5 Common Practices That Piss Patients Off

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5 Common Practices That Piss Patients Off

 Until my next delivery ❤


13 thoughts on “5 Common Practices That Piss Patients Off

  • August 21, 2015 at 3:20 pm
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    Disrupting sleep- This was the BIGGEST annoyance during our hospital stay when I had our youngest. We were exhausted. Arrived at 5am, didn’t deliver until 9pm, didn’t get put into a room until after 1am, didn’t get to sleep until maybe 6am- woken up at 7am from someone wanting to take my blood pressure. It was an awful 2 days. Dealing with a hungry newborn who couldn’t nurse and therefore screamed 24/7 (because the nurses would not recognize that I had NO MILK and therefore kept “refusing” to give me formula) and literally every single time she dozed off and we attempted to sleep, here comes someone- a nurse to get stats from me, a nurse/md to do something with the baby, my obgn coming to just check on me…it was so fricken nonstop!

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    • August 21, 2015 at 8:39 pm
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      It’s horrible to be tired and not left alone. However, women who choose to deliver in the hospital need to understand they are not at a Hilton resort no matter how pretty the facility is. Hospitals must fulfill certain policies and procedures to continue accreditation and be able to accept insurance payments. Keep in mind when the HCAP scores reflect that patients feel like they hardly saw a nurse and when they did, they felt questions weren’t answered, hospitals react with more patient check ins and in turn less rest! Ok rant over

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    • August 22, 2015 at 5:09 am
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      What you find bothersome, is a professional nurse ensuring patient safety and that s/he doesnt lose her license. We nurses are actually responsible for our patients well being. Hourly rounding (checking on each patient) is now the norm. We often have 3-4 couplets who’ all require assessments, vital signs, medications, teaching, discharge procedures and sleep. First time moms and c-section patients require more care. Also, there are MANY patients with social issues, substance abuse issues, domestic violence issues. These all require extra care and time, which equates to more face to face time with the patient.

      I’ve walked in to rooms and found a blue baby, with mom sound asleep. Often new moms let their babies sleep FAR TOO LONG, without feeding. I can’t tell you how many new moms put off feeding their newborns because visitors are present. Feeding comes before EVERYTHING, except breathing. Feeding is what supplies the brain with glucose. Christina, you DONT have milk those first few days. You have colostrum. I hope that you were able to work with a lactation consultant in the hospital if you were having feeding difficulties.

      Honestly, patients are too busy entertaining visitors, playing with their phones and watching TV, to pay attention and participate in the teaching….and sleeping. I desperately wish we had a couple “quiet hours” each day (or shift) to actually spend time with our moms and babies. We encourage patients to sleep when their babies sleep, but I’d say that 80% do not.

      Say NO to all those visitors, rest as much as you can and take all the lactation help you can get.

      For those who don’t want this kind of care, there are other options such as home birth or free-standing birth center, where you are discharged shortly after birth. If exchange, you give up your pain meds!

      OB nurses have a tough job, but we all come to work because we want to help moms and babies.

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  • August 21, 2015 at 5:29 pm
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    As long as my pt is pink,breathing and talking I will give their pain meds! I once had pancreatitis with the flu-first time I had the flu in over 30 yrs of nursing. A new BSN told me she wasn’t “comfortable” giving me my pain med. Pancreatitis! ! I said I’m pink, upright, walking and talking~ what are your concerns? She still with held it for 30 minutes.
    Ah, sleep! Pregnant ladies haven’t slept well for months. Short of a code let them sleep. I even tell the MD after giving a full report how the pt can tolerate the pain better, will feel more energetic during the delivery and better able to care for herself and the baby later. Works everytime.
    I know the nurse who won’t discharge her pts. I go to the PP charge nurse and tell how her how backed up we are in LD. She gets her new pt and it’s amazing how fast she discharges her other pts. The PP charge even calls the MDs for discharge orders explaining how any of their new pts who show up in LD won’t get adequate attention. It works.
    I tell all my pts the MD will be there when necessary. If the provider never shows my Clinical Supervisor calls them personally or calls the MD currently the chief of LD. It works!
    When I need very personal info -I have the unit secretary take the family to show them where the restroom, coffee and vending machines/ cafeteria are located. I have more than enough time. If the FOB is resistant I send him on some sort of errand, go install the car seat, get mom some juice. Works like a charm.

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  • August 22, 2015 at 6:36 am
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    (Warning, long post – sorry!)

    Thank you for writing this post. My best friend is an L&D nurse who was unfortunately out of town when I went into labor with my son (first baby, she thought sure I’d make it 39 weeks ;)). I can certainly appreciate the many constraints nurses face every day when it comes to patient care.

    I had a horrific birth experience (24 hours of labor, but only 12 ruptured and dilated to 8, c-section that I still don’t fully understand why I had to have other than I think the doctor may have wanted to go home, turned out I don’t respond to epidural numbing and I felt everything including the pain). I had been awake for 36 hours and was in intense pain when three ten minute increments in my PCA ran out. I called the nurse who said, “Whoops! This was supposed to go for three hours, but they only gave you thirty minutes!” As she laughed. She then said, “We’ll just go ahead and switch you to oral pain meds now.” It was only 2.5 hours post op, and she left and no one returned for two additional hours with medication (despite two polite reminders). I could barely move, but my son’s bassinet was pushed into the room but left at the foot of my bed and my family was all sent home. I remember my son crying and it taking me forever to get up through the pain to get to him (I had called for a nurse to help but was told they were understaffed and I’d just have to be patient.) When I did finally make it to my son, I was accosted for getting up to get him, I guess I wasn’t supposed to be up (but didn’t know, since I was left to fend for myself).

    The next night I still hadn’t been able to really sleep (a slew of visitors including distant people I’d never met, like my mom’s boss!) were let in all day (despite me begging for a break) and that night my nurse said she would take my son to the nursery so I could rest and give me a sleeping pill. I gratefully took the pill and they took him and just as I was drifting off, another nurse brought him back and said, “he’s crying too much, he’ll have to stay with you. Maybe you should try feeding him more.” I’d been alone for only 20 minutes.

    Needless to say, the following morning I begged to be released and went home with family who could help me.

    I was so worried about being the annoying problem patient (after hearing what my friend has endured at work) that she said I became a mouse and didn’t express how much I needed help. I regret the entire experience (except for having a wonderful son of course!) and the lack of pain management and sleep were definitely among the hardest parts.

    Thank you for caring so much about how your patients feel, I know nurses like you are the majority and my experience is not the norm. Keep up the great work and blogging!

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  • August 22, 2015 at 8:00 pm
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    I am appalled at what you endured. Who cares if the nurses might think you’re a problem pt . They won’t remember you after your discharged. The hospital is required to have adequate staffing. They can call in nurses and pay them overtime or get a registry nurse. It is your Legal right to have your pain controlled. There is no excuse. The patient is NOT responsible for staffing issues. You ever have those problems again-call your doctor’s office from your bed and tell them your problems. The doctors are always alarmed to hear from one of their patients who is IN the hospital and will respond . If it’s a teaching hospital write a note -on paper have it put in your chart –stating you refuse to be cared for by any residents- only your own doctor. I’ve been in LD 30yrs and a paralegal for 20. Hpoe this helps. You have my deepest sympathy.

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    • August 23, 2015 at 4:24 pm
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      Very very foolish to decline resident care. Teaching hospitals are staffed to include resident care. If you don’t want residents taking care of you, don’t go to a teaching hospital. However, the residents are deeply caring individuals who want the best for their patients. They always have access to help from an attending doc. They wouldn’t be seeing you if they weren’t competent to do the task at hand.

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      • August 23, 2015 at 6:24 pm
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        I worked at a major California University teaching hospital for many years. I delivered all my children there. My OB was the Chief of the Maternal-Child Health department. For one of my deliveries I choose an Resident that I had worked with for 5 years. She was great!!
        My brother has been an MD as long as I have been a nurse, another brother is a JD, and another is a Cardiac specialty OR tech, several sister in laws (PACU and PRE-OP) and friends that are long term nurses. A family full of people in the legal and medical/nursing professions.
        Teaching hospitals are very important and most residents are great BUT they are inexperienced and rely heavily on the nursing staff’s experience and the R2-R4 and Attending MDs. Nurses have avoided many disasters by keeping a constant eye on the patients and the residents. That is how the teaching system works.
        My point was to let her know-even in a teaching hospital- it is OK to decline resident care and be cared for by your own OB only. At the University hospital, in my experience, the RNs and Residents and OB MDs preferred to be cared for by their private OB physicians. It isn’t that they didn’t like the students and residents-but there is strong continuity of care, a personal relationship and trust, and consistency of care with your own private MD. Residents need to learn and they do grow into really great MDs.
        As far as choosing a private vs. a teaching hospital–A great many pregnant women don’t know the difference between the hospitals. A women can go through all of her prenatal care with her private MD and when she is admitted suddenly there are all these Residents she has never seen her prenatally and she doesn’t know any them.
        I hope no one was offended. We do our very best with each and every Mom and Baby–the future of our generations depend on it!!

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        • August 23, 2015 at 6:38 pm
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          I resident delivered my baby and stitched up my laceration. She did a great job. The repair seemed much better than my first go round.

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  • August 28, 2015 at 1:48 am
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    Waiting for the doctors was a tough one for me. My son was in the NICU, and I wanted to be in there with him, but I kept having to wait in my room these indefinite periods of time for a doctor who would ‘be there any minute’. Hours of time I should have been with my baby. Very frustrating.

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