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Author Topic: Very upset  (Read 5120 times)
YLGuy
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« on: September 23, 2011, 02:46:42 PM »
For the SECOND time they dumped a whole bag into me during dialysis! When the nurse pushed my meds she did not clamp it tight enough.  I should have left at 82.8 instead I left at 83.8.  Being a Friday makes it so much worse.  I am really pissed off.
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tyefly
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« Reply #1 on: September 23, 2011, 03:48:25 PM »
Sorry to hear that.....  with the weekend....guess you better not drink much....and next time watch those people.....sounds like they need to be watched....just think if it had been something else besides saline......
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monrein
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« Reply #2 on: September 23, 2011, 03:50:13 PM »
That's awful and ridiculous too!   :Kit n Stik;
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« Reply #3 on: September 23, 2011, 04:13:59 PM »
 :banghead; :banghead;

OH, Marc.  :thumbdown; :thumbdown;

This is NOT GOOD! Argh!

I'm so sorry.

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« Reply #4 on: September 23, 2011, 04:20:07 PM »
 :grouphug;
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kamar55
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« Reply #5 on: September 23, 2011, 04:27:14 PM »
I remember the time I left weighing more than I did when I came in (the tech must have mixed the numbers). I had a fit !!!!    >:( >:( >:(
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« Reply #6 on: September 23, 2011, 07:43:13 PM »
Ylguy, Im pissed for you! Where do they get these people?

lmunch
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sullidog
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« Reply #7 on: September 23, 2011, 07:48:03 PM »
We had a guy that left hier then his dry wait and he refused to leave til they did something about it.
I don't know what it is with nurses not clamping the lines tight enough, I've had the nurses not do that during take off and blood and saline spills all over me.
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
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« Reply #8 on: September 25, 2011, 12:30:57 AM »
 Morons!!!! Why do they do this kind of work if they dont want to do it right!!!
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Dannyboy
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« Reply #9 on: September 25, 2011, 05:51:16 AM »
Good grief.   Crappy work, incompetence.  Outrageous.
Sorry you're having to deal with this staff screw-up.


 :thumbdown;
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« Reply #10 on: September 25, 2011, 06:08:45 AM »
Been on my mind these last couple days... Just checking on ya... Hope your doing ok   :grouphug;
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« Reply #11 on: September 25, 2011, 06:51:29 AM »
...a thought popped in my head on this one...make yourself a hat with the title "quality assurance" on it and carry a clipboard in with you.  Act mysterious and make little notes on the clipboard through-out the session.  Maybe they'll get the point (or maybe not but at least you might have some fun with it)   :rofl;     I know that everyone makes mistakes but when it's affecting your LIFE, it's tough to look over! 
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YLGuy
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« Reply #12 on: September 25, 2011, 08:22:23 AM »
Halloween is coming up. I might have to do something like that.  I have dressed up like one of the staff and made fun of them the last couple of years. 
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Bill Peckham
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« Reply #13 on: September 25, 2011, 10:18:58 AM »
Quote from: looneytunes on September 25, 2011, 06:51:29 AM
...a thought popped in my head on this one...make yourself a hat with the title "quality assurance" on it and carry a clipboard in with you.  Act mysterious and make little notes on the clipboard through-out the session.  Maybe they'll get the point (or maybe not but at least you might have some fun with it)   :rofl;     I know that everyone makes mistakes but when it's affecting your LIFE, it's tough to look over! 


Great idea but maybe call yourself a Medicare Conditions for Coverage Surveyor and have the actual Conditions for Coverage printed out on that clipboard. There are such things; it wouldn't hurt to remind the staff.

I think what happened was probably not reported or recorded, but it should have been. One problem with the way dialysis is given incenter is that there is not, what anyone from outside dialysis would understand to be, a Continuous Quality Improvement program. Ideally what should happen after something like this is that the staff person should have to accurately describe how it happened, acknowledge and identify where/how the mistake was made so that it is less likely to be made again. That's the basic way Continuous Quality Improvement can work. Accept that people make mistakes but also Expect people to work on doing better.

To take another example I've always thought that after an infiltration ideally the staff person and the dialyzor could figure out what went wrong. They would talk about what had just happened. But it is never discussed, everyone tries to forget about it as soon as possible. The dialyzor has a pretty good idea what happened and the staff person also has their perspective about why there was an outcome they did not intend but without any communication after the fact, without ever discussing what went wrong, without having a CQI program, infiltrations will continue to happen too frequently.
« Last Edit: September 25, 2011, 10:20:26 AM by Bill Peckham » Logged
http://www.billpeckham.com  "Dialysis from the sharp end of the needle" tracking  industry news and trends - in advocacy, reimbursement, politics and the provision of dialysis
Incenter Hemodialysis: 1990 - 2001
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        * 4 to 6 days a week 30 Liters (using PureFlow) @ ~250 Qb ~ 8 hour per treatment FF~28
cariad
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« Reply #14 on: September 25, 2011, 10:45:42 AM »
Marc, this is outrageous. I am so sorry. I would be ticked off as well, and I'm sure I would have got rid of a few ounces of fluid by bursting into tears.

Fluid restriction is hard enough when they do dialysis properly! :grouphug;
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« Reply #15 on: September 25, 2011, 02:40:26 PM »
 :thumbdown; :thumbdown; :thumbdown;    :cuddle;
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YLGuy
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« Reply #16 on: September 26, 2011, 04:06:15 PM »
***Do not try this at home.  The following was done by a trained professional on a closed track***
Seriously though, I am not recommending this to anyone.
Well Sunday rolled around and I could feel the fluid overload.  I could feel it in my lungs and my feet.  I was truly dreading Monday morning and the amount of fluid they were going to have to pull off of me.  I had visions of crashing and cramps.  I went online and found that one of the local 24 hour fitness gyms had a sauna and a steam room.  They also had a free 3 day pass.  So I printed my pass and went there.  I weighed myself in the locker room and went to the steam room.  I did 10 minutes and then I showered and cooled off.  I then did another 10 minutes...you get the picture.  The sweat was pouring out of me.  Well, when I finally left I had lost a significant amount of water weight and I could breathe much better. 
This morning went okay.  My standing BP did drop to 91/65 but I did not cramp.  I really do not want anyone doing this because I do not think it was such a smart thing to do.  I probably should have just gone to the ER.  I am just so darn tired of going to the doctors.  I have been in every friggin bed in that ER.  They probably should name a wing of it after me.  I was hesitant to even post this as I am afraid someone else will try it. I was pretty wiped out when I left as well.
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« Reply #17 on: September 26, 2011, 05:07:22 PM »
I've done worse.... I go sit in my hot car with the sweat pouring off me.  I crack a window so I can breath.  But, then I can go have a nice cold glass of water.  I sometimes drive with the AC off just so I can sweat.  I don't do this with the dogs in the car.... just me.  It is amazing how much a little sweat helps you feel better.  Not a good thing to do and I too am not recommending it.

         :shy;


I've told them at the clinic if they leave too much on I'll be in the next day for a 3 hour puff.  Start checking what numbers they key into the machines.
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MooseMom
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« Reply #18 on: September 26, 2011, 06:38:11 PM »
They should have never put you in a situation where you were so desperate that you had to go to a sauna to sweat off the fluid.  That is outrageous.  I'm not surprised you did what you did. 
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« Reply #19 on: September 26, 2011, 07:08:49 PM »
Sweating is part of the Rx in Norway/Finland - I wonder if it is in Sweden? We should ask the new IHD member


In general the things a dialyzor should react to when taking a sauna/steam are the same things anyone should react to: lightheaded, cramping, heart racing, feeling unwell.


It sounded like you were taking measured exposure and maximizing fluid loss in a responsible way. I only wish I had thought to suggest it.
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http://www.billpeckham.com  "Dialysis from the sharp end of the needle" tracking  industry news and trends - in advocacy, reimbursement, politics and the provision of dialysis
Incenter Hemodialysis: 1990 - 2001
Home Hemodialysis: 2001 - Present
NxStage System One Cycler 2007 - Present
        * 4 to 6 days a week 30 Liters (using PureFlow) @ ~250 Qb ~ 8 hour per treatment FF~28
YLGuy
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« Reply #20 on: September 26, 2011, 08:28:13 PM »
Okay, I got lucky.  What I did was not very smart in my book.  I did it without any research. I am all for alternatives but I think that you need to really research something before you just do it.  There are things that you could do that could really harm you.   
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« Reply #21 on: September 26, 2011, 08:41:31 PM »
M, I totally understand why you initiated your radical strategy - there can be few desperations worse than that fluid overload thing - especially when it was induced by total negligence!  I wonder if the techs have ant idea at all what the result of their neglect actually feels like after a weekend...
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YLGuy
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« Reply #22 on: October 03, 2011, 02:18:18 PM »
OMG, OMG, OMG!

She did it again! There was a bag and a half hanging when I started D.  I noticed at the end that the 1/2 bag was not there.  Luckily my tech had noticed that the nurse had dumped the half bag into me by accident and adjusted how much fluid they were taking off of me.  It did drop my BP.  I called the head nurse over and told her that was strike 3.  The nurse had made another mistake on me awhile back.  I told the head nurse that the nurse was not to touch me or my machine ever again and that I was not switching chairs.  She asked if my old nurse was okay.  I told her, yes.  My old nurse was great.  She never made any mistakes with my care.  Then the nurse in question came over to complain to my tech that she should have been told before I was told and that she would talk to me another time.  I let her know that I ASKED.  He did not tell me before I asked where the other bag went.  I also told the nurse that there was nothing she needed to talk to me about at another time.  I was done.  She had made 3 mistakes with my care. 
 :rant;
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MooseMom
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« Reply #23 on: October 03, 2011, 02:27:34 PM »
Unbelievable.  Truly unbelievable.  Good for you for demanding another nurse; quite right, too!
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« Reply #24 on: October 03, 2011, 06:07:42 PM »
goodness where do these people get their education?
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
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