Guest guest Posted July 24, 2000 Report Share Posted July 24, 2000 Jana, I am sorry you had such a bad experiece with the nursing home your grandmother was in. However, nursing homes do not always know when they will have an inspection. They are notified of individual complaints so they do know when there will be a complaint investigation but they do have random inspections. There are different teams of inspector in different areas and people in the nursing home industry stay in contact with each other and know each other well. Everybody knows someone who is now an inspector so it is hard to have surprise inspections since someone usually will give the nursing home a heads-up. I agree something needs to be done, but it is the same with our profession. Employers need to have stricter hiring policies and screen their applincants alot more closely instead of hiring to meet staff to patient requirements. Eva > , > One thing that I found out when I had to place my grandmother in a > nursing home. The nursing home knows when they will be inspected way ahead > of time! They never have surprise inspections (unless there are numerous - > and I do mean numerous - complaints) then they are still given notice, just > not as much. My grandmother was unable to get out of bed or chair to go to > bathroom and when she called, it may have been over an hour before anyone > responded. When you walked in there were bells going off everywhere and no > one was even paying attention to them (including the bed alarms). I tried > to get grandma a bed/chair alarm which we would purchase, but the nursing > home refused. After her 5th fall (the 3rd one was the one that broke her > hip), I demanded at 8:30 pm to talk with the DON and was told that she was > not available. I stated to one of the nurses that we needed to see about > taking safety measures that may have to include some type of restraint > (they'd had a very low bed on order for 2 months that never arrived). The > nurse stated to me that Grandma had a right to be free and unrestrained. I > told the nurse that she also had the right to be kept safe and that when I > was unable to see over my own safety as a child, that Grandma did see that I > was safe! > I could go on forever! You just wouldn't believe and I thought I'd seen > it all on the runs I'd made to nursing homes my few hours on an ambulance, > and in my experience in the ER that I'd received so many horrid nursing home > pts that were improperly care for. I'm amazed every time! Guess you just > don't get used to that sort of thing. And, it seems as though law suits > (won by the pt or pts' family) don't even make a difference. What can we > do? Can we give classes? Can we pester the life out of the regulatory > agency? I wish I had the answer, because I cried for 2 days when it became > impossible for us to keep Grandma at home and we had to take her to the > nursing home. > > Take care, stay safe, and practice mercy, ya'll!! > Jana > FW,TX > > Re: [texasems-L] Nursing Home Call > > > > > > " simple face mask on (placed on by the NR nurse). I saw that the mask was > > fogged up, I then looked at the O2 source, which the flow rate was three > > L/min. " > > > > Got you beat bubba. Ran a call at a local nursing home when I worked in > > Texas, walked in, patient on Non-Rebreathing Mask with meter set at 3lpm > > (fixed rate type). Bag flat, mask fogged, patient struggling to breath. > > Partner turns the flow meter up to 25...no O2 noise. Partner TURNS ON O2 > > TANK, and patient finally starts getting O2. We toss the guy onto our cot > as > > he takes his last breath, start bagging him, fly out the door. Nursing > home > > RN calls my boss and complains that we a> ran up lights and siren when > they > > asked that we didn't (ALL respiratory distress calls are lights and siren > in > > my book...period), b> didn't wait for her to come give us a report, c> ran > > out lights and siren. For the record, my boss took my side. > > > > Why does this happen? Because the Nurses Aids have zippo training in > regards > > to stuff like this. If O2 administration is in their course curriculum, > the > > state needs to reexamine how they are being taught because is sure isn't > > adequate. > > > > What percentage of O2 was this guy getting? Probably something like > > 12-20%...guessing and hoping the holes in the mask were letting SOME room > > air in. The amount of carbon dioxide trapped in a simple mask should be > > fairly piddly, but it would add up over time in the bronchial tree and > such > > (trapped air that remains, blah, blah, blah (you all know the A & P)). > > > > Anyhow, enough of my rant. > > Webb, LP > > FLW EMS, MO > > ______________________________________________________________________ __ > > Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com > > > > > > ______________________________________________ > > FREE Personalized Email at Mail.com > > Sign up at http://www.mail.com/?sr=signup > > > > > > ------------------------------------------------------------------ ------ > > Shoes? On the web? > > Click Here! > > http://click./1/7061/9/_/4981/_/964303111/ > > ------------------------------------------------------------------ ------ > > > > Quote Link to comment Share on other sites More sharing options...
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