I forgot to come back & report how it was the night we bought Twilight...ooops, sorry about that! There was a line....of about 50 or so people. It moved pretty fast once 12:01 came along. My niece is thrilled...I have yet to rewatch the movie. I am looking forward to the next one that will be in the theaters on Nov 21.
I had a decent week at work. The first two nights were relatively calm...so I knew last night something would have to go wrong. It was a bit hectic the first 4 hours of the shift....back to back discharges. I don't mind discharges, but I do mind all of the paperwork we now have to do just to discharge someone. I remember the days of where we would simply write "continue all home medications" & send the patient on their way. Nope, not any more. The Joint Commission of Healthcare now has us writing novels for each & every patient that leaves the hospital. I guarantee at least 90% of our patients either toss this mass of paperwork in the garbage or in a drawer...never to be seen or ever read.
One patient last night....22 pages of discharge information. We give them information on their diagnosis, their new medications, their follow-up appointments, etc. 22 pages. Come on! And this patient only had 4 new prescriptions. I can only imagine how many pages it will be for someone with 10 or more new prescriptions. I think it's kind of overkill...considering they will get information from the pharmacy when they have the prescription filled.
Luckily, I didn't get any admissions last night...just an ICU transfer. He was a sad case....cirrhosis of the liver from years & years of drinking. Now he has a huge cancerous mass in his liver & for some reason - they were talking about putting him on the liver transplant list. I didn't think that was possible due to the fact he abused alcohol for years. He is in miserable condition now & it's sad to see that. Most patients we have are in the hospital because they are non-compliant in some form or another. I am the same way...I don't eat healthy, I definitely don't exercise enough, I probably don't get enough sleep, etc.
I was watching on Oprah about how they are now coming up with ways that we could possibly live to 125 to 150 yrs old. What? Does anyone really want to live to be that old? Supposedly we'll still have the energy & strength of someone much younger...but who knows. I can't imagine it.
I injured myself Monday before going to work....I hit my little toe on a doorway. Ouch!!! It's all bruised. I'm not sure it's broken, but it sure is sore. It hurt to hobble around the last two days. So I'll be trying to rest it the next couple of days.
I was handed our employee handbook or JCAHO readiness book...whatever it's supposed to be & I looked at the names of our "executives" which is neatly placed at the beginning of this book (as if they are the most important people in this hospital - don't get me started!) All of them are new except our CEO. All of them.....new chief financial officer, new chief operations officer, new chief nursing officer. And even though we are unable to afford raises, bonuses, etc.....they have created a new position of chief of inpatient nursing officer. I guess it's safe to say that's who is getting our raises & bonuses...her salary. On top of that, the manager of our unit has resigned & left and now I just heard the assistant manager (or whatever her official job title was) has also resigned. This is scary to me..........all new people plus the fact that our managers have bailed completely. I can only imagine the change that will be coming our way now that we have no one to speak for us.
Sure there will be new managers...but will they have the guts to stand up for us when they are brand new in the position? I doubt it. They want to take away our breakroom & turn it back into a patient room so we can have additional patients. They will give us some small office to use as a breakroom.
I'm curious...is it like this everywhere else? Are there hospitals that are better? Or worse? Let me know!