Welcome to Episode 52

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Nursing News

Hospitals ease ER crowding

Finding a cure for the nursing shortage

American Nephrology Nurses’ Association Hosts Successful Meeting

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Tip of the Week — Urinary Tract Infections (UTI)

MedlinePlus Medical Encyclopedia: Urinary tract infection – chronic

MedlinePlus Medical Encyclopedia: Urinary tract infection

Female Urinary Tract Infection Patient/Family Resources

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Song this week: Curtis Peoples – Tell Me I’m Wrong

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2 Responses to Urinary Tract Infections (UTI) and Episode 52

  1. lily says:

    i am a hospital nurse and i just found your podcast. this is the first episode i have listened to and i’m surprised to hear you talking about parking ER patients in the halls of the hospital. i am a floor nurse, so i’m in the ‘unpopular’ category, but if i have 6 patients already, do i take a 7th or 8th patient in the hall? the hall patients deserve every bit of the quality of care as the patients with rooms. plus what about their privacy? what about hippa? i can’t ask them to state their name and date of birth in the hallway when others are around. i can’t talk to them about what is going on because of hippa. how can i assess my patient in the hallway? i can do a vague assessment, but that is irresponsible. what if they need to go to the bathroom? what if they have soiled themselves? lots of patients are like this. not only is it a privacy issue, and a safe staffing numbers issue, it also seems shoddy to the patient. hospitals are just as interested in customer service as they are good outcomes. people have the choice and i doubt they will choose a hospital which puts them in the hallway for an extended period of time like a third world country. there are better options, staffing being one of them. thanks.

  2. admin says:

    Lily – I completely agree with your assessment of the issues surrounding this problem. The challenges with handling ER overuse and overcrowding are impacting hospitals across the nation. My comments, if I remember them correctly were in response to a news item about one hospital system fighting with reduced staffing and increased patient loads.

    You’re correct in your response that putting increased patient loads on floor nurses is not any kind of safe solution. But the same is true for keeping stable patients in a small understaffed ER where a single critical patient will tie up the entire staff for an hour and no other patient care happens.

    Your HIPAA comment concerns me. HIPAA is so often misunderstood by care providers and others with patient care contact. It is never meant to stop us from doing our jobs. We are to take reasonable and consistent steps to protect patient privacy but incidental release of information when all other precautions are taken is protected. Patients in shared rooms overhear their roommates instructions and care information all of the time.

    In a situation where there is not a private area available for patient assessment and interview, such as times when overcrowding necessitates hallway beds, incidental release of information may happen. Take appropriate steps such as speaking in the lowest tone possible, avoiding shouted instructions down the hallway, set up a privacy zone when patients first arrive on the floor to conduct initial assessments and then move them to their final location.

    Thanks for your comments and for checking out the show. Keep in touch and keep us straight.

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