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We can't wash our hands too often, in or out of a Hospital.
724 Hospitals Have Lost Medicare Funding For Avoidable Complications: Is Your Local Hospital One Of Them?
A high number of hospital falls, catheter infections, or bloodstream infections indicate insufficient staffing, and poor technique, such as not washing hands often enough, or cross-contamination from other patients.
We can't wash our hands too often, in or out of a Hospital.
Won’t this create “Medicare deserts” in those areas where the poor live?
practically unavoidable...
falls?...again, there is so much red tape regulation in using ANY restraint plus it is profoundly discouraged by the regulatory agencies that restraints are seldom ever used...thus, you have old people climibing out of bed by themselves and falling....you know, "dignity" in aging...you have druggies and alcoholics climbing out of beds, Alzheimer patients, dementia.....UNLESS THE FAMILY CAN STAY IN THE ROOM....AWAKE....24/7 these falls are going to happen, period...
these people in the ivory towers have no a clue....not a single clue...how an acute care hospital gets by....intense,constant,back breaking work prevents further problems...
eg...we had HALF of our patient load on my floor under isolation..flu, mrsa, rsv, you name it....yet we have visitors in and out of rooms without gear, using public brs, going down to the cafeteria and there is absolutely no legal authority to prevent them......and people wonder about hospital infections...
I was standing at a nurses station a short while ago while a doctor was explaining to the nurses the rules the hospital had to abide by for the number of nurses in each ward.
Based on the time of day, number of patients, the patients condition, nurses had to be called in, or let go. They had to keep the precise number of nurses on duty. It was a complicated 10 minute dissertation.
As a survivor of recent surgery, hospitals should also be graded on the quality of their food. For patients trying to heal and strengthen their bodies to be given a tray wrapped in plastic so no aroma of the food can tempt the taste buds, is ridiculous. Of course, the food is not seasoned, so there isn’t much to excite the tastebuds anyway. To be served a bowl of cold oatmeal for breakfast is not the way back to health.
The main reason to withhold funding from the healthcare system is to destroy it. They will use excuses like pretending they are trying to improve it through some objective scoring. But in reality the hospitals that turn away or kick out sick patients will score better. In time those will no longer be hospitals but money transfer centers from taxpayers to obamacare political supporters. The old fashioned hospitals that quaintly keep trying to help people will be driven out of business by lack of payments. The Feds will take it all over eventually on the grounds that it failed even though they are the ones who will destroy it.
How is this possible? The usual prescription for government failure is bigger government and more money. The rest of DC needs to run this way.
So where is the link to the list?
well, maybe this will force them to hire enough nurses.
Handwashing sounds so simple, but it’s more than that (a lot of these things are never touched without gloves on, so handwashing is not an issue).
With enough properly trained nurses, you will reposition a person so that he doesn’t get bedsores. You will evaluate their nutrition and make sure they eat so that they are less likely to get infected. And you will clean the areas more often.
Alas, with regulations, often the nurses are too busy filling out paper work to actually see or talk to the patients. 20 years ago, I was hospitalized in one of the “Best” hospitals in the USA (In Boston) for routine female surgery, and during recovery, I rarely saw a nurse. Indeed, when I decided it was time to get out of bed and walk by myself (luckily I didn’t fall) I was stopped by several patients who found out I was a doc and who wanted information on their diseases.
Ah but if the paperwork isn’t done, you don’t get paid.
without question, my mother in law died of persistant urinary tract infection resulting from a catheter during a hospital stay.
Her diagnosis was systemic infection but it had been there several months before it over whelmed her
Ping
Obamacare is being used to eliminate treatment of Medicare patients. A lot of money is going to be saved on Medicare. In a couple of years, perhaps sooner there will be no hospitals that will take Medicare patients and few or no doctors. I saw this coming when I first read that hospitals would lose Medicare reimbursements if patients are readmitted after a procedure.