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Old 07-04-2012, 05:50 PM   #81
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Depends on the what organization a private duty nurse works for. Around here it is $60-75 an hour, the organization has to get it's cut. The hospital loves a private duty nurse, they don't have to pay them, but the nurse is still saddled with the hospital policy when it comes to getting what their patient needs and road blocks can be thrown in their way by extra protocols they must follow. This is as much to protect the nurse and the hospital in case of a lawsuit as it is to cause a slow down in care.

I believe in family members to be fully empowered in the decision making process, because they KNOW the baseline of the patient. My concerns and anger over aspects of Shrek's care have been reported, also the manner I was treated when voicing my concerns. I also have the advantage of being a classmate of the Nurse Manager of the hospital in question, she knows me and my work.

Heck hath no fury like a nurse taking care of her own ogre.
Thanks for your reply. Sorry to hear that even the nurses get hassled. I doubt the affordable care act will do anything to improve the situation.
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Old 07-04-2012, 05:54 PM   #82
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Thanks for your reply. Sorry to hear that even the nurses get hassled. I doubt the affordable care act will do anything to improve the situation.
Actually, all the changes in Medicare and Medicaid have made it harder to provide quality nursing care. I spend more time with a computer now that with patients. They no longer care about the nursing care given to patients, just if they are getting therapy or not. For every 30 minutes spent with a patient, it takes me 2 hours to do the documentation for the government.
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Old 07-04-2012, 05:55 PM   #83
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Originally Posted by PrincessFiona60

Actually, all the changes in Medicare and Medicaid have made it harder to provide quality nursing care. I spend more time with a computer now that with patients. They no longer care about the nursing care given to patients, just if they are getting therapy or not. For every 30 minutes spent with a patient, it takes me 2 hours to do the documentation for the government.
How ridiculous.
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Old 07-04-2012, 07:57 PM   #84
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Originally Posted by PrincessFiona60 View Post
Actually, all the changes in Medicare and Medicaid have made it harder to provide quality nursing care. I spend more time with a computer now that with patients. They no longer care about the nursing care given to patients, just if they are getting therapy or not. For every 30 minutes spent with a patient, it takes me 2 hours to do the documentation for the government.

I can tell you from a therapists point of view that we don't like it either, we are pushed beyond our limits as well as the patients. Instead of giving the patient actual treatment half of our day is doing paperwork while the patient is present because we have no other way to fit it in our day. They schedule us 8 hours of treatment time in a 8 hour day. The changes hit us all hard.
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Old 07-04-2012, 08:02 PM   #85
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This topic has become very off-topic about a discussion on nursing homes. Is there no way turn it back into a Discuss Cooking topic?

Can we discuss something other than cadavers and the smell of death?

Or perhaps the moderators can split off the nursing home topic into a separate discussion...
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Old 07-04-2012, 08:08 PM   #86
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I can tell you from a therapists point of view that we don't like it either, we are pushed beyond our limits as well as the patients. Instead of giving the patient actual treatment half of our day is doing paperwork while the patient is present because we have no other way to fit it in our day. They schedule us 8 hours of treatment time in a 8 hour day. The changes hit us all hard.
I know! I'm not dissing the therapists, it's the process we have to go through to make sure our patient's get the care they need and deserve. If it wasn't for you guys, we would be having to toss the Restorative nursing part int there, further shortening our time we can spend with all our patients.
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Old 07-04-2012, 08:50 PM   #87
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I know! I'm not dissing the therapists, it's the process we have to go through to make sure our patient's get the care they need and deserve. If it wasn't for you guys, we would be having to toss the Restorative nursing part int there, further shortening our time we can spend with all our patients.
I know, I'm just grumbling about Medicare and erm back to topic even though every time you and I in are in a discussion together we end up talking about work

I hate the smell of perms! and coffee but I already said that.. just want to make it clear!
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Old 07-04-2012, 09:47 PM   #88
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I know, I'm just grumbling about Medicare and erm back to topic even though every time you and I in are in a discussion together we end up talking about work

I hate the smell of perms! and coffee but I already said that.. just want to make it clear!
Must be because we care...

I hate the smell of overdone broccoli, cabbage, etc.
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Old 07-04-2012, 09:57 PM   #89
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Originally Posted by PrincessFiona60 View Post
I know! I'm not dissing the therapists, it's the process we have to go through to make sure our patient's get the care they need and deserve. If it wasn't for you guys, we would be having to toss the Restorative nursing part int there, further shortening our time we can spend with all our patients.
And from the patients point of view, they feel the cut in care. I am grateful that I have a son who is my medical proxy. It pays to have someone in the medical field.
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Old 07-05-2012, 12:25 AM   #90
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And from the patients point of view, they feel the cut in care. I am grateful that I have a son who is my medical proxy. It pays to have someone in the medical field.
Addie--are you the one who has posted about helping people with Medicare? I am trying to find out if Medicare would cover costs of a family member caring for a parent in MN and haven't been able to navigate my way through the paperwork. E-mail me if you are this guru.
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