RE: Study: More likely to die of a heart attack at night

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RE: Study: More likely to die of a heart attack at night - 2/27/2008 7:10:08 AM

sweetnurseBBW

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quote:

ORIGINAL: velvetears

i also think it depends on the hospital. If it is a major metropolitan medical center i doubt it matters. If it is some country bumpkin hospital then it probably is a factor.

You might have something.
I work at a large University hospital in the cardiac intensive care unit at night and I have never seen a skelton crew anywhere from the ED to dietary on nights. People are more unhealthy and we have created a society of cardiac cripples with all the devices and meds we can do now, so cardiac arrest is not always unexpected. Times for EMS to arrive and the time that the patient or family decide that it is time to go the hospital are major factors. Plus the ED's are packed with people that use the ED as a primary care office. I don't work at a small hospital so I wouldn't know how things work there.

http://www.ohsonline.com/articles/44867/

< Message edited by sweetnurseBBW -- 2/27/2008 7:18:51 AM >

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RE: Study: More likely to die of a heart attack at night - 2/27/2008 8:54:18 AM

popeye1250

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quote:

ORIGINAL: MissMorrigan

It's only surprising insofar as the continuance of mismanagement.

It's not unfeasible for people to expect that once they have reached the appropriate healthcare environment that the least they can expect is one which will observe basic hygiene/infection control. While we all have to go sometime, being riddled with MRSA as a result of a minor procedure is not a pleasant or just way to go.

MissMorrigan, we have that here too. In our hospitals and in our govt.
What's happened in the last 30 years is that almost all people in "Management" are "required" to have some type of college or uni "degree."
They don't actually have to "know" anything maybe how to fill out some forms or such. They're glorified secretaries.
They're always attending "management seminars" or some such nonsense.
Or, some type of "meeting."
And there's layer upon layer of "management."
There's "Assistant to the Assistant", "Director" is very big, "Project Managers" are like Smiths in the phone book!
Everyone's a "Cheif" and no-one's an "Indian."
We used to have something in this country called "O.J.T." "on the job training" and "promoting from within."
They worked just fine! Much more efficiant and the job got done.
In those days you'd even see a manager grab a broom or a mop and clean up a mess if they came across one instead of staring at it and making 3 phone calls to get someone else to come and clean it up.
But, more and more people were graduating from colleges and universities and no place to go.
The secretaries were the first to go in govt. , replaced by "graduates" who were given "titles" and,....."added responsibilities", whatever that means.
How many "added responsibilities" can there be in an office environment?
And with those "titles" and,....."added responsibilities" of course came pay raises.
In this country it's called, "feathering your own nest."
And they all consider themselves "Managers" but ask them to make an actual decision and they can't do it.
"I'll have to check with so and so." "I'll have to look in the "manual" (they all have "manuals!") "I'll take that under advisement."
"NO! I need an answer right now!"
They can't do it because the beauracracy is choking on itself.
The same thing is happening in our public schools too.
And we see the results of this kind of crap everyday.

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RE: Study: More likely to die of a heart attack at night - 2/27/2008 9:02:05 AM

DesFIP

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Friday and Saturdays are higher in terms of car crashes due to alcohol and stab and gunshot wounds. I would hazard a guess that the more spectacular looking the victim, the more immediate attention. Also, heart attack sufferers frequently get there under their own steam and people brought in by ambulance get immediate attention. The presumption is that if you drive yourself or can get a friend/family to drive you, then it isn't so serious. This bias has been sufficiently documented that people are told to get an ambulance/EMT even if it will take a few more minutes.

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RE: Study: More likely to die of a heart attack at night - 2/27/2008 12:11:46 PM

SailingBum

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reminds me of a scens in "get shorty"

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