191–200 of 208 posts
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A friend of mine had to become his wife's driver, because after working double shifts across two hospitals, she could barely keep her eyes open.
There you have it: she was working agency at a secondary hospital. That is due to a decision of her agency or herself; it has nothing to do with hospital administration or nursing in general.
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I know of no nurses that work this schedule, even voluntarily (overtime, swaps). Nursing in many states is challenged by unsafely high patient:staff ratios, excessive documentation requirements (on extremely slow user interfaces), and the need to vigorously double-check physician's orders (dangerous drug interactions, over-dosages, etc).
Nurses cannot leave until relieved. My mom routinely had 12 hour shifts extended when she worked in NYC.
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No, we should direct all the hate at lawyers asking for more than 250k for malpractice
So lawyers demanding 250k for malpractice is what's causing malpractice? OK... Next you're going to be blaming the patients.
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Even then, finishing with your current patient and then going home should still not lead to regular 12 hour shifts.
Different patients need differing amount of times. We're not talking about doctors who work in private practice and have business hours. We're talking about doctors who work in hospitals and work prearranged shifts and have on-call time. A doctor can't necessarily predict how much time a patient will need. If a doc is on an 8-hour shift (hypothetical; I doubt any docs are so lucky!), and gets a new patient at the 6 h…
But that's a big part of the problem already. It shouldn't be luck to have an 8 hour shift, it should be standard. And of course there may be times when circumstances demand you deviate from that standard, but if you start with 12 hour shifts, you already start wrong, and it can only get worse.
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I experienced this twice, when my baby daughter was in observation after two episodes a week apart. She recovered quickly so she was released from ER to observation for 48 hours. In those 48 hours we would see new doctors and nurses every 8 hours, explain everything again, so they wouldn't miss any details from the history, and every now and then a doctor would come up with a new theory and order studies without firs…
My pregnant wife was bounced between clinics a few years back and subsequently spent several weeks in a hospital bed. We had the same experience of having to repeat the story every shift change (at least for the first week) and ultimately became incredibly frustrated with doctors doing rounds who would directly contradict the information provided by other medical staff or what was written in her chart. One of the big…
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overlap the shifts by 2 hours. Why is that not an acceptable solution, outside of economics?
Who wants to start the AM 2 hours earlier or finish the night 2 hours later?
Who wants to pull 30 hour shifts?
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Sounds like there's a need for pair-doctoring. - Always have 2 doctors for everything - Stagger/overlap the shifts
- double the cost of already expensive medical care
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General AI will make all of this irrelevant. A General AI doctor never needs to sleep and would never forget anything relevant. That is, if the government allows it to be used in consumer products. It would make a potent military weapon. Probably more potent than any military weapon invented so far.
Devices of uncertain possibility and certainly no timetable certainly will make such a thing irrelevant. Meanwhile, we're discussing the world that exists.
It is certain. 100% certain. It will be simpler than the brain and way more powerful.
>>no timetable certainly will make such a thing irrelevant.
Yeah, not sure when this will happen. But it will happen. It'll happen within my lifetime.