The Glass MenageRant

[Crazy Cat 41,903]

5 minutes ago, Ontarkie said:

it's a hospital wants to spread out the max number of patients per nurse/aid and what not.

When I was working as an RN, hospitals staffing was too often based on patient numbers per nurse rather than patient acuity...that isn't good for the patients or the nurses.....imho.

[Ontarkie 14,234]

23 minutes ago, missileman said:

When I was working as an RN, hospitals staffing was too often based on patient numbers per nurse rather than patient acuity...that isn't good for the patients or the nurses.....imho.

Oh ya for sure. I was in active medicine. You have patients who are there for just about everything and when you get them coming down from ICU they are well enough for one nurse to be handling everything. Also in Canada at the time don't know about now but nurses aids were not allowed in the hospital so LPN's were doing everything aid do here plus more. 

[cdneh 3,112]

Nursing at the VA. Particularly the VA in LR. Also to a  lesser degree the VA in Nashville. People used to ask me why I was at the hospital from 0700 until 2100 every day. Yes, he was ill, defenseless really at times. But if you are going to have a patient on lactulose, you better understand there will be sheets to change. Constantly. I lost my rag a few times at the nurses in LR, on coming in first thing in the morning to find he was lying in a mess and had been for hours. Not good enough.  Leave me the linen cart thanks, I'll do it myself.

 

In Nashville, the main issue there proved to be meds. As in getting any. They moved him back from Vanderbilt to the VA and no one had ordered his drugs. So here is a patient, two weeks post op following a transplant, and no meds, hours overdue. At 1900 and in spite of the fact they expected him from 0900 that day, still nothing. I had to call the after hours transplant team to get someone to DO something.  He had a following admission there, kept overnight and discharged. Transplant Doc wanted him to stay in over the weekend to see the autonomics chap from Vanderbilt. Readmitted, but the drugs had been canceled and I had to raise my voice and call the transplant team again to sort it out.

 

Both of those VA hospitals were filthy places. Floors dirty, rubbish bins overflowing, people never getting their call buttons answered. But the nursing station was plenty populated, all sat yakking with each other.  I'll tell you they sure did leap to their feet when the Transplant head Doc arrived after hours to chew them out. Like watching a flock of startled chickens. I've never had a problem since with them. It's all well and good if you are a patient with someone to advocate for you, but what happens to the ones that don't?

 

 

 

[SAT 9,609]

You know, at the seminar, in passing, I had a discussion with someone in regards to the drastic changes about to take place at the VA hospitals...

Let me see if I recall....apparently, the president is big on helping veterans, and wants major changes to better serve the veterans....

#### What did the guy say...lemme think....

 

[SAT 9,609]

This, and there was more...

 

https://www.washingtonpost.com/politics/va-is-gearing-up-for-a-massive-reroute-of-health-care-to-the-private-sector-but-democrats-are-fighting-back/2019/03/21/637f732a-467b-11e9-90f0-0ccfeec87a61_story.html

[SAT 9,609]

Anyway, wotju guys doing for Memorial day?

[Ontarkie 14,234]

7 minutes ago, SAT said:

Anyway, wotju guys doing for Memorial day?

So far ribs. I don't think we will see the 2nd boy this weekend. The pool will be full sometime tomorrow and the littles will want to be in it. They have that Canadian blood running through their veins and don't care if it's ice cold. 

[cdneh 3,112]

9 minutes ago, SAT said:

Anyway, wotju guys doing for Memorial day?

Birthday cake. Himself may be in his 60's, but his liver will be only 7.  

[cdneh 3,112]

16 minutes ago, SAT said:

This, and there was more...

 

https://www.washingtonpost.com/politics/va-is-gearing-up-for-a-massive-reroute-of-health-care-to-the-private-sector-but-democrats-are-fighting-back/2019/03/21/637f732a-467b-11e9-90f0-0ccfeec87a61_story.html

I'll believe it when I see it. They sent Himself a Choice card, but every time he wanted to use it he had to ask permission. Permission denied.  Choice program Docs were billing the VA as the should have, but the VA wasn't paying. Plenty of vets had their credit ruined over that mess. 

 

We are particularly well situated here. Anything major, the local VA clinic tells me to take him to the actual hospital in town, where they have actual doctors.  I've been told twice not to take him to the Fayetteville VA, as his condition warranted faster treatment. 

[SAT 9,609]

My wife has so many people coming, that I have to have a spin off BBQ in 2 weeks for the people who didn't get invited due to overcrowding...

And next week, I have the Polish broads. But they're easy, dinner at burger king...

[cdneh 3,112]

9 minutes ago, Ontarkie said:

So far ribs. I don't think we will see the 2nd boy this weekend. The pool will be full sometime tomorrow and the littles will want to be in it. They have that Canadian blood running through their veins and don't care if it's ice cold. 

I'm Canadian, and I'd want nothing to do with it How long until it warms up?

[SAT 9,609]

Just now, cdneh said:

I'll believe it when I see it. They sent Himself a Choice card, but every time he wanted to use it he had to ask permission. Permission denied.  Choice program Docs were billing the VA as the should have, but the VA wasn't paying. Plenty of vets had their credit ruined over that mess. 

 

We are particularly well situated here. Anything major, the local VA clinic tells me to take him to the actual hospital in town, where they have actual doctors.  I've been told twice not to take him to the Fayetteville VA, as his condition warranted faster treatment. 

 

By June or July you'll know more...

And if I'm correct, medical bill delinquencies are not supposed to go on your credit report. 

[cdneh 3,112]

4 minutes ago, SAT said:

 

By June or July you'll know more...

And if I'm correct, medical bill delinquencies are not supposed to go on your credit report. 

I moderate in a Vets group. I have over 300 people who have had that happen. The VA didn't pay up, they chase the patient.

[SAT 9,609]

Oh NM. They are not supposed to go on your credit report until 6 months later...

[cdneh 3,112]

11 minutes ago, SAT said:

Oh NM. They are not supposed to go on your credit report until 6 months later...

Well, you cannot get blood from a stone. Many of the vets in that forum are the Korean War and Vietnam era. They haven't got the proverbial pot, some of them.  Given the go-ahead by the VA, treatment arranged outside the VA, completed, and not paid for.  I understand that many of the Choice Program providers have refused any further patients, and why wouldn't they.  It's a real mess.

Edited May 24, 2019 by cdneh