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I'd appreciate any advice/answers anyone can offer.
1 posted on 01/28/2011 12:37:17 PM PST by Brytani
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To: Brytani

Yesterday I fell into the shower. Nobody was hurt.


2 posted on 01/28/2011 12:37:59 PM PST by library user (Just because you're homeless doesn't mean you're lazy.)
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To: Brytani

Read up on your meds b4 you do anything either way.


3 posted on 01/28/2011 12:40:51 PM PST by Paladin2
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To: Brytani

Talk to the head nurse in that ward and explain your feelings. What you experienced is not a healing experience.


4 posted on 01/28/2011 12:42:47 PM PST by bvw
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To: Brytani
I can't answer any of your questions other than item number 2, as I am completely non-medical. You definitely need to report that nurse (assuming she was a nurse). I've always heard that the attitudes of medical personnel have a direct result on lawsuits. If she's treating you that badly, she's treating others that badly, and when she really does do something harmful, or that is perceived to be (golf ball sized lump on your arm, as an example), her attitude is going to cost that hospital a lot of money.

If nothing else, think of it as keeping a lawyer from getting a pay check. That's why I always report spills when I see one in a store. :-)

5 posted on 01/28/2011 12:42:58 PM PST by Hardastarboard (Bringing children to America without immigration documents is child abuse. Let's end it.)
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To: Brytani

TMI


6 posted on 01/28/2011 12:43:34 PM PST by databoss
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To: Brytani

Actually a large hematoma can become infected. So watch for red streaking, warmth to the touch,etc. I recommend warm compresses to the area as it will help the hematoma break down. Your body will have to do the rest. And yes to the complaint letter. I have had thankfully rare cases where patients thought I was abrupt and they complained. Makes me more sensitive.


8 posted on 01/28/2011 12:43:50 PM PST by boop ("Let's just say they'll be satisfied with LESS"... Ming the Merciless)
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To: Brytani

Definitely complain, if for no other reason than maybe it can prevent this happening to someone else.


9 posted on 01/28/2011 12:45:04 PM PST by antiRepublicrat
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To: Brytani

Personally, I would get my doctor on the phone and quickly. Who knows what the bubble truly is... is it a whole bunch of the medication or air?! If I don’t know then you don’t know either. I would explain everything to your doctor and ask his/her advice. If everything is okay, then I would write a letter to the administrator of the hospital and the charge nurse as well. I would detail everything that occurred including the bad attitude. INHO, it sounds like this nurse didn’t know her own butt from a hole in the ground. I hope you feel better soon. Mom


12 posted on 01/28/2011 12:47:48 PM PST by momtothree
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To: Brytani

Medications should not burn when being injected. It would seem to me that the IV slipped out of the vein, or it went clear through. From my experience burning is usually from when the medication leaks out under the skin.


13 posted on 01/28/2011 12:48:22 PM PST by LukeL (Barack Obama: Jimmy Carter 2 Electric Boogaloo)
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To: Brytani

I’m confused, you said you were having chest pains, and then said you had no pain...huh?


20 posted on 01/28/2011 12:58:04 PM PST by Freddd (CNN is down to Three Hundred Thousand viewers. But they worked for it.)
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To: Brytani

The hospital should have a Patient Advocate on staff. Report the incidence of your condition to them, along with a description of the discourteous treatment. Get an opinion from your General Practitioner about what caused your unusual condition. Supply that to the Patient Advocate.


24 posted on 01/28/2011 1:00:30 PM PST by frithguild (The Democrat Party Brand - Big Government protecting Entrenched Interests from Competition)
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To: Brytani
Being an ER nurse myself, I'll try to answer the questions you asked at the end of your post.

1: It is NOT good practice to inflate a BP cuff while giving IV medications, especially if the medication must be given slowly. The effect is that instead of a slow, steady dose, the patient ends up receiving a bolus dose that can be harmful.

2: Yes, complain. And no, asking questions about a medication does not constitute a refusal.

3: If you have any continuing discomfort in your arm, worsening swelling or pain, you need to see a provider right away. Some medications (especially Phenergan [promethazine], a common anti-nausea medication), if allowed to leak out of a vein into surrounding tissue, can cause tissue damage and necrosis (tissue death). This is a medical emergency that must be addressed. I don't know if you received Phenergan for nausea, but from the way you are describing how much it hurt, it sounds pretty characteristic of Phenergan.

You have the right to advocate for yourself. That includes asking about the meds you received. Keep a close eye on that arm. Talk to the administrator and the ER manager about your experience.

I hope that helped.

26 posted on 01/28/2011 1:16:08 PM PST by 60Gunner (Ma'am, that is not a seizure. That is a dance move.)
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To: Brytani

If the ‘bump’ is still present with bruising, redness and pain you should return to the ER for follow-up ASAP! (I am assuming your regular physician is not available on an emergency basis).

Go back for treatment and not to register a complaint. Complain by letter - detailing all your experiences. Face-to-face confrontations can wait. Your health is the more important concern.

BTW - Medical personnel used to treat patients as paying customers...no longer - we are just part of the herd. Times they are a’changing.


27 posted on 01/28/2011 1:19:32 PM PST by sodpoodle (Despair; man's surrender. Laughter; God 's redemption.)
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To: Brytani

>>2. Should I complain to the hospital administrators<<

YES


28 posted on 01/28/2011 1:19:43 PM PST by B4Ranch (Do NOT remain seated until this ride comes to a full and complete stop! We're going the wrong way!)
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To: Brytani

Freepmail to ya


30 posted on 01/28/2011 1:21:46 PM PST by armymarinemom (My sons freed Iraqi and Afghan Honor Roll students.)
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To: Brytani

>>2. Should I complain to the hospital administrators<<

YES, in person! Do not write a letter as was earlier suggested. That’ll be brushed off easily. Make an appointment with the administrator and go in a rip some butt. Let him/her truly think that your money hungry attorney is begging you to take this case to court. Ask if she/he is going to swallow all the bills for your uncomfortable stay.

That will produce serious changes and results for you should you ever have to be admitted to that hospital again.


31 posted on 01/28/2011 1:29:27 PM PST by B4Ranch (Do NOT remain seated until this ride comes to a full and complete stop! We're going the wrong way!)
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To: Brytani

The BP cuff could have been put on the arm without the IV line.

The nurse was pushing the medications too fast through the vein, which would cause the pain and discomfort you described. The drug reference books for nurses tells the speed each med should be pushed. Few nurses pay attention to that, IMO, unless they are recent nursing school graduates.

Report this in writing, for sure.

Bluebird RN


33 posted on 01/28/2011 1:41:02 PM PST by Bluebird Singing
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To: Brytani

/mark


34 posted on 01/28/2011 1:41:13 PM PST by KoRn (Department of Homeland Security, Certified - "Right Wing Extremist")
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To: Brytani
1. Is it proper to turn on an BP cuff while pushing into an IV line medicine that close to the cuff?

No. In fact, if at all possible, a BP cuff should be applied to the arm opposite the one in which you have your IV placed.

2. Should I complain to the hospital administrators about not only her attitude (which we had planned on doing, there was much more than I wrote) and also my arm and the condition it is today? Also, in ER medicine, does the fact a patient wants to know the reasons why a medicine is being given considered a "refusal" by the patient?

Please do complain to the hospital administration and the ER medical director. Make sure you give them the name of this nurse. I would also write a letter to your state board of nursing and pass the information along to them. In any field of medicine a patient asking a question about medicines is completely legitimate. In general I try and sit down with my patients and not only take the time to explain what medicines I'm going to give them and why, but the results of tests as they come back.

Sometimes it is challenging because this person constitutes roughly 20% of the people I see. In some practice settings it's higher:

http://www.youtube.com/watch?v=_m64cy1MMPg

3. Just in case, is there anything strange I should look for if this gets worse?

I'll give you the company line, given the realities of the day: "if you experience any symptoms that are concerning to you, please go to your nearest emergency room for evaluation."
38 posted on 01/28/2011 2:13:11 PM PST by Yet_Again
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To: Brytani

Not speaking from a medical point of view, but a common sense one, people make almost an unavoidable error of assuming they know what other people are thinking or feeling, and this often has strange results.

Introspectively, you and your spouse were likely agitated, upset, in discomfort, confused and very concerned. But this was all inside. What it might have looked like to this nurse was something very different.

Likewise, she may have been having a heck of a day, and had all sorts of preconceived notions about what you and your spouse were about.

Now this does not excuse in any way unprofessional behavior, but it is often easy to set off strangers who misinterpret where you are coming from.

It is the job of an ombudsman, or other hospital administration type, to first figure out if anything objective was done incorrectly. So when you talk to them, to speak of these things *first* really clears the air and gets them on your side, because it says that you are *not* just a hothead or complainer, that there are some medical issues at stake.

Only after you explain these should you mention her attitude or behavior. With a solid foundation of objective information, this gives these much more weight.


39 posted on 01/28/2011 3:30:38 PM PST by yefragetuwrabrumuy
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