Hospital Secrets Revealed by Healthcare Workers - Doctor Reacts
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- Äas pĆidĂĄn 1. 10. 2022
- 01:00 - Shaming Patients into Surgery
03:00 - Ordering unnecessary Blood work
04:07 - Patients don't know their health
05:00 - Life is at risk
06:02 - Social Workers do A LOT
07:06 - No Lunch Breaks
08:12 - Working w/ HIV pts
09:22 - Use the Call Bell
10:06 - You are NOT the only Patient
11:20 - Working at the VA
12:44 - Hospitals AREN'T Clean
13:40 - Don't be Rude
14:20 - Treat people right
Link to article: www.buzzfeed.com/audreyworboy...
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No, violence against staff is NOT a "known risk". There is A LOT that can be done about it and it should never be tolerated. Sorry to the physicians out there, but nurses take the vast majority of violence against them, physicians hardly ever see it. Patients that are alert and oriented need to be charged. Violence against healthcare workers is a felony offense and needs to be treated as such. Confused patient is hitting people? If they can't be deescalated then they need to be restrained or medicated. Violence is NOT something nurses just "have to put up with". It is a crime and needs to be taken seriously.
Violence against law enforcement is not tolerated as part of the job.
Iâd hit back which is why Iâm probably not a nurse đ
However Dr's who do experience violence are generally killed
I was going to say the same thing. Charges need to be pressed against the person committing the violence. This is not an expected part of the job.
Yes violence is absolutely a risk.for Woman that work in a hospital. Not only is violence normal so is sexual assault and rape. Nurse's aids have to deal with the abuse because they have to sit with them. We have to sit with them.
Shout out to all the social workers out there! Working in the NICU, our social workers have helped families get things like WIC, breast pumps, car seats, and much more. They are unsung heroes! âš
Iâm a surgical RN and our social workers are straight magicians. Idk what they do 95% or how they do it. But they get stuff done. Idk how they find housing, etc for our patients but they do it.
I worked as a social worker in the NICU. Itâs an incredible place! Your comment warmed my heart
Some are good and others are bullies and manipulators, power abusersâŠ
I had to have a MRI and a ANA lab work in the ER when I had something come up I and I had to go straight to the ER for treatment, afterwards, my Diagnosis was pretty scarey and the Social services in the Hospital worked with me in setting up and navigating through Social security and all kinds of programs that I knew nothing about. They were exceptionally helpful and went over beyond to make sure to help get me started to navigate the insurance and disability system. If it wasn't for that Hospital Social workers I wouldn't be here .
.
I call those lunches "walking sandwich".
As a night shift radiographer who also doesn't get a lunch break and therefore eats their meal at the computer (often having to leave whatever the food is at the desk 3-7 times to go do stat orders) I have definitely had nurses/doctors/and patients complain that they think we aren't busy because they saw us eating at our computer. Like no, of we weren't busy you wouldn't see us eating because we'd be able to go to a break room for lunch, but we can't...
Also the number of times we don't end up eating at all, even on a 12 hour shift, is waaay more than most people would think.
9
All i ever hear form medical field people is how hard you guys work. You on average earn more than lawyers who work 80 hour work weeks. The entire media told you your heroes for the last fifty years and now you believe it. I say flood the nation with foreign nurses increase competition and put the lazies out of work. This worked in coal mining, and every other industry it will work in medicine as well.
Iâm a former nurse and the abuse from fellow staff, patients and families can be absurd. I was taught to treat people how You Want To Be Treated. đą
Agree
Which means we should be allowed to tell them off too đ
"Treat others like you want to be treated.â ? - Donât tell that to a masochist. đ€đłđ€©
You're probably dealing with a lot of narcissistic professionals and stressed out patients that don't know how to respect anyone.
I'm a radiographer and the funniest thing is when it's a busy day and someone walks in, passes the waiting room, comes up to us expecting to go before other people. "It's an emergency referral", they say. "So is everyone else's, sit down".
I once had a lady bring her kid in for an outpatient x-ray...on a weekend. I told her I had some stats up in ICU, and then I would be right with her. She got mad at me and told me she was a stat too!! Well, pretty sure you're breathing just fine and not hooked up to a vent, so I'm just gonna head up to ICU now....
@@Absbabs88 Classic. There also tends to be confusion when you take in someone else that came after them. I remember one time when people had been in the waiting room for over two hours but we couldn't take them because stats kept rolling in, I went out to inform them what the situation looked like and that we hadn't forgotten them, that they'd probably have to wait hours more but we'd try to weave them in. It wasn't met very well. One guy basically barged in when they could see me sitting by the computer (planning the next exams while colleague x-rays) saying "you're not doing anything!". I was like "look, the room is always in use". That shut him up. It's so hard to explain to someone who's in pain that there's someone else who's hurting more.
This happens in tire shops too...
Doc as a maintenance person in a Trauma II hospital I couldnât agree more about being patient with staff. The number of times Iâve had to help out on the overnight shift with cleaning rooms, moving people and helping with security is astronomical. I applaud all my coworkers as well as those in other hospitals. As far as Ice machines and water, we are obligated to clean and inspect each machine monthly. Even have changed all lines on a frequent basis. Our Infection Prevention department gets them tested by an outside agency regularly. So DRINK UP! (At least at my hospital đ)
Thank you.
Thatâs what Iâve always loved about third shift. Everyone knows everyone and is willing to work together because they understand just how much every other department is struggling lol. Every night at my trauma center (depending on where you are of course) is survival for the staff just as much as it is the patients.
#6 is not burn out, it is moral injury. This nurse is not seeing the extent of abuse they are living through. When the system takes away your right to eat, to do your best, to have time to recover from illness and surgery this is abuse NOT part of being professional or selfless. I survived 39 yrs of nursing and fought back every single job that was bad, still got TB, PTSD, and believe adverse working conditions correlate to onset of Myasthenia Gravis as well as whacked up immune system.
Agreed. I felt his response was oddly dismissive.
My favorite vlog of yours so far! I worked in the medical field for 27 years in an office setting. Our poor girls (myself included when helping out) up front got chewed up and spit out by patients for the doctor being behind. What they don't realize is the docs make their schedules, we didn't. We just had to put the patients in the time slots the drs designed. When the dr would enter their exam room saying I'm sorry you had to wait, they would say oh that's alright. I heard that myself.
When being the patient, I am not a needy patient. This means so much to the nurses. My last hospital stay the nurse I had on day of discharge said I sure wish I had you your entire stay, telling me also what a pleasure it was to care for me. What I am trying to say is kindness goes a long way in all aspects of life.
Hospitals need to pay more attention to proper sleep hygiene for patients. Nurse stations are so loud at night
Soooo True
A hospital is not a hotel we have orders to follow. Also it's loud because most of the patients won't sleep. You would think they would but crazy doesn't sleep.
The violence one is scary and so common. New nurse here, and Alcohol withdrawal patients give me so much anxiety, feared for my safety numerous times. Donât even get me started on those on harder drugsđ
Edit: 2 nurses just got killed in Dallas, no body ever talks about violence in healthcare.
Get TF over yourself. All jobs working with the public are dangerous.
It's * nobody lol you sure you're educated
I worked with a nurse that was stabbed in the shoulder by a mental pt. He used a fork. Fortunately the RT on duty was an ex marine and put the guy down.
Iâm a physical therapist student, and I feel like PTs get the rep of âjust walking patientsâ, but honestly thereâs a lot of interventions being done all at once. We work on gait patterns, balance, cognition, work on CV system, prevention of pressure ulcers, and most of all patient education! It may seem simple, but it achieves a lot!
Not sure which country you are in, but in the US there is a reason for this. I needed to have a lumbar fusion done. Physical therapy was used as a means to attempt to get me, and others to give up & stop pushing for the care we needed. In my case I was refered 11 times before the referral for a surgical consult was put in. In that time frame 15 of the 28 paitents in the "pain management" class gave up because they could not afford to take that much time off of work without improvement. How this really gives physical therapist a bad reputation in the eyes of the paitents is, the PT will just go along with it & keep collecting thier reimbursement from the insurance company. Instead of pushing back due to the fact the patient is not improving, and most likely not going to improve the 11th time around. The increased amount the insurance company paid on the 13 paitents who didn't give up is far less by several factors then the amount they saved from having 15 give up hope of receiving the treatment they needed & deserved. Meanwhile the PT kicks back profiting off of this. One thing I learned early on with learning to live with chronic pain is, that there are a lot of conmen looking to profit off my pain. Unfortunately there are times when Physical Therapy is just one more in the long line of conmen looking to part me from my money.
@@williamallen7836 It is unfortunate to hear your story, and i am sorry that there was a lack of patient advocacy for you. However, I will say that PT is great for patients with chronic pain. There has been growing research on chronic pain recently, and there are several interventions that are evidence based that PTs can provide for patients with chronic pain. Also surgery is tended to be a last resort for patients that are young and very mobile, as it has a longer recovery and possibly have worse outcomes. I will say that 11 times should be a red flag in that PT is not appropriate for the patient, and the PT should have referred you back to your PCP-or at least had a conversation with them in regards of possible surgery being the best option. With all professions, there are those that are there for only the money, and do not perform best practice, but please don't give up on the PT profession. We are not conmen, as we go through 7 years of schooling where we are taught things that have research to back it. If you need PT again, hopefully you get one that performs best practice, as it will be a totally different experience!
PT did so much for me, as well
As OT. I was in a car accident where I was crushed. 3 Brain injuries stroke, broken pelvis, back and ribs. Doctors didnât think I would be able to walk again. I can walk. I use cane and walking stick in public for balance and assistance with stairs. At home, its a small area, so i donât use them in the house. If I was not put in PT, i know I would still be in a wheelchair. Accident was in 2010.
Love out to the PT!!!!
Yes you all do so much! One thing I tried to do as a nurse and as a supervisor was to encourage more kindness and appreciation between all the departments in each place I worked. My last job I spent more focused on this than patient care...which I knew would improve with better attitudes and team work between each of the staff members. Thank you for all you do!
Working as a surgical tech I had to quit working at surgery centers because of how poor sterile technique and cheap surgeons/staff can be. Iâve seen them literally reuse sutures, syringes, hypos, disposable towels and things that are just not meant to be reused. I called out the staff on multiple occasions and would never accomplish anything. I just realized itâs not something I want to be a part of and hospital life is definitely much safer for patients and staff. âš
Maybe there is a way to report them, and someone can go undercover and film these kind of things for evidense?
@@lollsazzUnfortunately the staff all know this is the way it is.
Scary, ain't it? ....
did you ever report any of them to the health department in your state? Is it better to have things done in a hospital?
Damn!
The whole be polite, and nice is a 2 way street. The number of nurses I have dealt with that feel it's perfectly fine to take out the fact thier DR chewed them out for a minor issue is endless. I have been in constant pain since I was 8 yrs old. By default I bite my tongue, and ask my self if I'm just feeling like the world's biggest grouch because I hurt & need to moderate my attitude. But a quick way to get me to no longer care about how I may respond is, to not reciprocate and check one's attitude themselves. We all have crappy days, but need to remember we are dealing with other humans by choice. Nurses & paitents alike.
Yes, absolutely! respect is a two way street!
I've had several (rather annoying) experiences with my son and medical people. Usually it's doctor's though. At a children's hospital once; it was the end of a LTM stay (long Term Monitoring - 5 days) and my son was 16 years old with autism and epilepsy. The nurse "flushed" the IV. He said it hurt and she told him it was fine and hooked him up to a pump. Well, the vein wasn't any good anymore and his arm swelled up. The IV had been in for 5 days and hadn't been used; so, of course it wasn't any good any more. Understandably he was upset.
She took the IV out and came back in the room about 10 minutes later with another IV. He said "NO!" She just pretended like she didn't hear him and started getting the things ready to put in another IV. He said: "If you try to stick me with that I'm going to hit you." Again she pretended not to hear him. And made some comment about that he wasn't allowed to hit her.
At that point I said something to her.
I told her she was dealing with a 16 year old, 6ft, 190 pound male with autism and epilepsy. "He told you that if you try to stick another IV in him, he will hit you. And if you don't want him to hit you; I suggest you heed the warning." She looked at me like I she didn't quite believe me either; and then I explained to her: "At school he has a behavior plan and staff are told to speak calmly and matter of factly to him when he gets upset. They are told to work on problem solving to help him calm down; but the behavior plan also says don't try to restrain him, because if they do, he will hit them. And he has hit staff who don't follow the behavior plan. He'd already told you the IV hurt and you didn't listen to him. So, I wouldn't push my luck if I were you."
Then she got mad at me; stated she didn't know he had autism. (Well, it's in the chart. Assuming you read the chart? You've been here a couple of days in a row now!) It wasn't right that he hit people etc. And I told her that he's taught to verbalize his frustration INSTEAD of hitting; and he gave her a warning. Respect his boundaries. Then she got flustered; told me he was the last patient still here, the unit was suppose to be closing down to be cleaned and he had to have enough seizure meds in his system before he could be discharged.
I replied "Then I suggest you call the doctor." He was too agitated at the moment and that they better figure out what to do so nobody gets hurt. Her and the PA were mad because they wanted to leave. But of course no one bothered to consult anyone, look at his chart, or plan ahead. (You being inconvenienced by your own poor planning isn't my problem. I worked in group homes; there were times I had to stay late too.)
The doctor came up to the floor after he simply ordered a double oral dose and told them to wait two hours. They were welcome to do their other unit shut down procedures and the cleaning crew would just have to wait to clean the room. After they left; I thanked the doctor for his understanding and apologized for holding up their shut down procedure. He told me not to worry about it. "This is a children's hospital. This kind of thing happens all the time. They know that."
So yes: Respect is a two way street.
After that we talked about my son's epilepsy for about 20 minutes. Unfortunately, we still didn't have any more answers than we came in with. We kicked around a couple of theories, but unfortunately, he was not the assigned neurologist; just the neurologist that happened to be on rounds those couple of days.
It's taken 17 or so years at this point to get a specific diagnosis. Can't properly treat something that's not properly diagnosed.
So yeah, medical people may be dealing with frustration on the other side of things that they don't know the full extent of and thus one major factor for why they have grumpy patients.
7 year old daughter was coming out of anesthesia, confused and irritable, threw the stuffed animal she had at the nurse. Nurse told her she had to calm down or 'mama would have to leave', I didn't yell, and told her not to say that to my daughter. Nurse called security. Secret of the medical field? Poorly trained nurses. BUT most nurses are absolute angels.
Hospital security has become like a goon squad. There is no room for any rational discussion if it isn't just praises for the hospital staff and pleasantries. The lack of humanity inside the hospital that my husband was at is something that will forever shape the way I view hospitals. The nurses and doctors can say anything in any tone they want to you but if you have a normal human reaction no matter how calmly you can end up with a security detail. They are intimidating and make it so hard to have open communication with the people providing care. From personal experience it seems intentionally inhumane.
@@cleetx3546 Absolutely. The complete lack of accountability on "professional's" behalf is extremely frustrating.
Doctor: Rules for thee but not for me.
I am a cna in the USA with the things I have seen never put your family member in a nursing home I immediately had the paperwork done to be dnr I will not go to a nursing home they are horrible and they abuse the residents as well as their co workers.I have had my life threatened more than once for fighting for a residents care or for telling the truth.I have even witnessed a resident paying two nurses to help with assisted suicide however the aide found the resident too soon in the am. The staff sell drugs all night long on night shift they just withhold meds meds from residents who donât understand and then sell it right outside the front door. There so much more.
It is so essential to be a proactive patient! I have walked out on a âqualifiedâ physician because of unwarranted tests and procedures. My doc actually wanted me to repeat some back injection procedures because he didnât aim the needle in the right place and ordered an mri on the wrong hip. The next doc I went to, knew exactly what my problem was and helped me immediately with a small outpatient procedure.
Yes absolutely we have to be PROACTIVE in our own care. I even bring in books and vids Iâve watched about my own problems and show them to the doctor.
Saw an ENT for pain and difficulty swallowing. He took a quick look at my tonsils and was like "those don't need to be removed." Sent me on my way. Months later GI performed an upper GI endoscopy over another complaint. Found a raging fungal infection in my throat. So the know-it-all ENT missed something.
@@techguydilan "months later" you say? Hmmm đ€
@@saladaddict been there for months according to him as extra polyps had been growing due to it for some time. I know why the infection started in the first place. First week I started on Advair as an adult, I didn't realize I was supposed to rinse my mouth after administering it. The ENT appointment was a month after that when the trouble swallowing started, which happened until after the GI endoscopy. I no longer have that complaint after taking Nystatin for a while.
@nolamar1 The office staff is the worst with my particular hospital network. I can't see a specialist at all without filing a complaint with my hospital's Patient Relations. I listen to my Dr. when he said "call if they don't call you in two weeks." and I got hung up on every time while trying to be as nice as possible.
Even though Patient Relations made them get right on it, still a month and a half out to see my first GI specialist since my problems began in July.
Other than the one ENT I saw, most of my experiences have been okay. But still the same, few basic tests, then they just shrug their shoulders and are like "we don't know what's wrong with you."
After my husband's stroke, I asked for days to talk to the social worker. Finally two of them came and it was the most useless 5 minutes ever. No help and no direction for where I could get it. I realize that is not how all of them are, but man, I was really hoping they would be more helpful, especially as I was lost on where to move forward.
I'm so sorry to hear this. There is always someone above and you can contact your Ombudsman also...just look for the sign that is posted prominently at every healthcare facility. I hope you got what you needed. We had to hire a private company to help us with my mother's care guidance. Luckily her sister was wealthy and could afford this luxury that most of us cannot.
I had the same experience with social workers when dealing with my dad's care. It was more of an annoyance than helpful. One social worker told me to get family and friends to help, then later said I should deplete my dad's assets so he can get Medicaid. Like really? I won't even talk to them now. I don't blame them for doing their job, but have seen zero benefit and don't have enough time in the day as it is. Dealing with them actually causes stress!
@@ZophieFerrari Sometimes there are no answers. The system is the way it is.
I want to send a shout-out to not only social workers because they do a lot of things people don't know.
However I recently had to call my doctor's office to leave a message with the staff. At the time computer systems were down, so everything was slower. I could tell that the person on the phone was busy, and simply told her to take her time. She literally sounded like she was about ready to cry over hearing those words. Again kindness goes a long way. I also tend to stop and say what would I feel like if that was me on the other end. I don't know if I could put up with half the things that front end staff deal with.
Iâve had six major surgeries in a five year span! 3 back surgeries, hip replacement, colon rupture emergency surgery, and a colostomy reversal surgery. This was done between 2 hospitals. The 3rd hospital I was in the emergency room only, then transferred to another hospital by ambulance! Iâve had wonderful care from them all. No complaints! Iâm doing great now. All my Nurses and Doctors were very professional! I never had any problems getting pain medication when I needed it, even while at home. The only problem I really had was the ride in that ambulance. It was the most bumpy ride Iâve ever taken,lol. Wished they could put better suspensions on them. đ
first time in an ambulance last year i was shocked it wss the most bumpy ride like the back end of a truck
@@sharmanklinefelter508 I agree! Just like the back end of a big ole truck. I wasnât even in any pain at the time. Just had an IV in my arm, and they wouldnât let me travel in my husbandâs car with him, with having that IV. I was on some very strong antibiotics they said, to keep my colon from rupturing. It did anyway two days later in the hospital!
Wow u were treated so much better than I ever am! Which insurance do u have if u donât mind me asking? I need to switch!
@@HeatherBelling itâs private insurance, through my husbandâs work. Just employees and their families is only on this insurance.
I think this is a common problem in all communities...the ambulances are always bumpy....helped me dislodge a kidney stone đȘš
Had to add this.
Social workers are a rare breed of people that are highly educated, inherently kind and empathetic and are worked into the ground dealing with the unsavory existence of we humans. They are underpaid yet bring more good into this world than most of us ever will.
My nightmare scenario is that I am in line at The Pearly Gates with limited space and Iâm standing behind a social worker.đź
Had a friend who was paraplegic, not at all demanding and could not get responses from the call bell. He finally called the hospital administrator to seek assistance.
Good for him! đŻ
I will say, I think a lot of physicians will order a CBC to "cover themselves". Although it may not be needed, the last thing a physician wants is to be sued down the line for missing something simple or silly, such as RBC count. It is a good starting point for everything.
A great screening tool is to do an H&H (hemogram) but my lab friend says that itâs more costly and takes a bit longer than running a specimen through the high volume hematology analyzer.
There are lots of things in medical care or industry that work that way. It ainât like the old days.
ha they won't get sued. that's a poor excuse.
@@amethystflower8799 Well, a CBC is pretty basic and reasonable to do. Iâve seen many an anemia discovered before it was severe. In my personal case, my polycythemia was an incidental finding on a CBC. I was able to get treatment early because of that.
Cops should be called with every assault case, no exception.
In the State of WA legislation was passed.
SHB 1931 - Workplace Violence in Health Care.
Police are called, many times bringing felony charges.
Hospitals have to do their part too.
Much better than in the past.
In my experience, even when they are, nothing comes of it.
If the patient isn't oriented, then what?
@@toomanymarys7355 that's why nothing ever comes of it. Usually the person is not of the right mind, be it dementia, drugs, mental illness...
Then they should be in a psychiatric institution, in a straight jacket, in locked cell and never to harm anyone for rest of their life.
Oh my gosh. Iâm crying. Ortho, neuro, and er social worker here. Thank you for recognizing what we do.
Many of the nurses are wonderful they helped me greatly after my surgery.
I try not to be rude to healthcare workers especially but I was unjustifiably labelled as a "drug seeker" when I was just 17 years old (never been addicted to drugs or even wanted to do something, when I'm in pain I just want to know why, so it can be properly treated), so I'm put on a backburner almost every time I seek care, it makes me not want to do it. I put off a bout of colitis to the point where it was almost fatal once, and STILL get put on the backburner. Waited nearly a month for my next checkup to bring up the right upper quadrant pain to my primary care, they did order an upper GI and an ultrasound. Found some related issues, HIDA ordered. Literally have been waiting for two months just to get it scheduled or any sort of response whatsoever, dead silence. Finally messaged my ordering physician to tell whoever is in charge of scheduling that they have by Wednesday to call with an appointment time or I travel to have it done.
I work pretty much a 24/7 IT job where sometimes unrealistic demands happen hourly and have to service issues even if they call me at 11:50pm. Like I get the overworked and underpaid thing. Am I wrong in thinking that waiting 2 months just to get scheduled for one is kind of ridiculous? Like once I was patient enough to wait 5 months to see a pulmonologist (they did call and schedule within a week and a half of the referral) but I my primary care doc prescribed me drugs to help hold me over until then. But now I'm expected to work through this thing when it has made me fall off of ladders before, until an undetermined amount of time without such supportive care.
Surgeons are paid $197-$1197 for an appendectomy. That includes 90 days of post op care. The cost to âinsuranceâ is $11,000-$$21,000.
The surgeons payment is a joke and NOT the driving cost of healthcare.
I'm very compassionate with the medical staff. I've seen their burdens first hand so I take the time to thank them for their time and energy while working in such an exhausting job. Then they become less rigid and even open up with more info than I asked for, more or less allowing them to vent, and are right there when I need something. Plus they remember my name too đ. I do have a way with the staff that ensures my loved ones are well taken care of
A shout out to the fourth generation nurse comment. I get it. Sometimes itâs brutal. I think the most important thing is that as a nurse you have to take care of yourself first. Do the best to get and stay healthy, maybe take fewer shifts so you can be adequately rested and take advantage of any mental health resources that are out there.
Itâs a young manâs sport and your goal should be how to get there without dying first.
The best thing I ever did was go from full-time nursing to a 4 day a week work schedule. Xtra shifts are always there if needed.
@@James-dx2vs 4 days a week is a blessing. My best shift was 6-12h shifts over 14 days. Worst was working 8 hours night shifts. We worked 2300 to 0730 10 nights in a row to get 4 days off in a row. Those were my dark days of nursing.
Keep up the good work James!!!
Thank you for shouting out Social Workers!!! đđ»đđ»đđ» We do wear many hats and can sometimes make the mountains move for patients.
Depends on the hospital
Who do you think you are, Honamanji? đŒđ»
I'm now disabled/retired, but I worked as an RN for many years in nursing homes and hospital settings. I can't tell you how many times administration has told staff, esp. nurses, that we are disposable. In fact it was a given that every 3 years they would clean house and fire or force old staff out to hire new grads or other staff that they could pay less to. They would promise yearly raises, but in fact rarely give them. As a supervisor I was often told to never give perfect or even good yearly evaluations regardless of the high level of competence and hard work the nurses and CNT's would put in because the owners/DON's did not want to give raises to staff. I saw staffing cut and cut until working with a skeleton crew was the norm. Nursing is one of the most brutal careers I can say I had in life. I wouldn't encourage anyone to become a nurse unless they are truly aware of what they are getting into and are committed to giving it all to their patients and staff. There is no job security other than job hopping. No retirement, but then I guess that is a thing of the past now for most careers? I worked until I could no longer walk or lift anymore. My body was not made for such hard physical labor...and you all are so right about lunch and breaks! 13 - 14 (supposed to be 12 hour shifts...right?) hours without a break is horrendous. I took several years off during my career d/t caring for family members and to just have a break at times. I loved to work retail, and often did it on my days off from nursing. If I had it to do over again I would choose a different career path, but family pressure gave me little choice at the time. I don't regret the care I was able to give, I gave all of myself to bettering the lives of my patients and staff. I made a difference and I hope the kindness I tried to instill in my staff carried on after I left.
Bless You!
@@53mandevilla Thank you!
I am shocked as well at the sheer stupdiity of patients. When I had a double cervical fusion the PA spent a full hour with me answering questions and explaining the procedure. He told me I was the ONLY patient who had ever asked to discuss. He followed up w me after surgery and when I did follow up, he ran back from surgery to meet with me. I was grateful but he was that glad I had asked and wanted to educate me. Thank goodness !
When you specialize in anything, most people will seem ignorant in your field. It's good that you've been proactive with your care. I imagine it helps with recovery?
Not in this state.. your a "difficult patient" if you don't sign consent form... Before you even know who or what. It's like pulling teeth to get them to explain the procedure...
I work as a biomed tech at a hospital and work closely with facilities. Our ice machines are cleaned quarterly and filters are changed at that time.
Same protocol as at our hospital.
@@ustabee6091 yeah we have a team of infection prevention people who check these as they do their rounds
Violence towards medical professionals is actually increasing and getting worse. I think this is partly because we are bar aware of the situation and a lot of medical institutions are taking steps to try and curb this. One of the very last things I did before I retired was get signage implemented stating that violence will not be tolerated and that the hospital will prosecute if violence occurs. Iâve actually had patients tell me they can hit me and not get in trouble because theyâre in the hospital. And Iâve had patients act on that and hit me. Iâve had teeth broken , Iâve had my ear hurt, Iâve had my hand hurt, and I donât even remember how many times Iâve been hit. For the last couple years of my nursing career I worked in education and I worked in nursing administration. What that meant is that I had to respond to situations at the hospital where either a patient or a visitor was confrontational and was threatening staff. I had extra training in this but it still makes it difficult. And yes, I have had a patient arrested. She assaulted me and then tried to justify it by uploading a CZcams video. Needless to say it was rapidly taken down and she was prosecuted. Prior to working in administration, I spent more than 35 years working in critical care and ER. Because so many patients in those situations are confused or disoriented because of a variety of reasons a lot more injuries occur in those areas. An interesting statistic is that the number one career for getting assaulted is police officers. The number two career for getting assaulted is healthcare worker. And I absolutely want to shout out to social workers for all they do. As for meal breaks and bathroom breaks, they are non existent. I kept protein bars and protein drinks in the unit refrigerator so I could actually get something in.
Violence has always been a problem. In the last 3 years it is worse because of COVID. You seen people on the news blocking emergency exits. Spitting on doctors and nurses passing by.
Makes me wonder how you treated and spoke to patients that you received that kind of abuse...
I can't imagine saying yes to any test/procedures without knowing why the hell I was having it done. The last time I checked I was paying and I'm in charge of my care so I need to understand any/all things about the procedure so I can make an educated choice.
@@heidievans5709 I promise you by the time I get to the hospital /office I understand what tests I'm getting and why or I would not be there. My daughter is an ER nurse and I have heard about the yelling and swearing and all the nasty things patients say and do which is totally wrong. That said ,unfortunately medical professionals are seeing people at the worst possible time because they are already stressed. Is it okay absolutely not but it does help one understand why it happens.
It's not just procedures patients have no idea about....so many don't even know what surgeries they've had and why! I've had patients with multiple organs removed tell me they've never had any surgeries!
And don't even get me started on the meds people take and have no idea why....
I was a Medical Technologist working in lab or a doctors office. We rarely got breaks and meals. I often worked double shifts when people called in. I got a needle stick injury and got Hep C. I was fortunate as I got treatment and attained a â cureâ. Viral load non detectable for over 6 months.
Working the doctors office I was a medical technologist. But has to do X-rays and ECGâs. 6 days a week. Overwhelming as all the doctors cared about was making a lot of money. I made minimum wage. I left to work at hospital. Better wages and better job with more respect. People just do not know all these things. Thank you for this video.
12 reminds me when Dr. Mike said doctors are not in a rush to get you out, but it's to minimize your exposure to bacteria/virus/fungi present in waiting rooms (and other people who are also sick). That blew my mind because I never though of it that way.
11:20 Flip side is that some providers that are incentivized will do unnecessary procedures.
In value-based care (like Medicare) they seem to be incentivized NOT to do procedures. I've seen it first-hand with my dad who should have been referred to cardiology, should have had an EKG, echo, etc, but primary care kept treating him. Finally I called cardiology myself and he started getting the necessary tests, discovered he's in AFib, got on the correct meds, etc.
Being nice goes both ways. Iâve worked with a---hole Drs and staff who get away with that behavior but the first time an abrasive patient comes throughâŠ.their 86âd
My mother was in hospital in Australia recently. I kept getting thanked for my kindness and understanding. Funny how my mother got excellent care. While she was in hospital and after she came home. Little thing make a difference. Rudeness should get you no where.
Thanks for. the shout-out for social workers, Dr. Cellini. Made my Sunday :)
I'm the opposite of those that don't know anything about their condition - I research everything ahead and mostly irritate the docs / nurses when I question them. You would be surprised (or maybe not) how often I catch them on incorrect things they write in their reports and some of their conclusions. IN the end, they almost always agree with me on the things I bring up. I could give you many examples. Don't get me wrong - I fully appreciate my medical team and all they do for me and do know what a terrifically hard job they all do. I'm lucky in that the things I bring up are not frivolous and they have told me repeatedly they like how well informed I am. I have a lot of conflicting illnesses and have quite a few different specialists so the notes and info I bring them is usually appreciated. I know not to take up their time needlessly.
I am a lab tech and im amazed how many ppl have no idea know what we are. We are kinda forgotten about. Patients only see the phlebotomists and have no idea who actually runs the blood and body fluid tests. We are the forgotten profession in the hospital because we are stuck in the lab and only basically get out for lunch breaks
Thank you for your work, as a cancer patient I depend on you for accuracy and professionalism.
Dr.Cellini your videos provide so much in depth knowledge on medicine in general and the countless moving parts that come with it. Iâm a 24 year old RN aspiring to get into medical school in the next year or so. Just wanted to say you are motivation and love watching your videos.
It's absurd how much we pay for healthcare in this country while healthcare workers will still be overworked and hospitals unclean and etc.
Great video Dr. Cellini! Appreciate it! đ
I'm not going to lie. . . I've been one of the patients at the nurses' desk, but I swear, it was 100% justified! After not seeing a nurse for an hour and a half after pushing the button after surgery, I finally wandered over (they weren't thrilled) to find out what was going on (I needed water!). We found out that the nurses' station wasn't getting the signal from the call "bell" and that the unit was defective. We had to borrow one from a nearby unused bed and test it before the problem was solved.
Ya I am not in the USA but I have been in hospital a LOT in Canada and I have buzzed and buzzed and one of the stays with unexplained abdominal pain they were ignoring me since the doctor was unable to diagnose me so they decided nothing was wrong but that I just wanted attention. I have had 2 kidney transplants by that time (first one rejected after a few years so I needed a 2nd so still only one kidney) and I eventually went to another hospital who had diagnosed me with 3 abdominal abscesses! I felt like going back to the first hospital and say "SEE I WAS NOT LYING! Told you I did not want attention but was really in pain!" Funny thing is that first hospital sent me home with pain pills which I only took a few times but did not finish the bottle. Why? Because I wanted the pain gone, a solution found! I did NOT want to depend on pain pills! I hate pills! If staff would at least respond to the buzzer and explain they are busy with another patient but will be with me as soon as they can and not lie to get me to stop, that would be different.
I have a problem with it all! I busted my butt as a charge nurse for 45 yrs. No amount of money could get me back I would be safer running in traffic.
As a medical laboratory scientist, the bit about doctors ordering tests (which often come in the form of 'test sets' that include multiple things) and not knowing all that they are ordering was so true it made me crack up. I am constantly either fixing something that was ordered at the flip of the wrist or calling the doctor to verify that they actually wanted all the tests that they ordered because it includes something sort of random. A CBC with a diff is a pretty standard order, so there's no harm in running it. Same with the CMP or the BMP (comprehensive metabolic panel; basic metabolic panel). They are good for establishing an overall baseline of where a person's health might be at in both the red blood cells, white blood cells, electrolytes, and organ function.
I always tell people to be proactive about all their healthcare because we are the ones following what they say. Yes, we can push something that we feel is important, but ultimately, it is up to you as the patient. Never just go with things and take whatever medication or get whatever test without asking about it first. I LOVE it when patients ask me what tests the doctor ordered because then I can explain what they are and what they are for, which the doctor doesn't always have the time to do or the patient doesn't think about until they are getting the blood work done.
In all honesty, all of those tests you mentioned should be standard protocol from the very beginning. I would imagine it would take a lot of the guesswork out of the equation because that pertinent information is already there for the medical staff to be contemplated. Unfortunately, in the location I am residing in, no one (and I do mean no one, until very, very recently) wants previous records from other states. I have been ridiculed to the point âif it didnât happen in this state, it simply didnât happen to youâ - near-fatal car wreck. I was appalled. Medical staff from every part of the healthcare industry have told me this, resulting in sub-par care. Keep searching until you find people who truly want to help you!!
@@lisarice4402 This is absolutely wonderful advice! I am fortunate to work for one of the top healthcare systems in the US, but I know there is a lot of trash behavior and other rampant evils out there in many of the hospitals in other ares, and it is terribly sad. It's not like the people interacting with the patients are even going to financially benefit from treating them the way that they do, either, so I never understand it.
This said, though, there is a lot of good out there, too. There's a lot of hard-working people who care about the people they are taking care of, and with the implementation of the Epic system nationwide, it is bringing medical records together. It is an LIS system that allows doctors to access any of your records from any other hospital or clinic that you were treated at who are using that system, and it's extremely useful. I think a majority of the bigger hospitals have already migrated to it.
But yes, always be proactive about your healthcare. Fight for it, if you have to, because there's a lot of crappy doctors out there (NPs tend to be the worst, I'm noticing...not all, but most of the ones I've encountered have terrible attitudes).
Respect doc! Thank you for your recognition and respect for Medical Social Workers.
Hospital secrets: in over half of the United States it is legal for facilities to give you an internal pelvic exam while you are under anesthetic, WITHOUT YOUR CONSENT. As many as 5-6 med students are given the chance, and made to feel forced, to participate. 90% of doctors report that they were "forced" to do this in med school.
They are fighting to keep this practice alive. Their reasoning is that "its a necessary tool for med students to learn how to do an exam, do it correctly, and with confidence and to teach them to do it without fear.
You are more at risk of this SA behavior at teaching hospitals, some say that if you consent to having med students be a part of your care, that in and of itself says that you are consenting to the possibility of this happening.
And males are at risk of rectal/prostate exams, while under anesthesia, without consent.
And importantly, we have med students and doctors who are reporting moral injury from this practice. So professionals are *graduating* with moral injury caused by the education system.
Very well done! Thank you for the strait-up facts about what my complete 25 years in nursing has been like!!!
I am retired now... How is it that all the topics you mentioned have not been addressed and remedied over the many years I worked as a nurse? --- You'd think that bean-counters would have just been satisfied with practicing medicine without a license! But Noo-oo!
In any successful modern hospitality-service industry or businesses, there is a designed approach to keeping customers/patrons/patients, happy... It is in the way STAFF treats and delivers service!!
How can a worker "selling" a great experience, be expected to know just what THAT great experience is, and be able to provide it to the patient/customer?
Are you listening here Management? This is how:
If you want your pt/customers to have great experiences-- then simply do YOUR work! (Ditch the customer feedback cards! It's YOUR job, NOT the patient/customer's job to tell YOU what's going on !! ) Get out of your chair, get out of your office and SEE what you must do to provide and monitor the experience and climate for STAFF that makes them want to be there !!!
IMHO, an incompetent bean-counter, makes an awfully bad nurse... Guess who looses? --- EVERYONE!!
Hint: from the basic business climate handbook-- look up
what is termed "The Peter Principle"-- Please study and
earn it, and be able to recognize it whenever you see it! This is a deadly, cancerous condition. It is found in mid and upper-level managers and is not easily treated due to several pre-existing conditions such as cronyism, nepotism, prejudice, lazy-stupid thinking, lying, stealing, and cheating.
Medical People -- Thank You for Your Hearts, Your Hands, and realize that you must place your own health and wellness first, before you can be of real help to any patients. Stay, Blessed, and Love You!đđ·đŻïžđđ
I learned years ago going to the doctor, as a female, you don't want to look rich but not frumpy either. Look too good - pay too much. Look too frumpy="all in your head, anxiety, how is your home life" even if you were carrying an amputated limb.
I have witnessed many wonderful nurses, they save lives!
I work in imaging, the "secret" is that yes, we know the result most of the time from just looking at the image. Patients know we cannot tell them, so we just redirect, etc. NO we won't tell you. The highly experienced, well educated Radiologist is held responsible for the result. I can and will miss something that the Radiologist will see. So stop asking the Technologists for the result.
Wouldn't say that's much of a secret. I just straight up tell the patients I'm not legally allowed. They just don't care.
Sure, but can you really blame patients for asking? Many are probably deeply anxious about what is going on inside them. Others are probably genuinely curious. Hell, I even asked once just to fill the awkward silence in the room.
@@dfwdfw9544 there's a difference between asking once and browbeating me after I told you that I'm not able to say.
When you make a bet with the technologist that it will be a blood clot and the tech loses the net, it's pretty obvious without him saying anything. đ
@@Absbabs88 Maybe, just say you donât know to avoid browbeating? I would never ask the person who just takes pictures, lol.
This was my favorite video of yours, because your demeanor while making your responses to the comments written by medical professionals was so sincere and full of life, and revealed your own values, which clearly are admirable in my opinion. Also, your humor came through, and made me smile.
I didn't know about the salary cap at the VA. This explains a lot as to the attitudes of the ER staff , as well as other areas. I have taken my disabled Sons there frequently as both have many health issues. All I can say is it's really sad to see how this impacts staff which in turn reflects on patient care.
Prospect of being tended to by burned out medical professionals is so reassuring (very grim). Cheers!
This is more of a complaint, but patients should know this, both in the clinic and hospital setting. Unless you see someone's badge and it says RN or BSN RN or NP or letters followed by NP (or, usually only in a nursing home or clinic, and seen less as time goes on, LPN) the person is NOT a nurse. I get so irritated by nursing assistants and medical assistants being referred to as nurses by patients and not correcting them. Often the staff even do it themselves. These people have VERY minimal medical training. Please do not confuse them with your RN who has had a minimum of 3-4 years (the 2 year degree really is a 3 year degree) or an NP who has even more schooling. We are the professionals. Please ask us the medicals questions. We are in charge of your care. And we worked insanely hard for the title of nurse, and we work insanely hard to care for you. MA's and NA's aren't professionals. Please don't call yourselves nurses, it is misleading at best.
It is not only misleading but illegal!! Medical assistants that call themselves nurses can be held legally responsible for practicing nursing without a license. It is a felony. Practicing nursing without a license is always a criminal act which is punishable by the sentencing rules of the appropriate statue.
Itâs because when you ask questions a Physician a question their answer is usually very cold and condescending. They manage to fit their bad attitude into those few minutes they spend with you in their drive by appointment. I have worked in MANY different facilities and settings for 23 years and I can count on 1 hand the number of Physicians who have been informative and kind to patients.
Re: the call bell. Yes, use it. But if itâs something that can wait until your nurse does her next round on you, please just wait. And if it canât, PLEASE make sure you tell them EVERYTHING you need before they walk in. They do not have time to make multiple trips in and out of your room.
Amen~! VIP's are the worst at making you run back and forth for them. I used to tell them I am your nurse, not your waitress. I once got reported because after a few shifts with one rich VIP I gave her a pen and paper and asked her to write down everything she needed and when we made our Q2 hour rounds we would get her all she asked for that we could. Oh she went off on me! And she was at least 2 feet taller than me, had had a minimal knee procedure yet wanted me to pick her up and carry her to the toilet...no...this is rehab and we are here to help you help yourself. Oh how I do not miss nursing!!! I'm glad I'm old, disabled, and retired now! I gave it my all and I loved on so many patients, family members and staff...I have nobody now to help me though. That's life. I used to hear call lights going off in my sleep! Perhaps your career will go better than mine. I sure hope so!
Perhaps there are patients in your hospital that are admitted for minor things and and are capable of doing self cares and timing the need to vomit, use a bedpan, have their lungs suctioned, are an hour overdue for pain or nausea meds, have their IV infiltrated, etc but where I live only the very ill are admitted to the hospital. Most RNs and CNAs are conscious of these factors and I appreciate the fact that they respond rapidly and are kind even though they are clearly overworked. I would never push the call button for anything that wasn't urgent. Now I am wondering if I am being a pest if I need a bedpan and haven't had anyone come into my room for 3 hours.I really think this is an issue understaffing, nurses are expected to be everything for everyone and if their pay was higher and they had adequate staffing with plenty of aides to carry out the tasks that don't require the advanced skills of the RN things might run more smoothly.
@@sheryllamoureux1068 love Iâm not speaking on cares that canât be timed- like bed pans and such. Iâm talking about *ding* can I get some ice? Three minutes later *ding* can I have some juice? Two minutes later *ding can you bring me some coffee?
Insurance doesnât typically deny coverage for meds because they want to, there are guidelines in place created, and disseminated by the regulatory agencies that govern them that all health plans and health providers have to follow. Most of the time denials are based on the provider not conveying âthe medical necessity,â necessary according to said guidelines.
Oh so true for all these points!
Iâve been in healthcare for 25 years. I know a doctor that will order all sorts of POC testing that isnât necessary (like EKGs, hearing tests, etc) and also order tons of bloodwork that isnât necessary, and not even explain to the patient why sheâs ordering them. We all know she does this to bring in more money so sheâs eligible for bonuses that the hospital pays her, as well as increase her RVUs. Sickening.
Just found your channel today and have been âbinge watchingâ to get caught up. Also just subscribed. đâ€ïžđŻ
My hospital just fired the NICU Social Worker along with a bunch of RN educators to give themselves bonuses I guess.
Healthcare providers need to always report abuse from patients. A patient slapped me once, I told the charge nurse, he told me to tell the physician. The physician âfiredâ him (he was transferred to another floor), he asked me, why has nobody told me before now? Patient had been hitting other nurses and techs for a few days. (Patient needed to be discharged but none of his family would take him he was so abusive.)
If you only knew how rude the staff in a lot of Hospitals and how lazy they are you would understand why a patient by the way is paying is talked down to and their needs are not being met!! Itâs beyond disgusting and the patients have lost all respect for your profession and never want to ever go back into a hospital even if they are dying.
I've worked in some nasty places and even had to deal with a lot of patient abuse. Once I walked in on a male CNT who had his entire large fist and wash cloth crammed down a poor old gentleman's throat...when I ran in and stopped him he threatened my life if I reported him. I was scared, yet I did try to report him anyway and the supervisor told me to stop tattling on people and that I would be fired the next time I reported the staff for abusing residents of the nursing home. So they are still working there and I was gone. It was satisfying when one of the ones I'd been reporting picked on the wrong residents that were alert and oriented and able to tell on them. But did the nursing home report them to the board of nursing as is required by law? NOPE. They just went to work at another nursing home. That's how it is sadly. They hold onto the bad apples and throw away the good ones.
Absolutely! How about when I was a patient in an emergency room and was completely paralyzed. Head to toe. No one gave me a way to call for help. Luckily my husband was with me, and I could talk at that point. I had to urinate. Badly. And remember, I could not move. I waited as long as I could and no one had come in to check on me in at least 30 minutes. I was across from the nursing desk and could see 3 people: one seated, 2 leaning on the desk, they were chatting and laughing, on their phones. At least 2 were nurses. My husband finally went out and asked for help. They said someone would be right in. 15 minutes later, still nothing. Still the same 3 people out there. Husband went out again. Got same message. I have limited bladder control when I am paralyzed, and was in pain at this point. Finally after another 5 minutes or so, someone came in. Terrible care. Also had a potassium level of 2.9. Was never given potassium even though I brought it to the nurse's attention when I went up to neuro floor that evening. Was given nothing in ER. Next day it was suggested I had conversion disorder by a psychiatrist who brought THREE students with him to gawk at me. I have hypokalemic periodic paralysis. Well done Brandon Regional Hospital, Florida. I'm not at all afraid to name them. I've complained to them multiple times with zero response. This is the kind of thing Bella is talking about. I wouldn't go there even if I was dying. In fact, I have been dying, and have stayed home.
@@lorenrobertson8039 you can report them to your state's department of health. in most cases, you have 6 years to do it. it may not be too late.
The last message is very important. Be nice! Any healthcare provider can ban you for bad behavior. Some of things I've seen people get banned for include spitting, cursing out staff, threatening staff....
They should also ban their staff that acts that way towards patients. It's a two way street.
Why do we have medical staff working to exhaustion making life & death decisions on the patients?
I always think about what I wear or 'don't wear' whenever I have a medical appointment that may require surgery.
I just had this conversation with my friend today about some of these things. I think people would be nicer all around if they really knew what it was like working in any job: food service, customer service, healthcare⊠kindness goes a long way. So does being early for your appointment. If youâre checking in at your appointment time, youâre late. You need to be 15 minutes early so you can get checked in and roomed. The biggest reason doctors run late is because patients come in late. Be respectful of everyoneâs time đ
if I came in 15 minutes early to each appointment, I would be waiting in the waiting room for at least an hour every time.
medical staff are not respectful of people's time at all. they are the least considerate people.
Iâm a nurse and was in the ER the other night for a asthma attack and after my 3rd breathing treatments I waited a hour and 40 minutes, put my call light on and waited 25 minutes before a tech came in and I said Iâd like to leave now. I waited another hour, took my leads off and oximeter too. I heard them call a incoming code and said, you can have this trauma room, got my after visit summary, said thank you and left. Neither a doctor, nurse or RT listened to my lungs after the final treatment. In the ER, if youâre no longer in danger of dying, your extra work that doesnât seem too important.
That's terrible! but I do understand that they do have to prioritize, esp. since they have cut staffing so much now that they cannot deal with all the patients they get equally. The U.S. has terrible healthcare. It is supposed to be the best, I'd hate to see any worse. and I am a retired/disabled RN that has seen it from both sides as well. Seen staffing cut over and over until it's just dangerous for everyone.
@@lorenrobertson8039 I also am a retired nurse and wanted to try to work from home triaging phone calls but because it was more than 3 years since I renewed my license it would cost over $4k to renew it in a year. Most of it would be online studies but wow! So much for the shortage.
@@pamowen3452 Sorry that that didn't work out for you. In cases where you are not giving care they should cut you a break. I bet that there are companies that hire for similar jobs that don't even need a nursing license for. No way I could manage...I hope you find a job that will give you joy and the income you need Pam. God may have blessed you and saved you from a stressful ordeal. Who knows?
@@lorenrobertson8039 so very true!
In a large health care system, an abusive patient may get kicked out of one clinic location. The patient is still allowed to go to a different clinic location within the same system. The staff at the new location is not informed of the prior abusive behavior. When these systems lose patients, they lose money. đ€š
The discharge letter should be put in their medical record for the whole system to see. If that's not the case at your system, ask why.
Your channel is fascinating!
I was running sterilisation between 2 theatres. Surgeons had more cases than instrument trays. They still considered it acceptable practice to flash sterilise unwrapped trays, then use them directly on patients. I knew it was against ASNZ4187. When I brought it up with DON things started getting nasty for me. 12-14 hr shifts on my feet with no break. I also discovered a hidden stash of pre-cooked indicators. The other person was putting these on the paperwork after a load failed and the surgeons were still using the trays on the patients. She attacked me in the change room when I was in the middle of getting out of my scrubs. I quit then and there.
We had new policies added when new studies came out against throwing instruments in the autoclave. The studies and new policies were given to the surgeon. I had that to back me up when I told a doc "no!"
you can report this to the department of health in your state. it may not be too late.
I can so relate with just about everything mentioned here. Many times, lunch was a couple of hastily swallowed spoons of peanut butter. The doc would go and enjoy lunch, while we got the lab ready for the next patient so he just had to scrub in and continue. He had the audacity to ask how our lunch was! I also wonder what patients would think if they knew that staff taking care of them in an emergency may have been working for more than 16 hours already. I have so many stories to tell, I could fill a book.
I've been a nurse for 30 years working in a doctors office and a hospital. I've seen almost all of these being done.
Rural Hospitalist PA here. The lack of tertiary bed availability is frightening due to staffing issues that have been present since Covid. Very sick patients can wait 2-3 weeks at times to transfer for care. Sooner if they become critical and it is emergency. Unfortunately, getting needed treatment involves a lot of luck with timing of when you are sick. We treat and stabilize patients we never would have before, Iâm quite burned out from it.
Thank you for all the hard work you do.
As a Healthcare worker myself,retired, who is to blame for patient and staff being unhappy? Administration! Isn't it. My lunches many days of coffee and candy set out for the patients. While some got great big bonuses.
I was an RN for 27 years and for a short time worked in a teaching hospital. I quickly learned that procedures, like IV starts, were done only by med students...even if they had never actually practiced the procedure. The student attempted 8 times, on a former Chemo patient (no veins visible) until the patient said. " Can you just let the Nurse do it,? I promise not to tell anyone." Took me 2 tried and the patient and student were grateful. I taught him how to do the next one. I didn't work there for long.
Thank you for the Social Worker shout-out!
The largest malpractice lawsuit in California happened in a Physician owned "surgery center".
$23 Million in 1995.
When you are told "I can do the procedure/ surgery in MY "surgery center"....say "no thanks". "What hospital do you have priveledges at"?
Why?
1) Other hospital employees are looking over that Docs shoulder AND reporting unethical actions/ behavior/ choices.
2) IF you code other hospital employees are trained to resuscitate you IMMEDIATELY.
Why is that important?
Ask Joan Rivers.
She died while 2 Physicians were taking selfies with her, while unconscious. One didn't have "priveledges" at that facility and HAD NO BUSINESS being at her bedside during her procedure/ surgery.
As someone who received an AIDS diagnosis in a hospital with no known risks it can be difficult but I also had tremendous knowledge about the advances in medicine so I didn't panic. The diagnosis was pretty grimm as I had a cd4 of 11 and viral load of over 60,000. Even the specialist tried to keep hopes realistic and told me most patients in my position would never see a cd4 over 200 and would be on certain prophylactic medications for ever. Taking the medication almost killed me - I suffered immune reconstitution inflammatory syndrome leading to a rare autoimmune condition called hemophagocytic lymphohistiocytosis which lead to acute kidney failure and cascading to multi organ failure due to sepsis. 6 months in an ICU, intense chemotherapy and every time they checked my cd4 & viral load it was improving. In under 2 years, and literally being as close to death as anyone alive to tell about it, and my viral load was undetectable and I had low normal CD4s. 11 years later and my cd4s are 1600-1800 regularly, and remain undetectable and I take 2 pills once a day. Hell, there are injections that can be given every few months to control HIV now. The key to success is taking them without fail. My doctor is still amazed I got above a 200 cd4 but the medications are truly a great innovation - 35 years ago it would have been a death sentence and today it's a chronic illness that can be controlled if the patient is willing to put in a bit of effort to take those few pills. My partner then and now is still negative and I am open with those around me about my diagnosis. It shouldn't be a stigma and being open and honest with the people around us helps to break that cycle. If a disease is going to dictate how someone treats me, they don't deserve to have me I their life anyway
As someone in the plastics field Iâve worked with plastic surgeons where they did ask what the patients did for a living and up the price đ«đź
I just wrote a paper. One of the topics surrounded incentivizing Healthcare workers for their exceptional work.
I am from the UK and use the NHS intensively due to having progressive cerebellum degeneration, extensive progressive peripheral neuropathy and COPD (to name just the major ones) and being severely disabled due to this. I canât imagine how I would cope in the US system. For me everything is interlinked, I donât get tests or scans I donât need and there is of course the cost. My conditions are life limiting and there is no way to âget betterâ. There is nothing that can be done to slow the progression (Excluding COPD but I have already done the one thing I could do and that was stop smoking) so my care revolves around quality of life and independence. This means that Physiotherapy and Occupational Therapy are the core of my care. When I need equipment the provide it (I have had things like grab rails fitted, electric bath lifts, toilet adaptions, walking frames, wheelchairs (I have a powered and a manual), stair lift, hospital bed, sit to stand recliner chair and all sorts in between as my condition has progressed, I get what I need at no cost to myself. Iâm now needing more care than it is right for my children to provide so I will soon have a care giver come in every morning, that is provided by adult social services through my district council at no cost to myself and I was referred by my OT (and as it happened my physio) but I could have requested a referral and assessment myself if I wanted.
The system isnât perfect, the NHS and satellite services are underfunded but I would much rather have these problems than be worrying about if Iâm being ripped off by my doctors for medical and social care I havenât a hope of affording because I am unable to work and there is no real safety net that is going to allow me to access the level of care I currently enjoy.
Why Americans put up with their system and so many resist change just baffles me.
what the hospital want us patient to do is do is do what we want as soon as you open your mouth your giving trouble hope I drop dead to avoid going to hospital by the way I'm not paranoid THANK GOD AM OLD have a good enough life bad back and all that goes with that enjoy your week end
I have been a patient in the hospital many times. First of all I applaud the medical staff especially the nurses who work tirelessly. Having said that there are a few nurses out there that truly suck. They are mean, rough and only do the minimum of their job. I had one time that I had to escorted to the bathroom as I was fall risk. I was taking meds that caused lots of (we shall say) issues. I called to go and waited over an hour to go.. needless to say I didn't make it to the bathroom in time. Then the nurses complained about having to clean me up- like it was my fault. Another experience I had was a nurse I had asked if I always had the brown spots on my face -I have a lot of freckles all over (she was not trying to be funny) My husband responded "You mean the freckles? Yes she's had those all her life)... at that point we were very concerned with her. I have lupus and had a surgeon who -after the gall bladder surgery and complications (Which caused me to go septic and almost die literally) comes in and asks "BTW what is lupus" after I told him in my pre-surgical appointment and while we went over my lengthy medications. We looked into suing him but it just got to be too much of a hassle.
Something even our nursing community needs to learn- hospital diploma school RNs have just as much education as a nurse with a bachelors degree, and actually have more clinical opportunities than their BSN counterparts at graduation. I graduated with 150 college credits and a diploma. I was forced to get my BSN to keep my job since itâs believed to be superior. I learned NOTHING NEW from going back to school and now am deeper in debt because of it.
My diploma program included ER, OR and critical care courses that are not usually available in the bachelor programs.
Teaching at colleges becomes a route to becoming a "high heels nurse" But your profession will have to keep up with the others that are now having doctorate degrees like pharmacy and rehab, if you want a part of the big bucks out there in healthcare
I have 120 college credits, 2 years of nursing classes..diploma nurse. Now I graduated in 1982. I took a few classes towards a degree. Yep, an acting class and a general math class (answers all in the back of book). Spent a lot of money for the classes. 1982 RN made $16 hour. I said forget it
I feel you but this is the same for every bachelors degree anymore! Not just nursingâŠ
Many single use items are actually reusable. However, hospitals need to identify what items can be reused, have proper resterilisation policies and control over the process and that would include validation. This would significantly bring down procedure costs. One of the many reasons why Healthcare is so costly in the US.
no this is unacceptable. a syringe costs five cents. stop being cheap. i do not want supplies used on other patients.
@@amethystflower8799 Syringes needles and such other small products are never reused. It is usually the more expensive ones like cardiac catheters, stapler guns etc which can be cleaned, sterilized and reused without any health issues for subsequent patients. Resusing cardiac catheters can help bring down the cost of coronary angiography to a meager $200 in some countries.
I have permanent repercussions from patient assaults as a RN, it is not ok to pull Nurses into bed with you, to jump on them, pick them up, and sadly so many assaults in ER by patients altered by alcohol and increasingly as time passed drugs. For most of my career hospital security was one senior citizen with a flashlight! Thankfully security staff is being hired more and more. So my message is respect is needed in our 2022 world!
I work in the credentialing field and have dealt with all walks of medical staff. Many people don't like us because we need to keep their credentials up-to-date so they can keep practicing at the clinic or hospital. Also, if you don't keep up your credentials, you won't be in network, patient will loose their provider, and insurance will not pay.
Good job Doctor
A patient, and their supporting family, NEEDS to educate themselves on the illness and procedures - especially in an hospital environment where you may have different doctors and nurses in charge of you from shift to shift.
The patient, or supporting family member, is most often the only consistent authority in a patient's care from day to day. Check what's going on, ask questions, get explanations. Yes, the doctors and staff are overworked and understaffed, but it is better to take their time with questions and explanations than to allow an error to occur, or an unnecessary procedure.
As a patient, make sure your supporting family (or friend) is kind, but aggressive enough to push back when necessary.
I've been chronically I'll since childhood so my reaction to pain is nonstandard. My family knew this and had to watch for medical staff discounting me when I would say I was in pain - but didn't SEEM like I was. When I got married, my husband didn't understand how to push on medical staff without being unkind, not was he used to questioning medical staff in the first place.
The end result of this combination was having my legs amputated above the knee.
My family learned early on that you never let a family member deal with doctors' appointments, medical procedures, or hospital stays, without a family or friend advocate being there. When you are not feeling well, you don't always have it in you to advocate for yourself.
You just explained a lot the experiences I've had with the VA healthcare system. People who claim to want "single payer" health insurance coverage only need look at the VA to see what a mess that can turn out to be.
Sorry, the VA is not a single payer system. Come up with something better than that.
I'm sympathetic towards all medical staff. While a patient at a convalescent home, I would have the bedpan at the bottom of the bed and place myself on it, remove it and place it on a pad on the bedside table
The call bell thing: my mother had a knee replacement and knee was placed in a weird support and she was in terrible pain. Calling didnât bring anyone, even her crying and yelling being obviously heard. I have 2 nurse sisters and they know how busy it can get but ignoring someone in terrific pain is bullshit. Hiking someone in the hall and having her get distressed and get immediate help was the appropriate response.
I work at a VAMC and yes it is true about hitting the salary cap. I hit my cap in my 3rd year there. It was not until 8 years later when my job category received a national promotion that I had room to grow within my new grade. There are no salary increases on merit. We as in all Federal employees get the cost of living raise that Washington decides on every year.
I am so glad that I live in Canada. I donât have to think about this. We sometimes have to wait a bit, but have always got great care.
Youâre either lying or extremely naive if you think none of this happens just because you live in Canada! Simply visit one of Torontoâs hood hospitals and see for yourself!
@@werewolflover8636 I was born in Toronto Western as a premature baby of 2lbs 7oz and have as of that fact, spent a lot of time in Canadian health care. I only use the emergency room when absolutely necessary. Thereâs been times when I have been instructed to go but have not, simply because it would be a temporary fix, which I was not looking for. As I have said before, I have access to the specialists I need, even though I sometimes have to wait for a while. If the situation is urgent, then I have received treatment immediately if needed. I have only been refused surgery when the risk of making things worse has been too high. The surgeon even said at one point,âBe glad you donât live in the States, they would do it anyway, because it would be a real money maker. Here we donât do surgery based on the money involved â. I soon discovered how true that is because I met people who had had the surgery and regretted it because they were paralyzed from it. Instead I do other therapy which helps a lot. I have lived in Toronto except for about 7 years all together. I have lived in BC for 3 years and 3 months and in Kitchener Ont. 41/2 years. All of the rest has been in TO. Been in hospital in Markham as well. Always got the treatment needed.