Hospitals, Over Worked and Under Worked Staff, and Nightmares...

When I saw this article, I thought about all of us that are chronically ill, and how we often make our way to the hospital one way or the other for surgeries, procedures and tests. We go sometimes more than others depending on our health matters, and nursing is a scary thing now. Nurses are so over worked, under staffed, honestly I think in ways not as educated (or kept up with the latest). and NOT PAID in many places as they should be. I have witnessed it myself on several occasions, and saw mistakes that were related to especially under staffing, and NON or not good communication through the nursing staff and physicians. This article was an eye opener and brought much to the table about just how bad this is and how it will only get worse unless something is done to stop it. After are some of my comments...
Of around 600 nurses who responded to Nursing Times online poll last week, 57% described their ward or unit as sometimes or always “dangerously understaffed”. In addition, 76% said they had witnessed what they considered to be “poor” care in their ward or unit over the past 12 months – of which nearly 30% said they seen it happen regularly. One respondent said: “It is becoming more and more stressful for a nurse to nurse. Safety is always at the forefront of my mind but it is becoming increasingly difficult to ensure that all patients are kept safe while in my care.” More than half, 55%, of respondents thought nursing was facing unfair criticism over standards as a result of previous well publicised failings at Mid Staffs. But most thought that while the Francis report would have a negative effect initially, generating more criticism, it would lead to positive changes in the long run – leading to better staffing and regulation. Nursing Times asked about a number of issues raised during the inquiry such as staffing, patient safety and culture. Overall, 73% of respondents said they had completed an incident form over the past 12 months because an adverse incident, or risk of one, had occurred. Worryingly, 76% said they had not received feedback or a response after submitting the form. This reflects evidence heard by the inquiry that incident forms filled out by nurses at Mid Staffs concerned about staffing levels ended up in the bin. Of nurses working on general medical wards, 85% said the average ratio of patients per registered nurse was eight or more – of these just under half said the ratio was 10 or more patients per nurse. The Royal College of Nursing has said a ratio of eight or more patients per registered nurse is associated with patient care regularly being compromised.
In addition, 43% of those who worked on general medical wards said the ratio of registered nurses to healthcare assistants was either 50:50 or worse. The RCN recommends a ratio of 65:35 in favour of registered staff. More than 80% of respondents believed there were more “Mid Staffs” out there while, around a third were not confident they could rule out similar failings happening at their trust. More specifically, 23% said they were “at risk” of a similar situation occurring at their trust and 12% that it was already happening at their trust – either in isolated parts of the organization or right across it.

http://www.nursingtimes.net/5054462.article?referrer=e1

Here are some of my thoughts and actual situations involving staff, nursing and doctors....
This is shameful and very frightening to all of us, but especially to those that seem to have chronic issues that keep us more in the medical offices, hospitals, surgical wards, and so forth. I can attests to at least 4 situations since I began having so many surgeries, appointments, and being and in and outpatient to at least 4 TIMES since 2007 that there were BAD issues, that in fact got reported, and the hospitals in two of them did massive investigations, one in fact just went to the medical board for review. These for the most part, did NOT BEGIN with nurses really, but more about DOCTORS, lack of information to the nurses, lack of knowledge more about my particular surgeries or illnesses, but it was also due to the nurses severely being tied down to way too MANY PATIENTS EACH! There is NO WAY an INCREDIBLE NURSE CAN HANDLE THE AMOUNT OF PATIENTS I have watched them try and juggle. Not ones that have lots of medications, IV's, surgical wounds, need to be helped up, possibly need all kinds of those things that sometimes nursing assistants can do, but the poor assistants are also bogged down, and lack the time to help get people up, walking to the restroom, and so forth. There have been a few times, I did kind of blame a nurse just because she did not go back and READ orders, BUT even THEN, I know it was because she or he were probably snowed under. So, it is a push pull kind of situation. They maybe doing their undying best, BUT they can only juggle so many patients at once. I know that due to the number of society, especially elderly, those with so many chronic illnesses, earlier in life, the medical field is totally bogged, BUT we NEED TO EDUCATE, PAY VERY WELL, GIVE INCENTIVES FOR THOSE WHO DO A SUPERIOR JOB, and put in our medical offices and facilities many more qualified candidates. Thank you for the article... it is a difficult subject to discuss, but I know I am not the only one that has had issues either in the hospital or at the office of a doctor.

more in regard to nursing homes:

Nursing homes are even worse for the most part! I also hope and pray I NEVER have to send anyone there or go myself. Talk about understaffed, underpaid and they are not even trained properly. That is a situation that Medicare needs to work on as much as many of the others. The nurses at the homes are truly understaffed. They only put "qualified" for paperwork basically, and have people sometimes that are really NOT even NURSING TRAINED to handle lot of patient care. When my GrandMother fell, and went for a "temporary" stay for a broken hip, there were circumstances beyond the control of my Mom, and her two siblings, and my Grandmother could not stay by herself anymore. She also began to have dementia issues, and would leave the stove on etc... and even though Mom went there daily, and she lived only across town, it was almost impossible to care for her and know she was safe by herself. BUT honestly, I think she may have been better off at home, with home health care nurses and that type of thing. At that time the home health agencies and so forth were just beginning, so it was not something that was thought about I do not imagine as much like in my GrandMother's case, but Mom said that Granny would not be helped up to be fed, and her plate would just be sitting there, she got pneumonia from "laying" too much, they were supposed to have her up and walking, not laying all the time, half the time Mom said you could not find not one NURSE, or most of the time STAFF member. She walked in on a couple of the staff and overheard a terrible conversation about some patient they were talking horribly about in their "break room" when they were supposed to be on the floor taking care of patients. It was just nuts. One time my Mom's sister came and took my GrandMother OUT of the home for a short drive, but she did not SIGN HER OUT!!! Mom said it would have been hours and no one would have known she was even missing, but Mom happened to go by about that time to check on her. She went to her room and my Granny was GONE!! NOT one person knew where she was, and did not know my Aunt had even came in and took her. Of course my Aunt got in trouble for not signing her out, she said she did not know she had to, but it was insanity... It is just a situation that will get worse very shortly, if something is not done to get us the qualified staff, that are educated, continue to be educated, regulated, PAID well, NOT over worked, and treated also with respect.

"Odd" but incredible times for the Super Bowl!

What can I say but WOW!!!! What a heck of a strange Super Bowl Game!!!! The commercials were phenomenal, the teams both very extremely good! Even though of course without the Cowboys in there, we were not really "bowled over", we were with the Coaching Brothers, the Incredible, more or less "Rookie" Quarterback that just knew in the 4th grade his life was on a path (I thought that was an awesome story about his life), and then THE LIGHTS!!! Man, talk about frightening!!! I think I it would have been totally creepy moments for me, because I would half have been expecting, at any time a bomb or something horrible may have been launched to happen. We even talked about that before the game. So many people watching, and so many people attending, with eyes from all over this world, all it takes is one fool!!!! So, I have to commend the entire security staff, and everyone who did make sure all of those there were as safe as possibly could be and could enjoy the game!!! All in all, it turned out to be a fun day and evening, even though I am still under the weather some. We made low cal ranch dip and bean dip, and we had cut up veggies, did have one bag of Tostito's but they were "gluten free", and I had made some Rice Krispie treats for "dessert", and put a few dark chocolate chips in them, since those are the "healthy" ones. We were stuffed too quickly. We did not eat really all day, so by the time we sat down, both of us and the dogs were hungry. LOL. and we kind of began eating later than usual... anyway, I hope everyone had a great time, got home safe and sound, and look forward to the COWBOYS in there next year!!! I had to laugh at myself when we decided to go onto bed since the lights were taking so long, that I told Jim I thought I heard "jets scrambling" over head!!! :) We are so close to LA and our Air Force bases here are sometimes close enough they do fly over, thus I think it was a train, but it sounded like the jets going to check things out to me.

To Dad on what would be His 90th Birthday today!

For my Dad, He would have been 90 years old tomorrow, on Groundhog Day! We lost him in 2005, and I miss him everyday. Dad, I hope you are fishing, drinking coffee with the other guys up there with you that are your dear friends also, including Uncle Joe who is with you also now. I bet you are telling deer hunting stories and talking about those huge rack of horns on some of them! :) I know that you know how much we all love and miss you... Happy #90, where age is not a thing but possibly just a number...


He was a good man, and an awesome Dad! I was always proud (even though he was extremely strict at times) to be his daughter. I realize there are some things that happened later in life, that he may have been disappointed in me. But, there were things he went to his grave not knowing that happened at that time in my life, that I never told him. He was already not that well, and I just felt it was better for him not to deal with some of what was happening in my life at the time. But, I do know now, he does know it all, and I am positive he is glad that I did the things I did then. I love you, Dad Happy Birthday!

Battling and Trying to "Slay the Dragon" - Lupus and its complications.... Life, Super Bowl Etc...

Well, of course things for me are always complicated. I have already posted about the flu bug, and then I have a Lupus flare with it. I guess since I had both, they really took me down. I have been fighting now for weeks with one or both at a time. I know that I have been over the flu now for at least two weeks, yet I am still in severe aching pain, especially my lower back, and down my legs, plus a severe Lupus headache that decided not to go away, chills, and just the entire gamut of crappy symptoms with a flare. I was trying to hold off going to the doctor thinking I would get it fought off myself, BUT I had to go in yesterday. I was just feeling worse instead of any better, so I went in to see one of the PA's. Dammit I actually have an appt with my doctor next week, but they moved it from Monday to Wednesday and with it a weekend, I did not want to take a chance of being worse. Well, as I kind of suspected, I do have a kidney infection, which explains the severe side, flank, and lower back pain being so bad even with all of my pain meds. Plus the chills, fatigue etc... all go along with that on top of the flare. I kind of thought I may have a kidney stone or stones, and I am still thinking that could be the case, which would cause the more severe pain plus the infection. So, now I am praying that if so, I can pour enough fluids down myself and take the antibiotics and get it flushed out myself. Going to the ER, having to be put on a rapid running IV and them trying to flush it is just a pain in the butt in all ways. Plus they will do a CT to find it or them, and etc and so forth, so I DO NOT want to go there at all. And of course the flare meant a huge shot of Solu-Medrol, plus a course of 14 days of the high powered doses of Prednisone, which suck. I am already having one hell of a time for some reason fighting to keep weight off. I have not had problems since I was about 21, but for some reason, even though I exercise DAILY, plus watch every calorie, and so forth, it seems I am inching up a pound every so often, which sucks, because rather than them coming off, they seem to be sticking to my butt!! I am so depressed about it, and am even going to try the NO Wheat, get rid of the gluten diet thing, or try it for the most part to see if that will help. We are trying to eat earlier in the evening, and also breakfast earlier, stay up a little later, and I am even doing some of my exercising (extra for my regular ones) at night. I am going to talk to my doctor next week, because I know of course the illnesses, and the medications, especially Prednisone are notorious for this issue. But, then yesterday and this morning, I have had the worse case of feeling really shaking, and Jim even could "see" it in me, and feeling a different type of weakness, and with all of the other issues, I am a prime candidate for Diabetes 2. I became "pre-diabetic" several years back, but with all of my watching what I eat and exercise that has never been an issue since then. NOW I fear with the long term prednisone, plus the Lupus, and so forth, that may explain many of my symptoms including the weight issue. So, I faced that this morning and took my blood sugar, and it was well over "normal". NOT serious, but way over normal enough to be considered diabetes if it continued that way. Anyway, please keep me in your thoughts and prayers. Of all things I DO NOT need anything else to deal with as far as a chronic illness. But, I know me, and I am COMPLICATED as all of my doctors put it.
P.S. a story of mine... included about one of my serious mistakes at 21, that taught me a huge lesson... I hope it helps someone else to try and not make a terrible mistake...


Hope all of you enjoy your weekend, and hope if you are having a Super Bowl party you have a great time.. be careful and please don't drive if you drink... let someone who is not drinking take you where you need to go or stay where you are till the next morning. It is just not worth what could happen.... I know we think we are invincible, especially when we are younger, but hey at 21, I stupidly drove after a couple of drinks, got stopped for a tail light issue, my very first every stop, and they arrested me for "drunk Driving"... I spent 2 YEARS, YES 2 on PROBATION and I had never even has a ticket or been stopped in my life!!! So, it can happen, and now things are much worse, plus I also could have hurt myself or someone doing that, and it taught me a huge lesson!!! I NEVER AGAIN drank and drove!! It only took ONE TIME for me to learn that one... I was scared, humiliated, had to call my ex father in law to bail me out, because I was too upset and embarrassed to call my Dad, then I had to go tell them the next morning... Honestly, Dad was awesome, he did not gripe at me and in fact he went with me to the court in front of the judge, and helped me pay my fine... but he admitted it could have been him in his younger days many times... and as I said, between the scared, the embarrassment, the humiliation, etc... it only took once... so there is my story, the truth, and I am sticking to it.. Happy Weekend to All, Rhia

Pieces of Me

As I wrote this, and it is really for my upcoming 2nd Poetry and Prose book, I had promised myself not to start "sharing" my work here or on FB, that I am going to put into the book. I don't want to get started doing that, then everyone will know well before the book, what is inside of it. LOL, stupid thing for a writer to do, especially if I want to sell even ONE book! Of course it is NOT about the sales, but being able to "touch" my readers and bring them to a place they can feel.... it all! So, here it is,



Pieces of Me

Pieces of me linger today, in the basking essence of the beauty of rays of sunlight upon my skin. There is a glow surrounding me today, I observe the pieces of my heart, pulling together, and becoming whole...I have kept pieces of me hidden away, locked behind a closed door, for fear of being exposed again, raw and naked to love's call. Yet, I often "hear" it and try not to "fear" it, for I know the passions that lie within and without. I seem to be in another realm, spaces in between, life and love...the shades of grey, that only lover's know...fill and outpour over me. I find myself, longing just once more to give of my heart, and wonder where the path shall lead? Do I dare explain my soul, do I dare expose the unbridled passions, and take the plunge as before? ‘Tis always been my nature, to dive into the rushing rapture; falling head first off the cliff, to allow my love to be in full view. Yet I held those pieces back...this time, trying to find a new way, trying to be more cautious, trying to allow it all to just happen; yet I throw caution to the wind. I have jumped off a final time, to take the chance...of life's dance.
Passion, and pain, eroticism, and ecstasy, glory, and honor! All surrounding me, and I linger today. I feel the pieces of me come together, where heart's bind, bodies intertwine. I know that fall far too well!

I feel it rush through my veins!
Plunge into the passionate realms....
Allow your spirit to be set free,
No chains, yet velveteen binds....
Experience a heart as no other,
Sustained by the glow....
To know of the heart, is to know wisdom and grace.
I find that you are a sweet addiction,
One quick shot throughout my veins!
This is where your will shall reign,
In the deepest pit within my heart.
I stand "fearless" in this fall,
I succumb to where we "mesh;
heart, mind, body and spirit.
A temptation too great,
I could not withstand the heeds of warning from my heart,
So I just allow it all to unfold.
Unveil itself in front of my eyes, and then there I will embrace the passion!
I have given over to holding back; to resound, to resonate. In all of your stupendous charms, my heart is of yours for the taking....
Carry it gently.                            

Rhia Steele  copyright 1/2013