.
This reminds me of this one clinic I had to go for some time where the always made you draw blood right before your appointment with the doctor. So I would walk into the check up with the doctor who would, of course, not have my results yet!
I understand they didn't wanted to make all the patients come to the hospital twice if they didn't want to, but I would have preferred to have the option, so we could have gone over the results instead of having a consult with a doctor in which we had nothing to discuss!
@@daan8695 I had one who did the same basic thing, then he’d decide during the appointment that he wanted additional blood work and you’d go right back to the lab. 🙄
Bhahaha - so true 😄
So true. And usually the labs come back while pre-rounding, so you actually end up *less* prepared for rounds.
@@badgermccullins6729 Excellent point. Completely forgot how I'd be presenting as a student/intern and say labs not yet back for pt A. Then some well-rested PGY3 at a computer would jump in and say they came back 15 min ago and we need to do x, y, z. ugh...
Most of that pre-rounding wouldn’t even need to be a thing if they’d just talk to the nurse who just cared for the patient for 12hrs….😂🤷🏻♀️
YES! THANK YOU!!! I was in the hospital for 10 days. I had horrible pneumonia and had surgery. All I wanted to do was SLEEP! I finally learned doctors and nurses tend to leave you alone after 10am so that is when I'd get as much rest as possible. I'm sure there is a great reason for waking sick ppl up so early but it still freaking sucks
That sounds like a fantastic way to make your patients condition worse. Deprive them of sleep for no good reason
Seriously! If someone's healing in the hospital, sleep is one of the most important things they need. It's deranged that it isn't a priority in a HEALTHCARE facility.
@@nope2128 As I said - deranged.
@@nope2128hospitals lose money when a patient stays too long
To quote my friend that's been in nursing for 5+ years:
"NOTHING WE DO MAKES ANY FUCKING SENSE!"
And yes she sent it is all caps as well lmao
LMAO. Try pre-hospital sometime... 😂
@@SeliahK I'm good without any of it lmao
many nurses are quitting their field permanently. I dont blame them. This is a fucked up system and if our leaders aren't going to make proper adjustements well fuck we might as well just go back to survival of the fittest. Save up some money and get out while you can. There are lots of deaths on the way... but it's not anybody's fault except the corporate white collar fuckers who keep justifying their immoral behavior.....
Hospitals are like universities - just profit-driven business milking everyone dry
Makes sense. They're just a silly ,but essential, nurse. They wouldn't get it.
Yup was in the hospital with pneumonia at 16 for 10 days (8 in the icu) and they kept telling me to get sleep but kept waking me every two hours to draw blood! On top of that I was the oldest patient in the unit and the baby voice talking was pissing me off on top of lack of sleep. Heart goes out to all the nurses cause being nice is the last thing on a patients mind when they’re in that much pain and exhausted.
Yea screw them for monitoring your condition that can kill you or get worse at any time
@@dreck250 Literally said my heart goes out to the nurses, god forbid a teen have an attitude when hooked up to tubes 🙄
Pre rounds are basically done by the meds students so they don’t look incompetent when doing the actual rounds with their seniors.
I’m a nurse and this is what the nurse perspective is at our hospital 😂😂😂
As a vet tech and not a human nurse stuff like this baffles me. The term "let sleeping dogs lie" takes on an entirely new meaning if those dogs you don't let lie end up making the entire ward a giant stadium's worth of screams for the next six hours.
Exactly! I had a c-section and I was exhausted from all the anxiety & meds...they came to my room like every 2 hours to "check on me". I couldn't sleep and they kept waking up the baby
Girl, yes. "Hey let me come push on your incision at 4 am for shits and giggles and get angry at you when you reflexively push my hand away because you're sleep deprived, constipated and in pain. "
Its almost like there are a lot of post birth complications that could kill a mother and/or child that should probably be checked regularly
@@katierasburn9571 I understand and I never said the nurses did a bad job/thing. They were doing their job. As a first time mom, I wasn't aware of how often they would come check on everything
I felt similarly when I had an appendectomy. I spent the whole night in the er triage, couldn’t sleep. Got admitted to the hospital at like 5am. Still couldn’t sleep. Then I finally got “sleep” only because I got general anesthesia. Oh and I only got like an hour nap after surgery before a nurse came in and told me I had to do a breathing exercise if i was awake…like bro you woke me up 😭. I was so sleep deprived and I was only at the hospital for just under 24 hours 😢
@@katierasburn9571 Lack of sleep has severe negative effects for hospital patients. It makes them heal slower, and increases the chance of hospital psychosis. Many medical professionals think the current check in schedule needs to be adjusted to allow for more sleep, particularly since you can monitor vitals remotely.
I remember my ex was in the hospital, she finally fell asleep after having multiple seizures. A doctor making rounds came in, woke her up less than half an hour after she finally fell asleep and had the audacity to say "a hospital is not a place to rest."
I would have been LIVID
That sort of disconnect is why people are losing faith in healthcare. Obviously resting is the best thing you can do when you're healing from a major health event.
But the grueling pace and overbearing expectations on medical staff quickly burns them out and burns up their empathy or even good sense. I don't know why this healthcare crisis gets no attention.
Burned out, exhausted, overworked healthcare professionals make mistakes and when they make mistakes at their job people die. People suffer poorer health outcomes. Or suffer severe health effects including a thing that is being recognized as medical trauma. Which makes it harder to treat them in the future.
Which burns healthcare professionals out faster.
We need long term holistic solutions to the healthcare system. Not just for it to be more affordable.
@@SoulDevouredexcellent point and you’re completely right.
I woulda said no but it's a great place to get ice for your busted nose Doc!...
Choices have consequences, right?
Thank you for explaining why people kept waking me up when I had my babies 😂😂😂😂 I was just like ‘I just did this like an hour ago?’
"So you collect the data to make rounds more efficient?"
"Yes but they end up asking the exact same questions anyway."
Sleep is the best healer. So the hospital makes sure you don't get that on their time.
You know hospitals actually lose money when bad things happen to their patient right?
@@alex.b755lmao who told you that lie 😂
@@vdv237 it’s true, hospitals don’t get reimbursed from health insurance companies if certain things happen to a patient.
@@alex.b755I wouldn't trust doctors and hospitals to do something in your best interest. Only you have your own bets interests at heart. No one else. This system doesn't work the way you think it does. Sick people are farmed, not cured. I hope you don't spend enough time in the Healthcare system to see how bad it is however I wish everyone still understood that it's a completely backwards system at it's foundation.
@@alex.b755 That's a lie. In fact hospitals RECEIVED money when people died from covid in hospitals.
This really seems like one of those things that needs to be done away with but is so ingrained that doctor's can't live without.
I love this...This is the same logic that doesn't make sense in the military but to doctors.
Stayed in the hospital for a month because water broke early and they were trying to prevent uterine infection and keep the baby in for a little longer to develop. That was a month that I did not sleep. Hospitals do not believe in sleeping patients. I was pregnant hormonal and not allowed to sleep. This made for me becoming a very bitchy cry baby patient. All of my symptoms got worse and I'm thoroughly convinced it was because of the lack of sleep I was allowed. They woke me up at 10pm, midnight, 3am, 6am, and again at 9am and then the day nurses always wondered why I was always so unpleasant. There was also the annoying fact that it was clear that the medical staff was not communicating well at all because they would say things like "you need to exercise its good for the baby." So I would go for a walk in the garden outside. The nurses at the desk on the way out would say things like "What are you doing?" Me:"going for a walk. They told me to exercise.""You can't do that! You're a high risk pregnancy and your water broke at seven months!" WHAT DO YOU PEOPLE WANT FROM ME?!?!!😒
@tomwatson1116 as someone who has spent a few nights in the hospital. You don't get sleep. The "sleep" you get isn't restful as you are usually in the first stage of sleep and keep being reset to that. It has been proven scientifically that getting sleep like this is only slightly better than no sleep at all xD
@@tomwatson1116youve clearly never had to be in the hospital for more than a day or had the unpleasant experience of being sleep deprived at any point in your life. must be nice to be so ignorant about medical complications, especially when you use your brain and realize month is a very long time in a hospital and means it was extremely bad to be admitted that long. for context, you know since you're a man (typically uneducated about anything related to women and birth, yet they feel entitled enough to talk like they're experts despite most not even knowing the difference between the vag and pee hole) you normally give birth and go home in a day or 2, even with having a major surgery like c section, hysterectomy, and even amputations, it's all a few days without complications, so a month is pretty insane to be there still on top of caring for a baby and having 0 sleep. get educated or at least learn empathy before you end up wondering why no one wants you around
Sounds like a shitty af hospital
Oh yes, please mansplain what kind of sleep she needs.@@tomwatson1116
@@tomwatson1116 the gaslighting is insane
My pre-round post spinal surgery was surgical resident and anesthesiologist coming in to tell me that I made them laugh hysterically when they were putting me under. Because allegedly, I stopped them while they were injecting me, and went "Is that propofol?" them "yes." "FYI, that feels like fire in the veins, probably why we don't use it in the vet clinic. Anyways, have fun with my intestines and spine boys!" and was out.
...I remember NONE OF THIS INTERACTION PRE SURGERY.
We generally don't use propofol in vetmed because it's quite difficult to obtain(at least in my country, due to some people using it recreationally. It is safer to use on patients with pre-existing renal and liver conditions compared to dex-medetomidine and ketamine combination. But its interesting to hear about how uncomfortable it is, that explains why they fight back so much.
Funny story, nice
Isn't it standard to inject a local anesthetic before the propofol so the patient wouldn't feel the fire?
@@delphie23 Probably considering what maple said was probably under local
Propofol feels like fire? I have to get it for lumbar punctures all the time and feel nothing
I've had nurses that didn't want to wake me up so they would just check on someone else until then. It could be because it's the maternity wing. Idk if I would have had the same experience any other part of the hospital. They were so sweet.
Being a 4th year med student, I finally understood pre-rounds. Being med students, we don't actually know about half the things that come up during the rounds. So, pro-rounds allow me about half an hour to read up/ revise some of these things before the actual rounds. It's not efficient but certainly increases your understanding.
Because what could be worse than letting your patients get a restful night’s sleep :,)
The only thing worse is letting them get a restful eternity's sleep!
They been laying around all day 😂
@@HummingbirdCyborg and oh no! Turns out the patient is in fact, still asleep and now they’re gonna be stuck in the hospital for a very long time!
I love the contradictory orders i get to deal with - "delirium precautions" and "routine neuro/cms checks every 4 hours" cannot both be followed. That 4am check is gonna be closer to 6 when phlebotomy, the pre-round med student/ortho intern, or the scheduled Tylenol is due.
Nah because they make us get morning labs at 4am. So you not only get woken up but you also get stabbed! Sometimes repeatedly! 🙃
I felt the part where he asks why not let the patient sleep more 😭.
After my appendectomy I was woken up super early, was asked a few questions, then was told I had to pee now or get a catheter in me... Wasn't going with option B so I forced myself to get up and pee. Was probably standing up for at least 30min leaning on the wall dying while trying to piss. After the 3rd check in, the nurse finally told me "well if you dont have to pee now we can try later".... As if she didn't just threaten me with a catheter not too long ago
At that point just take the catherer so you can sleep lmao
Probably has dealt with plenty of patients who claimed they didn’t have to pee and proceeded to piss themselves and complain
@@Nekoriz lmfaoo nooooo I'm good! I heard the pain was insane after it's removed. Can't imagine what its like getting it put it (they put it in when he was asleep).
@@JirkeDonker i could understand that, makes sense lol.
What made the situation worse though was i didn't know what a catheter was at the time... and they wouldn't explain it to me. They asked if they've done it and I said "idk" and she was going to write down "no". I explained that I didn't know what it was so I needed to know what she was talking about 1st because if its important we gotta be accurate. We went back and forth like that a few more times and then she made the gesture of shoving her finger in the hole she made with her fist...then it clicked...
@@MindOfACouch I have had a catheter. It going in isnt bad because usually you are knocked out when it goes in. But the taking out just feels like a deflated balloon coming out of your pee hole. just a weird sensation. But take my ease with a grain of salt, ive been told i have an extreme pain tolerance.
I am a software engineer, not a doctor, but this is instantly recognizable to anyone in my field. We are "managed" by people who have far less formal training and education.
I still remember being nine years old, recovering from major surgery for something that nearly killed me but is relatively rare. I was at a teaching hospital and every morning the doctors and all the med students would come in to see me, but they weren't actually there to talk to me or my parents or do anything for me. They were literally just talking about me and the thing that almost killed me and the med students would just nod and stare at me like I was some kind of alien or had three heads. I really just wanted them to leave me alone so I could sleep, lol.
I was just in the hospital last week for a rare blood clot..... They still do this lol
That sound kinda traumatising for a child, that is still developing....
I know that it was traumatizing for u at such a young age but on the other side u helped in the study of many future doctors who will always keep this rare disease in the back of their mind and hopefully save other children with the same condition in the future, cause as medstudents its different when u see a patient with the disease than reading about it in the books, thank you and hope u feel better now❤
Yeah teaching hospitals suck. I know they're necessary, but you usually don't know what kind of hospital it is until ten or more people are huddled around you speaking about you like a cadaver 😤
Thank you for your contribution towards the education of those doctors. Today, they are in a better position to help you or your loved one.
Sleep is literally the most important part of a healing process, the fact that they're not placing ANY importance on it is very telling of how much thought and care was put into patients' wellbeing.
Healthy people don't need a hospital.
Without even searching for it, this video accurately answered why I did not sleep much at all during a 3 to 4 night hospitalization.
Crike.
after being sedated and waking up in hospital i was extremely drowsy and exhausted for the following few days, so when nurses would come into my room at 3am to draw blood while i was really confused wasn’t the best. worst part was when i was moved from my own room in the icu to a recovery room or whatever you would call it, i was awoken at 4am and put in a wheelchair and just whisked away without a clue as to where i was going, not knowing where my stuff is, or my parents- and moving into a room where an elderly woman would rant to herself all night and open the curtains to my bed and watch me
It’s even better when you’re a scribe who pre-rounds for the doctor and the med students, collects and presents all the data, and then watch everyone repeat your work while you’re on standby. But heaven forbid you didn’t collect all that information for them.
What the literal....
Omfg this is so accurate.
6AM: GOOD MORNING SIR DID YOU SLEEP WELL? DID YOU POOP? SEE YOU LATER!
LMFAO
You missed the loud noise of their hands slapping the light switch. And the door kick. Because the door doesnt work properly.
🤣🤣
@@fi1689 wait a sec, you guys are getting doors?
As a nurse that witnesses this, I know hearing this video, it brings it to light the absurdity of the schedules.
My mom was begging for weeks to just let her sleep while in ICU. She's been sleep deprived for way too long and was part of the reason she was there. Doctor would come by at 4am, and neither of us ever understood what he was saying fully because we were just asleep. I needed to wake for class at 8 (slept with her in the nearby chair), and some of those nights I didn't sleep at all, neither did she unless she was drugged.
So much for natural recovery during that time....
She did eventually get permission for a sign to be left alone for most of the morning. That stopped at least half of the check-ins.
As a hospital patient I identify with this. They have literally woke me up at 4 in the morning to give me a shot and a sleeping pill.
Wake me up before 7 and it better be a fucking emergency or I’ll lose it
The person giving you the shot & drug generally does not have any control over the times medication is ordered to be given, and are simply giving it as they were told to do. If not, it comes back on them.
yes unfortunately, because it's scheduled that way. we can either give it to you in that 1 hour block or say you refused it. it's totally fine for you to refuse it, just let them know and they'll be more than happy to have one less patient to give medications to.
i remember having a bad case of appendicitis and the nurses needing to check blood pressure & change things over in the middle of the night, and i vividly remember most of them trying their absolute best to not wake me :') i awoke almost every time but it was still nice to know they were trying hahah
Literally watching this in the hospital, I get woke up constantly, I'm so tired.
how can anybody heal when everyone is treated like a piece on a production line?
Luckily we don't have med students all the time. But on the other hand, that's how they learn and become a doctor later on. Can't blame them, probably blame the system.
@@phucth91 How about have the med student do the actual rounds with a doctor behind them to supervise and step in if necessary? :') I mean sure they need the practice but just practice doesn't make perfect. Perfect practice makes perfect. Random unsupervised practice just solidifies what you are already doing which might as well be the wrong thing. You solidify your mistakes and you get incompetence in the work field later on when they become full doctors.
@@reznovvazileski3193 unfortunately we need to do pre rounds bc we get yelled at during rounds if we don’t know literally EVERYTHING about everyyy patient :”) so we need to check up on everyone and get info on any new update with the patient
@@lyna5184 Well yea but why do you get yelled at? They only expect you to know everything already because you do pre-rounds :p In my country I know about no such thing as prerounds having spent quite a lot of time in a hospital recently and nothing is falling apart here. We got the nurses doing their rounds, the lunch cart doing their rounds, and if you're actually in trouble the doctor might actually show up as well though in my admission where I wasn't actually dying they had me wheelchaired out towards them instead lol.
I know the med students are learning but, as a patient pre rounds and phlebotomy coming in at 4 AM are the most annoying things😭. You can barely sleep in the hospital😅
I’m all for learning but I need to sleep. Medical staff get pissy when I ask to be left alone to rest whenever possible with minimal interrogations/repeat questions. I’ve even asked them to put a note on the door saying “read the chart first” to avoid them asking the same 100 questions. They might hate me and label me as a problem patient but idc, i need sleep and they can read the damn chart/monitor screens before grilling me. I’ve been a social worker, I know it’s not doctors procedure to read the chart first. But it improves patient experience tenfold.
As a person who was a 26 year old kidney failure patient in the hospital for almost a week nearly a decade ago.... I was often woken up around 6 am for breakfast, checking my BP, drawing blood, etc. Not that I slept much with the weird moving bed and constant sound of the hospital. But docs and nurses came in at weird hours all day and all night. They did amazing and I know they were just doing their jobs and they did keep me from dying and I eventually fully recovered. But I don't want eggs at 7 am. After 2 days I told them I don't eat in the mornings well by nature and they started brining me thinks like fruit instead of eggs, grits, etc. 8 or 9 is better for breakfast than 6 or 7.
Don’t worry about sleeping in a hospital. You rarely get to sleep! Was recently hospitalized for a few weeks and I started requesting being “ready for bed” no later than 9AM since the lab work people arrived by 6AM at the latest, then AM nurse check before they go off duty, then new nurse check for day shift by 8AM, also add in pre-rounds then rounds….how the hell are you supposed to HEAL when you can’t even get 8 hours uninterrupted sleep yet the doctors tell you to get adequate sleep to heal.
Yet doctors get more sleep than the average hospital patient.
Which is exactly why I've checked myself out AMA more times than is good for my health. At one point, I had a damn hospital room at my house, so there was no reason to go the ER unless things got REALLY bad.
I was in the hospital awaiting diagnosis for the seizures I kept having. Nurses/techs had to come in like every 3 hours. Turns out one of my main triggers is lack of sleep. It was a rough 4 days.
I've watched a lot of scrubs. JD has to talk to all his patients, try to hook up in the broom closet, and dance with Turk during prerounds.
The worst is when you do your pre rounds then you do them with the residents then again with the attending and the same exact thing for evening rounds. It gets to a point we’re a person goes seriously nada changed we’re just wasting board time now. So happy those days are finished!
Ideally, pre-round is for medical students to practice managing their assigned patients.
Back in my school, med students are allowed to write orders in medical chart which will not be taken w/o attending physician /residents signature. Not getting ur orders erased is like one of med student's honorary badge.
Dude I love that
This is exactly why pre-rounds is used. It’s not for the attendings. It’s for the medical students and junior residents. They need to independently come up with a plan rather than being told what to do. Attendings don’t pre-round. Sadly, med students think this is scut, and that pride at being able to come with a assessment and plan is gone.
We aren’t allowed to put in orders, only pretend to put in orders on the fisher-price computer and call “consults” on the play telephone ☎️
As the parent of a medically complex baby I love the pre rounds because I'm able to mention things to the med student or resident first thing in the morning then when they do rounds slightly later in the morning all his specialists and the attending are already aware so if it affected his plan of care they can have that decision made right away instead of me hearing "I'll talk to (whichever specialist) and get back to you".
I apreciate all the work that med students have to do and all the time you take to talkto patients/families, you guys are awesome.
Pre-rounds are an exquisite excuse for us, poor, med students to take difficult histories that the patient isn’t willing to give. Also we wake up at extremely ungodly hours if we want to complete the ward. Then we get publicly ridiculed while “presenting the data” as the patient denies ever being diabetic.
Well, take some solace in the fact they will be dead soon and you will be there still taking people's blood without doing anything to actually help them.
Let me get you off your pity party, and tell you "poor med students" you choose your line of profession and I hope you did it to help people and not get recognition, money, or public praise...
Oh and the patient was up at ungodly hours BECAUSE THEY'RE DYING. Not because they're afraid of public ridicule. And right when they get some sleep, Here comes the med students taking blood, then the doctors come in, a whole work day goes off without rest for the patient. Then all night they hear the nurses talking loudly and taking blood every 4 hours. And then they have to deal with the emotional Sad med student with no empathy who's angry at the fact they forgot they have high blood pressure....
@@NoalFarstrider ??? Are you okay?? No need to be angry, they're just sharing their experience, not saying the patients are abusive or anything. And even if they were, what's the problem? They're not attacking anyone, unlike you
@@lounirs He shared his experience just the same, and it’s a problem to you?
Such a dumb fuck , no other way to put it. You infuriate me.
@@NoalFarstrider people like you are why working in healthcare is such a nightmare. I'd take a belligerent drunk who doesn't believe they broke their wrist over a self righteous grandstanding person who's never actually been sick but still thinks they know better any day.
@@NoalFarstrider The fact that you manage to misunderstand and not relate to a single word told everyone about how mature you are (and that you’re obviously not in this field). Patients aren’t up at ungodly hours. We have to wake them up unfortunately regardless of whether we want or not, to collect data (if you missed that). Also med students don’t draw any blood. Please, educate yourself before slandering someone’s profession and questioning their intentions.
And as crazy as it sounds, pre-rounding is vital and helps doctors identify the sickest patients and can save lives.
The patient: "I haven't seen a doctor all day." 😂
I remember I was in pain so much but the drip finally kicked in and was able to fall asleep somewhere between 2 and 4 am in the morning. I got woken up by a doctor at 6am asking how I was feeling and checking vitals and asking questions (don't remember what questions). I cried and asked why they woke me up as that was the first sleep I had in 48 hours due to pain, vomiting, etc.
That's what I'm saying. Can't they look at a chart or something to see when someone has been up forever like you were for f ing 48 hours because of pain. I thought they might talk to EACH OTHER.
what did they respond back
What did they say???
@@Fiona-68They have to review her to see what the next steps in her treatment are ? I’m not sure what other way that can be done
@@misskaylan2000And they can't do that after letting her sleep for a few more hours?
As a recent patient in the hospital, I was ALWAYS asleep when the med student would come in at 5am. They will wake you up and smile in your face while talking loud as you glare at them. I finally asked one of them to come back after they visited the other patients since I was just plain exhausted. They weren't the only ones that never let me sleep. You don't get any rest while in the hospital.
They probably want everyone's condition to get worse so they'll stay longer people who are on the ground in hospitals theoretically could be nice people but anyone in an administrative role or higher deserves, well put bluntly stuff I won't talk about.
I am a *deep* sleeper. Fuck their pre-rounds, I'm gettin my Z's in. They wake me up? My ass goin right back to sleep without saying a word, maybe a "sleeping leave me alone" while still 3/4 asleep
i know nothing about the medical field, but pre rounds sound like a good way for med students to learn how to do rounds while also being checked relatively quickly so even if they messed something up it’s not an issue
I will never forget the experience of my son’s birth. He was a terrible sleeper, and I could not sleep at all due to the trauma of the delivery and anxiety of being a first time parent. After the first time finally falling asleep, I am woken up by a team of students and a doctor asking me questions I can barely comprehend while I was so sleep deprived and in pain, completely out of it. 😭 I was never so happy to be discharged. The worst two days of my life.
As a patient, I’d like to hereby give a big FU to the pre-rounders for waking me up after just falling asleep, after being woken up for vitals all thru the night. While I’m at it, a big FU to all the others who need to wake me up SEPARATELY after just falling asleep… the resident, the attending, the fellow, the person emptying my damn trash at 6am. YES MY BP IS HIGH and every time u wake me up it gets higher & won’t get better if I can’t get any sleep. Someone really needs to figure out a better system.
The healthcare workers are just doing their job please revoke your FUs and address them to the American healthcare system
@@cneer17 FU to the capitalist system
@@cneer17 it’s called a joke. I do however politely make it known I do NOT want multiple docs disrupting me at different times. Patients have more rights to make these calls than they realize.
@@reginafallangie2867 that’s true
@@cneer17Lol no. I'm not from America, in fact I am from Europe, and they do the same fucking thing here. I was in the hospital in the height of covid, it was literally October 2020, they had so much covid patients, and still had time to wake me up 6 times at night. If my mom didn't get me discharged AMA, I would have to stay there for a few more days just to wait for a blood doctor to get there (they apparently have only one hematologist in the newest children's hospital in the capital city). I went to my local bloodwork clinic, got the results a day before that hematologist even got there, and had everything I need that day which was literally just iron supplements.
I am really gratefull for all they've done during covid, but fuck that preround bullshit.
Personally the hospital stay was more traumatising than the accident I was in which caused me to go there.
My son was in NICU for 3 months. Rounds are so confusing lol 4 people come and talk to each other in terms you don't understand and then ask if you have any questions...I have a billion. And its not always the same people so everytime someone recommends something different. But I do appreciate every single one of them ❤
It's not supposed to be like that tho. One resident normally presents your case (that should be familiar to you), then another say what if any new development, while they assess the patient. Then they say what new will be done to the patient. It's supposed to be in terms you can understand. If you don't you should ask. The aim of doing the rounds is also for you to participate in your care.
Everyone was great but honestly mostly the nurses! They would explain things more. Maybe because they had so many littles and with 2 babies in each space as big as a small bathroom they had so many to visit. they would come roll up with their computers talk to each other while I just nodded and go to the next stall. He was 3 months early and in a small town we didn't have delivery..even the paramedics didn't know what to do on the ride to the hospital..I had to tell them he came out on the ride to the closest city. He was helicoptered to another city. It was the most terrifying and confusing thing I've been through. I lived in a hotel the whole time after to be with him every day and I was hours away from my other kids . I had my baby at almost 40. My teenagers were alone for months so also in a daze and constant worry
I have had chronic daily migraines for years. I had to get a kidney auto transplant. I was in the hospital getting absolutely disturbed every couple of hours. I got the worst migraine, and puked my guts out for 3 days after having major gut surgery! They decided to send me home 3 days early because I couldn't tolerate the hospital!😂😭 It was awful!
"so why don't you just let the pacient sleep?" 😂😂😂😂 such a good point. I wonder that myself to
Honestly, one of the more benignly annoying parts of being in a nursing home was how early and how often they'd wake me up and expect me to be able to function immediately and answer questions. The phlebotomist would come in at 5 am, turn on the brightest light and poke you in the arm then tell you to go back to sleep just to be woken for vitals around 6 then meds then breakfast
this sounds so much like my hospital stays that I'm getting nauseous and panicky just thinking about it
Can confirm trying to sleep in a hospital is about the hardest thing. Nurses will come and take blood samples at 2 am and doctors will come to do regular check ups. Even if you manage to fall right back asleep you’ll still be sleeping intermittently with several interruptions. Hate it.
Okay.. American hospitals are weird.. in europe night equals min staff nurses , mostly to react to patient having pushed the buttom.for some help, and min doctor, that only gets called if nurse thinks it is something that cant really wait a few hours. Taking blood samples and such for most part only start at 8 in the morning or so.. and most shift most nurses can have normal shifts with only minimal staff at nights.
My mom was a clinical nursing instructor. The students began their day on the floor at 8, so Mom would get there before 7 to go over the charts and make assignments. The students left at 4, so Mom would go over their charts and assess their performance, leaving the hospital around 5:30 or 6. She NEVER complained. She really loved teaching nurses.
As a fourth year med student interested in doing internal medicine, I’ve found pre rounding is where all my learning happens.
No pre-rounding = serious bullying during the round or grand round. at which point you'll be singled out at every bedside for murky arbitrary questions
Wait so you have pre, normal and grand rounds? WTF does that even mean? The more I learn about America the worse it gets.
@@akaraven66 I'm not sure if Americans have The Grand Round. That's really usually a British system thing. We have Grand Rounds and regular rounds here in the Caribbean. Pre round is more like running around asking nurses for info on pts so that you don't get picked on during rounds.
@@azigar I'm not in medicine but all the med schools i know in the US also talk about grand rounds
Keep in mind that these rounds are often multidisciplinary. So as a pharmacy student, I hat to do a pre-pre-round. Poor patients 😥
I was hospitalised in Germany and the amount of times these nurses and doctors woke me up in my drug induced state was Annoying AF, just let me sleep and heal please!
I saw a British satire channel that showed that doctors there sit in an office and the patients come to them. So MAs aren’t cleaning rooms and having to come tell the doctor which patient is ready. Because patients just show up at their appointment time. In order. In the same place. BLEW MY MIND.
Some of my biggest trauma from the hospital is them coming in at six in the morning, turning on all of those fluorescent lights, and drawing more blood when I barely got five minutes of shut eye from the last blood draw. It literally feels like you’re being probed by aliens. Hospitals need to be more efficient because that type of treatment only leaves patients feeling sicker.
Six? Did you sleep through the phlebotomist stabbing you with a needle at 4?
Just finished my internal medicine rotation. We basically do 4 rounds. 1st just me alone. 2nd rounds with the resident. 3rd rounds with the fellow or consultant. And 4th rounds are basically post rounds where we discuss the plans we got from our seniors and make sure all the ward work is done. I tried to explain this to my sister and she couldn't stop laughing.
We planned everything on the third with consultant. The postgraduate residents oversaw if the work was done.
You should add a few more rounds. Just to be safe.
Exactly🤣
Hey all you sick and injured…..No sleeping in the hospital!
This exchange hurts my head. Not because it’s wrong, it is, but because this is exactly how things are.
Doctors, you think this is tedious, so do the patients. The only people who like this are the people in records, and most of them truly hate this too.
Me, a hospital security officer: "Who called the code gray? (Combative patient)"
Doc: "It was me, he just got combative out of nowhere!"
Me: "Are you sure nothing lead up to this?"
Doc: "Well the nurse woke up him every hour between midnight at 5 AM for meds and he kept telling her to leave him alone so he can sleep but that probably doesn't have anything to do with it".
Me: (attempts to not facepalm in front of the doctor so I don't get fired)
😳😬
Docs dont have social skills. They are all nerds who had no friends in high school so they literally dont know how to talk to common people.
So you went to the hospital to sleep and not get the meds you need? Sounds like you need to go tf home..
@@Dragon_Peterson well if you get wake up every hour till 5am then you get annoy and if you are a easily anger then yea it would explain why you be piss
@@lambai4114 doesn't matter... you go to the hospital for help through medicine or procedure.. that's it. So accept the help when it comes or leave