Savefauquiercounty2019 · February 17, 2020 at 7:41 am
Your hospitalcompare ratingx on medicare.gov are poor. Your neighboring hospitals are higher. Maybe time to get sacred cows to move on.Every nursing supervisor, manager and should walk the units daily.
If you don't observe patients up and walking, you aren't supervising your staff. Walking help prevents atelectasis, pneumonia, clots and ileuses....Hire competent nursing staff that are rehab nurses who don't need a therapist to get patients out of bed. It is a wide spread excuse. They need to engage patients and their families. Patients post op need incentive spirometer and reminded to use of every 20 minutes, head of bed up. Push fluids.
Bachelor level nurses don't hesitate to contact doctors for orders to include other disciplines that can help shorten length of stay, help educate and prevent readmissions. Occupational therapy should be ordered if nurses are having to assist with adls. Therapists are able to thoroughly assess and address functional levels and get needed equipment for home.
Respiratorycan do chest physiotherapy to prevent hospital acquired pneumonia from becoming deadly especially in elderly whose elasticity in lungs are decreased.
Sputum cultures ordered before start of antibiotics.
Savefauquiercounty2019 · February 17, 2020 at 6:02 am
Please assess your dietary practices. If a doctor orders diabetic, or low sodium meals or no greens to get INR levels up, most hospitals, nursing homes and or assisted livings expect their nursing staff to pull inappropriate foods from trayinstead of dietary following doctor's orders.
How will YOU stepping in help? It will decrease length of stay, readmissions from other hospitals, nursing homes and assisted living overloading patients with salts, and fats etc. Congestive heart failure patients often can not get into see their community doctors in a crisis because the doctor's s receptionist won't page doctor or get patients in the same day. They need to be told in the community listen carefully and get attention to them immediately. Assisted living forms need to be detailed better statewide to specifically address the clinical needs of CHF patients.They hire Lpns that can not assess saturation and document normal but haven't walk patients prior to collecting readings. Patients are sitting and saturation are normal. Every CHF should weigh themselves daily and have BMP drawn.
Please hire American educated health care professionals first. CEOs of hospitals have trended to hire immigrants over Americans and state they can't recruit or retain Americans. 5000 deaths a week in our nation's hospital due to neglience and medical errors per Hopkins study in 2016.
Learn how to assess your drg data. Your hospitals ratings have been low. Medicare collects data from drg, documentation. Don't overload your nursing staff. 1 to 5 in the ER is unforgiving especially in this fast paced, high acuity area. If a patient needs transferred to higher level or dies this can cause serious adrenaline rushes and overloading your staff during these times won't retain them. There is always room for improvement to improve quality of care, please follow interdisciplinary approach which include spouses and or parents assessments. Make sure your culture remains open to breaking chain if command to get what patients need if supervisors aren't following protocol or standards. Thank you. Good luck.