John Boyce

How Did Two Women Die at the QEH

Queen Elizabeth Hospital (QEH)

Queen Elizabeth Hospital (QEH)

The news two women died last month soon after giving birth at the Queen Elizabeth Hospital (QEH) should be of concern to all Barbadians. While these two maternal deaths were widely reported in the mainstream media there have been many others that have been kept hush hush in recent years. In the interest of transparency we are asking the QEH authorities to explain why two women are dead who should be home nursing their babies.

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137 Comments on “How Did Two Women Die at the QEH”

  1. Georgie Porgie January 15, 2016 at 8:41 PM #

    RE Calm January 15, 2016 at 8:21 PM #
    And then you would get on another blog telling people about Jesus and the holy bible????? People like YOU are the reason keep far away from the church. Obnoxious old prick!!

    OBNOXIOUS BUT ACCURATE!
    OBNOXIOUS BUT RIGHT!

    now can you add anything of relevance to the discussion?

    Like

  2. Georgie Porgie January 15, 2016 at 8:45 PM #

    Caswell Franklyn January 15, 2016 at 8:14 PM #
    Just so you guys would knock yourselves out, the number of live births, from official sources, for the period 2007 – 2009 are:
    2007 – 3,652
    2008 – 3,667
    2009 – 3,568

    so 0/3652 x 10000 is a good rate
    this had been constant for many years

    Caswell Franklyn January 15, 2016 at 8:17 PM #
    Georgie Porgie

    You will note that the babies started dying when the cutbacks started.

    THIS MAKES SENSE CASWELL in all respcts

    Like

  3. Georgie Porgie January 15, 2016 at 8:48 PM #

    caswell can you explain exactly what the NUPW is saying about support services at the QEH working shift/24 hours like the lab etc.

    Like

  4. caribbeantradelaw January 15, 2016 at 9:00 PM #

    @David,

    “The global MDG 5 target for maternal health is to reduce the number of women who die in pregnancy and childbirth by three-quarters between 1990 and 2015. When applying this target to Barbados, maternal mortality should fall to 30 cases per 100,000 live births. In 2010 Barbados had 51 maternal deaths per 100,000 live births (an estimate from UN agencies/World Bank), thus indicating that there is some way to go in the achievement of this target.”

    Source: http://www.commonwealthhealth.org/americas/barbados/current_health_issues_and_progress_in_barbados/

    This is based on 2010 data, evidenced by the reference here to the MDGs and not the SDGs which were agreed to in 2015. We need to know the current situation and it would be nice if we had some post 2009 data. The most recent HDI report has 52 out of 100,000 live births. While this is not as high as some other Caribbean countries, we are way off target for the level we should be at.

    As I said, people are free to do their own research.

    Like

  5. David January 15, 2016 at 9:04 PM #

    @Alicia

    Thanks!

    Like

  6. Georgie Porgie January 15, 2016 at 9:28 PM #

    As I have said before you are a JOHHNNY COME LATELY

    re The global MDG 5 target for maternal health is to reduce the number of women who die in pregnancy and childbirth by three-quarters between 1990 and 2015.

    WAS THAT FIGURE NOT THE TARGET set AS FAR BACK AS THE LATE 70’S? the mortality rate was 0-3 of 3000 daths per annum for decades until the cut backs THAT IS DAMN GOOD HEALTH CARE ALL THINGS CONSIDERING

    and what does this have to do with HOW DID TWO WOMEN DIE AT THE QEH
    can you tell us anything to enlighten us as to HOW DID TWO WOMEN DIE AT THE QEH

    Like

  7. caribbeantradelaw January 15, 2016 at 9:39 PM #

    Lol @Georgie Porgie, you obviously have no idea what the MDGs were. I also noted the fact that in your desperation to prove me wrong, you did not even realise the difference between the simple index I had explained and the fact that most MDBs like the WB, IDB etc use more sophisticated regression-based models to calculate maternal mortality rates. Thanks for the laugh though. Have a good night!

    Like

  8. Caswell Franklyn January 15, 2016 at 9:48 PM #

    Georgie Porgie

    My union represents one doctor and one nurse at the QEH, neither of whom is affected by the proposed changes. I am not familiar with NUPW’s position on the changes.

    Sent from my iPad

    >

    Like

  9. Georgie Porgie January 15, 2016 at 9:48 PM #

    QUESTION HOW DID TWO WOMEN DIE AT THE QEH

    ANSWER THE ANSWER WILL MOST LIKELY LIE IN ONE OF THESE CAUSES
    Causes of Maternal Mortality

    The leading causes of maternal death are classified as direct or indirect.

    Direct causes are those related to obstetric complications of pregnancy, labor and delivery, and the post-partum periods. Direct causes account for 80% of maternal death.* Indirect causes* are those relating to pre-existing medical conditions that may be aggravated by the physiologic demands of pregnancy. A brief overview of the leading causes of maternal death in the developing world follows.

    Some causes of maternal mortality are the same in the developing and developed world however the prevalence is significantly lower in the developed world. In fact, according to Minino, et al, in the United States, “only 0.06% of women with direct obstetric complications died in facilities. This is well below the maximum acceptable case fatality rate of 1% as per UN guidelines. The most frequent cause of death was complications predominantly in the puerperium (28%), which was followed by pre-eclampsia, and eclampsia (21%).”

    Direct Causes

    Note: These cannot be predicted.

    Hemorrhage (uncontrolled bleeding) I.E DIC
    Accounts for approximately 25% of maternal deaths and is the single most serious risk to maternal health.
    Blood loss during pregnancy, labor, or post-partum.
    Can rapidly lead to death without medical intervention.
    Can be treated with blood transfusions, oxytocics (drugs which induce uterine contractions to stop bleeding), and/or manual removal of the placenta.
    Sepsis (infection)
    Accounts for approximately 15% of maternal deaths.

    Related to poor hygiene and infection control during delivery or to the presence of untreated sexually transmitted infections during pregnancy.
    Can be prevented or managed with high standards for infection control, appropriate prenatal testing and treatment of maternal infection, and appropriate use of intravenous or intramuscular antibiotics during labor and post-partum period.

    Hypertensive Disorders
    Accounts for approximately 12% of maternal deaths
    Pre-eclampsia (also know as toxemia of pregnancy) is characterized by hypertension (high blood pressure), proteinurea (protein in the urine, general edema (swelling), and sudden weight gain. If left untreated, can lead to eclampsia.
    Eclampsia is characterized by kidney failure, seizures, and coma during pregnancy or post-partum. Can lead to maternal and/or infant death.
    Pre-eclampsia can be identified in the prenatal period by monitoring blood pressure, screening urine for protein, and through physical assessment.
    Treatment available during childbirth includes the use of sedative or anti-convulsant drugs.

    Prolonged or Obstructed Labor
    Accounts for 8% of maternal deaths.
    Caused by cephalopelvic disproportion (CPD), a disproportion between the size of the fetal head and the maternal pelvis; or by the position of the fetus at the time of delivery.
    Increased incidence among women with poor nutritional status
    Use of assisted vaginal delivery methods such as forceps, vacuum extractor, or performing a Caesarean Section can prevent adverse outcomes.
    CPD is the leading cause of obstetrical fistula

    Unsafe Abortion
    Accounts for approximately 13% of maternal deaths.
    In some parts of the world unsafe abortion accounts for 1/3 of maternal deaths.
    Approximately 67,000 cases of abortion related deaths occur each year.
    Can be prevented by providing safe abortion, quality family planning services, and competent post-abortion care.
    Indirect Causes

    Accounts for approximately 20% of maternal deaths.
    Pre-existing medical conditions such as anemia, malaria, hepatitis, heart disease, and HIV/AIDS can increase the risk of maternal death.
    Risk of adverse outcomes can be reduced through prenatal identification and treatment as well as the availability of appropriate basic emergency obstetric care (EmOC) at the time of delivery.
    Maternal Morbidity

    For every maternal death there are approximately thirty times as many cases of pregnancy related illness or disability. For example, obstetric fistula (an opening between the bladder and the vagina) is usually the result of obstructed labor. It causes incontinence (the inability to hold urine). Although fistulas are preventable with good obstetric care, they have tragic consequences for many women, who are often left abandoned and isolated.

    Like

  10. Georgie Porgie January 15, 2016 at 9:54 PM #

    I DONT CARE ONE DAMN ABOUT YOU AND YOUR SHIT TALK AND STATISTICS

    THE BLOG IS ABOUT HOW DID TWO WOMEN DIE AT QEH

    YOU STARTED AT 8:30 WITH YOUR INDICES AND STAISTICS BUT YOU HAVE NOT SHED ANY LIGHT FOR US ON WHY TWO WOMEN DIED AT QEH

    YOU CAN LAFF TILL YOUR KNICKERS FALL INTO A KNOT YOU HAVE NO IDEA OF WHAT POSSIBLY HAPPENED
    AS A CLINICIAN I HAVE SEEN IT AND KNOW WHEN ALL IS SAID AND DONE IT HAS TO BE ONE OF TH CAUSES LISTED

    YOUR SILLY STATISTICS WILL NOT SOLVE ANY PROBLEMS

    Like

  11. Colonel Buggy January 15, 2016 at 9:55 PM #

    If all of this time we are still waiting for answers concerning the 2 or 3 children who died last year under suspicious circumstances, do we expect anytime soon to get answers on these maternal deaths?

    Like

  12. Georgie Porgie January 15, 2016 at 10:09 PM #

    DAVID
    DO YOU KNOW YET THE POSSIBLE CAUSES AS TO WHY TWO WOMEN DIED AT QEH

    IF NOT YOU ARE A DUMMY

    MEDICINE IS ABOUT LEARNING LISTS AND THEN APPLYING THOSE LISTS BY ASKING THE RELEVANT QUESTIONS IN A LOGICAL WAY

    I HAD A GOOD DAY MOCKING IN THE BU RUM SHOP

    Like

  13. Georgie Porgie January 15, 2016 at 10:13 PM #

    Colonel Buggy January 15, 2016 at 9:55 PM #
    If all of this time we are still waiting for answers concerning the 2 or 3 children who died last year under suspicious circumstances, do we expect anytime soon to get answers on these maternal deaths?

    BUGGY MA BOY
    TO GET THE ANSWERS THE FOLK ONLY HAVE TO ASK THE RIGHT QUESTIONS LOGICALLY AND PRESTO YOU WILL HAVE THE ANSWERS
    THIS IS THE ONLY WAY
    THERE IS NO ROCKET SCIENCE NEEDED

    Like

  14. Simple Simon January 15, 2016 at 10:15 PM #

    @Caswell Franklyn January 15, 2016 at 9:35 AM “The answer is simple, the QEH is a very nasty place…surgeons discharge their friends from the recovery room in order to keep them out of the nasty wards.”

    Had surgery at the QEH within the last 12 months. The staff was helpful. The public ward was clean. Had the surgery at about 6 p.m. was discharged at 10 next morning. Everything then and now has been uneventful.

    This is my story.

    Like

  15. Simple Simon January 15, 2016 at 10:17 PM #

    Was in the antenatal area this morning.

    The obesity plaguing the rest of Barbados is also plaguing our young mothers.

    And as we know with obesity comes hypertension and diabetes.

    Devid you asked “HOW DID TWO WOMEN DIE AT THE QEH?”

    I do not know.

    Do you?

    Like

  16. David January 15, 2016 at 10:19 PM #

    From 6:30 of the following clip sheds some light. Let Google be your friend.

    [audio src="http://vob929.com/FilesFTP/News/2016/January/NewsJan121230.mp3" /]

    Like

  17. Simple Simon January 15, 2016 at 10:21 PM #

    Had a schoolmate/registered nurse who died of eclampsia in the late 70’s.

    Eclampsia has not gone away.

    Every single maternity ward in the world has to deal with it at some time.

    For a fictional account of eclampsia see the episode of “ER” called “Love’s labors lost”

    Like

  18. Simple Simon January 15, 2016 at 10:23 PM #

    @Hants January 15, 2016 at 5:56 PM “Both my parents died at the QEH.”

    Mine too Hants.

    But they were 85 and 95.

    Does that still count?

    Like

  19. Simple Simon January 15, 2016 at 10:42 PM #

    @caribbeantradelaw January 15, 2016 at 2:01 PM “Speaking generally now, one cannot deny that our health care system has serious challenges. It is a well known fact that those who can afford to tend to avoid the QEH and polyclinics wherever possible. ”

    I could have afforded to but I chose to have my recent surgery done at the QEH. and I chose to stay on a public ward. A good number of my relatives are health professionals, nurses, physicians, lab technicians etc. (I am the only simple one) both here and in the great white north.

    I made my choice based on their good loving advice.

    A lotta we Bajans are poor great poppets and ignorantly assume that because we pay twice for something that it is better.

    I let my tax money work for me.

    Like

  20. watchman January 15, 2016 at 10:54 PM #

    @ Georgie Porgie
    The decentralizing of health care, that you, the then minister Taitt and this now minister Boyce talk about is just flawed, you must have known that the patients from St. Joseph Hospital that get complications always ended up in QEH, so what the point? that decentralizing crap by Taitt was a form of corruption that benefited the likes of the bro of this same minister of health, you must know how good a Dr he is and his track record on this subject of maternal deaths,how is the St. John Policlinic going?

    Like

  21. watchman January 15, 2016 at 11:07 PM #

    @ georgie Porgie

    Please say if one of the ways a mother can died after giving birth is like a the case that was in Barbados courts with a DR Boyce

    Like

  22. Simple Simon January 15, 2016 at 11:24 PM #

    Thanks Dr. GP.

    The only one talking sense on this blog today.

    Like

  23. Georgie Porgie January 15, 2016 at 11:32 PM #

    THANKS SIMPLE SIMON

    Like

  24. Sargeant January 16, 2016 at 2:15 AM #

    What’s that saying again if it isn’t one thing it’s another and since this is a discussion on childbirth and mortality this should be of interest to the readers. There is recent news about another mosquito borne illness and the CDC is considering warning pregnant US citizens about travel to South, Central America (esp. Brazil) and the Caribbean because of the Zika virus which has been linked to birth defects. In the Caribbean it is reported to be in Haiti and Martinque and it’s only a matter of time before it lands on Barbados shores.

    http://www.ctvnews.ca/health/zika-virus-could-spread-to-north-america-researchers-say-1.2738002

    Like

  25. ac January 16, 2016 at 5:10 AM #

    Like i say the Bees are not interested in facts the closer it gets to election the more dirt they will be digging ,This article is a glowingly revelation of the Bees desperation for relevancy .The Bees idea of fact finding is dredge from a welloiled machine of political propaganda ….. exhibit A the poll

    Like

  26. Georgie Porgie January 16, 2016 at 5:42 AM #

    Its here already Sarge
    http://www.barbadostoday.bb/2016/01/16/zikas-here/

    Like

  27. Green Monkey January 16, 2016 at 6:38 AM #

    Can the Zika virus really be responsible for a very sudden appearance of shrunken brains in South American newborns?

    <

    blockquote>
    UPDATE: REFERENCES WHICH PROVE THE SHRUNKEN BRAINS ARE Tdap VACCINE CAUSED AND NOT BECAUSE OF ANY ZIKA VIRUS ARE NOW SCREEN CAPTURED AND EMBEDDED BELOW THIS REPORT, (and there are plenty of other references that prove this if you go out an look for them.)

    Tdap induced shrunken brains: The new autism.

    The new “Autism”, titled “Microcephaly” has suddenly smashed it’s way into delivery rooms overnight and destroyed more than 2,400 Brazilian newborn babies en utero in only the past 2 months with ZERO DESTROYED IN THE MONTHS PRIOR. The false reason is stated to be caused when a pregnant mother is bitten by the mosquito carried African zika virus, which recently “made it’s debut” in Brazil in 2015. This is an obvious bold faced lie, because the pattern of symptoms does not match the virus which has been proven to have infected humans since 1954 and has never previously been associated with shrunken brains in newborn babies, nor does the geographic propagation pattern match the natural propagation pattern of a mosquito carried virus that would cause undersized brains in newborn babies if it really did exist.

    This “shrunken brain” issue in newborns was just suddenly in Brazil as if someone flipped a switch, and the only way that could really happen is via the sudden arrival of a new brain destroying Tdap vaccine, which all pregnant Latin American women are strongly encouraged to get before week 22 of pregnancy. This sudden occurrence of shrunken brains perfectly matches the probable arrival of the real culprit – a tainted Tdap vaccine, which if administered in May (when this virus supposedly arrived) would be causing precisely the shrunken newborn baby brain problems Brazilians are having now, right on schedule.

    http://www.jimstone.is/zika.html

    Like

  28. Sargeant January 16, 2016 at 11:18 AM #

    @Green Monkey

    Are you inferring that ‘’T’dap” is the new Thalidomide?

    Like

  29. Gabriel January 16, 2016 at 11:19 AM #

    Follow de money.Zika found in Brazil.Zika in Brazil .Zika found in the Caribbean in the Dominican Republic.AmBev in the Dominican Republic.Zika found in Barbados.AmBev in Barbados.What a coincidence of events.

    Like

  30. Gabriel January 16, 2016 at 11:21 AM #

    ………Zika found in Brazil.AmBev in Brazil………..

    Like

  31. David January 16, 2016 at 11:22 AM #

    @Gabriel

    Please share the research methodology used to inform your conclusion and the academic journal it was submitted for peer review.

    Like

  32. Colonel Buggy January 16, 2016 at 12:08 PM #

    Green Monkey January 16, 2016 at 6:38 AM #
    Can the Zika virus really be responsible for a very sudden appearance of shrunken brains in South American newborns?
    ………………………………………………………………………………………………………
    Then it would appear that we have had the Zika virus in this country for the past 8 years.

    Like

  33. Gabriel January 16, 2016 at 2:27 PM #

    BU sharpnoass today.Allya hot hot.

    Like

  34. Hants January 16, 2016 at 2:55 PM #

    Barbados has recorded its first cases of the mosquito-borne Zika virus.

    A release from the Barbados Government Information Service (BGIS) late today quoted the Ministry of Health as confirming three cases of the disease

    Like

  35. Simple Simon January 16, 2016 at 4:03 PM #

    Here come the conspiracy theorists.

    Like

  36. St George's Dragon January 16, 2016 at 4:53 PM #

    I am sometimes tempted to believe in conspiracy theories but THEY won’t let me.

    Like

  37. Georgie Porgie January 16, 2016 at 6:57 PM #

    THE FOLLOWING ARE QUESTIONS ASKED YESTRDAY BYGeorgie Porgie January 15, 2016 at 12:40 PM #
    MAY I HUMBLY ANSWER THESE QUESTIONS FROM MY VERY LIMITED UNDERSTANDING OF THESE TINGS

    1 is it not true that women have been dying in childbearing for time immemorial? YES

    2 are we saying that no woman should die in childbearing today, or at the QEH? IT CANT BE HELPED SOME TIMES

    3 is it at all possible that the deaths of the women could have been caused by their own negligence? YES. A very common cause of deaths of women in childbearing is their own negligence

    4 do hospital aquired infections only occur at QEH NO hospital aquired infections IS UBIQUITOUS

    5 ARE drug resistant bacteria ONLY TO BE FOUND AT QEH? OR IS THIS A WORLDWIDE PROBLEM? SEE ABOVE

    6A RE we do not have the actual figures of the number of women who died at the QEH in recent times.
    ACTUALLY THIS NUMBER IS KNOWN TO WHOM IT CONCERNS

    6B actuallyI believe this information should be made public. There may very well be a growing trend that needs to be diagnosed and corrected………….diagnosed and corrected BY WHOM. TH PUBLIC? NO BU MEDICAL ILLITRATES WILL diagnose and correct THE PROBLEMS EVEN THEY DO NOT HAVE A CLUE ABOUT BASIC OBSTETRICS OR THE CAUSES OF MATERNAL DEATHS. Ah lie?

    7 what is the bigger story to be told about the two maternal deaths? WE ARE STILL WAITING TO HEAR WHAT IS UNIQUE ABOUT THESE DEATHS. MAYBE THERE IS A CONSPIRACY HERE

    8 RE I agree that data should be public because it would allow us to assess the level and complexity of the problem. HOW? WHO IS US?
    BU MEDICAL ILLITRATES WOULD BE ABLE TO assess the level and complexity of the problem.EVEN THEY DO NOT HAVE A CLUE ABOUT BASIC OBSTETRICS OR THE CAUSES OF MATRNAL DEATHS. Ah lie?

    9 WHEN THERE HAVE BEEN / ARE MATERNAL DEATHS AT QEH HAVE THERE NOT BEEN ” a thorough investigation done” YES. ALL MATERNAL DEATHS ARE FULLY INVESTIGATED.

    10 WHO SHOULD ” the findings released” to? BU MEDICAL ILLITRATES SO THEY CAN SPEW HOT AIR BOUT THINGS THEY KNOW NUTTIN BOUT. Ah lie?

    Like

  38. ac January 16, 2016 at 7:08 PM #

    GP good information but dont expect the politicos to be happy or approved of your comments
    Remember the 2018 election is right around the corner and truth and Facts will be the first casualties on their hit list

    Like

  39. Georgie Porgie January 16, 2016 at 7:22 PM #

    Simple Simon January 15, 2016 at 10:17 PM # ASKED
    Devid you asked “HOW DID TWO WOMEN DIE AT THE QEH?”
    I do not know.
    Do you?

    ANSWER
    David January 15, 2016 at 3:33 PM #
    Hypothetically a pregnant woman goes to the bathroom unattended and it takes a while for duty nurses to realise and in the process something bad happens and the baby has to be taken as a result
    in the process something bad happened THE LADY HEAR THAT SHE MAN HORNING SHE BAD
    THIS LED TO SEVERE ACUTE PET FOLLOWD BY SEVERE POST PARTUM HEMORHAGE AND CONCOMITANT ESCALATING DIC
    WUH YOU TINK SIMON?

    TO ALL CONCERNED
    SOMETHING BAD HAPPEN IS NOW A RECOGNIZED {BY BU DAVID ONLY-) CAUSE OF A MOTHER DYING IN CHILD BIRTH

    JUST DONT CITE THIS CAUSE IN YOUR OBSTETRIC EXAMS OR EMPOLY SAME IN CLINICAL PRACTICE

    Like

  40. ac January 16, 2016 at 7:37 PM #

    i got a better one than that a woman goes to the hospital bathroom unawares she is pregnant goes to pee and in the process a baby drops out in the toilet What happen next is a cause of concern david wuh u think ?

    Like

  41. Georgie Porgie January 16, 2016 at 8:04 PM #

    AC YOU GOT TO GET THAT ALICIA TO TELL YOU BOUT THE STATISTICS THERE AND IF THE WOMAN CAN SUE FOR NEGLIGENCE……..MURDAH

    Like

  42. Colonel Buggy January 16, 2016 at 10:09 PM #

    ac January 16, 2016 at 7:37 PM #
    i got a better one than that a woman goes to the hospital bathroom unawares she is pregnant goes to pee and in the process a baby drops out in the toilet What happen next is a cause of concern david wuh u think ?
    ………………………………………………………………………………….
    If the hospital was located in St Joseph,the parish, that would be not a problem.

    Like

  43. Georgie Porgie January 16, 2016 at 10:47 PM #

    BUGGY MA BOY
    ARE YOU SAYING THAT THY WONT BE ANY WATER IN DE TOILET?LOL

    Like

  44. ac January 16, 2016 at 11:32 PM #

    i proffer to say the baby dead or alive owes an explanation from the hospital David wuh yu think

    Like

  45. ac January 16, 2016 at 11:37 PM #

    i read an article where a lady was on a flight goes to the bathroom and out pops a bouncing baby girl , the lady says that she had visited several doctors after she started getting unusually fat but when the doctors did pregnancy test the test came back negative
    Should the doctors be sue?

    Like

  46. lawson January 17, 2016 at 9:46 AM #

    United States has issued a health advisory for Barbados apparently shrunken brains seem to be running rampant among DLP voters.

    Like

  47. Simple Simon January 17, 2016 at 7:02 PM #

    @ac January 16, 2016 at 11:37 PM “i read an article where a lady was on a flight goes to the bathroom and out pops a bouncing baby girl , the lady says that she had visited several doctors after she started getting unusually fat but when the doctors did pregnancy test the test came back negative. Should the doctors be sue?”

    The lady was no lady. She was a lying woman. Doctors don’t do “pregnancy tests to se whether a 9 month pregnant woman is pregnant. Doctors actually touch the wooman’s abdomen, and the infant can be clearly felt. Pregnancy tests what?

    Like

  48. Georgie Porgie January 18, 2016 at 12:52 PM #

    WHEN CERTAIN MORONS COME HERE CASTING ASPERSIONS ON NURSING CARE THY SHOULD READ STUFF LIKE THIS TO UNDERSTAND WHAT NURSES GO THROUGH WHEN THEY ARE SHORT STAFF AND IN TIMES OF CUT BACKS
    Reduce nurse burnout by treating nurses as well as we treat patients
    COLIN BAIRD | POLICY | JANUARY 15, 2016

    One of my most memorable experiences was more than a decade ago while working for a level one trauma center on the East Coast. I was sitting in a hospital break room during one of my breaks as an inventory coordinator when a nurse walked in. I simply asked how her day was going, and she fell into the chair next to me crying.

    Surprised by her reaction, I asked, “What’s going on?” She replied, “I just lost my third patient today.”

    The impact of her personal experience stuck with me. Even now, looking back, I can’t help but think how difficult a day it must have been for her. Until that moment, my only experience with nursing had been as a patient.

    Seriously injured while serving on active duty it was a nurse who saw me first, and it was a nurse who discharged me from the hospital. It was a nurse who was responsible for all of my care. Like an air traffic controller, it was a nurse who coordinated my care as well as the care of many others.

    What I didn’t know at the time, but more than a decade later I would learn: the most overwhelming parts of nursing are the constant system failures. More than 30 percent of nursing time is spent hunting, fetching and clarifying work not patient care. This is not the cause of any one person or processes patient care has just evolved this way over time.

    Fast forward more than decade and those experiences of stress and disappointment still exist for nurses. The reality here is that health care organizations/hospitals (HCOs) function in a way that requires nurses to focus more of their limited time and attention diagnosing systems needs rather than focusing on patients care. Nurses scrambling for linen, supplies, equipment or waiting to clarify a medication prescription are just a few examples. It’s all the unrelated system needs and its failures, not patient care, that adds real cost.

    Overburdened, a single nurse could be caring for as many as five to six patients struggling in a system that’s failing him/her. In recent years, the cost of health care has gotten a great deal of attention and with good reason. Between 2000 and 2007 health care spending grew at nearly six percent per year, a much steadier growth rate than inflation or wage growth.

    Future health care costs have even been a security concern — increases in health care spending are and will increasingly take money away from military readiness. Many scandalous stories about the costs of health care have been told. And while we share Americans’ outrage at the cost of health care, there is some good news on the cost front: health care spending has been leveling off in recent years.

    Progress on the cost of health care notwithstanding, there is a serious scandal in health care — the toll that health care takes on the people who deliver it. The burdens of regulation, cost reductions, and quality initiatives piled onto nurses and other clinicians are undeniable. The biggest current and future risk to health care is shortages of nurses and doctors.

    Especially in nursing, there is growing evidence that the job people are asked to do is unreasonable and consequently moving people out of the profession; emerging shortages are weighing down further the workload and feasibility of already overworked doctors and nurses. In a recent study of forty hospital units, more than one-third of nurses reported they intended to leave their position within the next year; sighting emotional exhaustion and lack of personal accomplishment, two key indicators of nurse burnout.

    And as growing evidence has shown, nurse burnout dramatically influences how satisfied patients are with their care. The performance of nurses and their impact on quality is determined by many factors. In the end, though, all research on the quality of nursing care either concludes the absolute necessity of support departments providing nurses with what they need, or assumes that these departments will do so.

    Put another way, treating nurses as customers is at the heart of all work on the quality of patient care by nurses. Efficiency — how hospitals must operate — will loom large as the Affordable Care Act is rolled out and sequestration cuts continue. Efficiency will equal profitability; without it continued financial pressures will mount. Leaving only two choices for hospitals: open or closed.

    Like

  49. Georgie Porgie January 18, 2016 at 1:10 PM #

    Simple Simon January 17, 2016 at 7:02 PM #
    @ac January 16, 2016 at 11:37 PM “i read an article where a lady was on a flight goes to the bathroom and out pops a bouncing baby girl , the lady says that she had visited several doctors after she started getting unusually fat but when the doctors did pregnancy test the test came back negative. Should the doctors be sue?”

    The lady was no lady. She was a lying woman. Doctors don’t do “pregnancy tests to se whether a 9 month pregnant woman is pregnant. Doctors actually touch the wooman’s abdomen, and the infant can be clearly felt. Pregnancy tests what?

    NEGATIVE PREGNANCY TESTS FOR NINE MONTHS? MAYBE SHE DIDNT GO TO ANTENATAL CARE

    ON SURE WAY FOR “SOMETHING BAD” TO “HAPPEN” IS TO FAIL TO GO FOR ANTENATAL CARE

    YOU ARE QUITE CORRCT SIMON, DRS AND MIDWIVES CAN BALLOT TH BABY EASILY AT NINE MONTHS AS THE BABY HAS BY THEN ARISEN OUT OF THE PELVIS

    Like

  50. ac January 18, 2016 at 1:27 PM #

    Simple Simon are u sure that the woman was lying?

    Like

  51. Georgie Porgie January 18, 2016 at 1:31 PM #

    ac January 18, 2016 at 1:27 PM #
    Simple Simon are u sure that the woman was lying?
    MOST CERTAINLY
    THE HISTORY DOES NOT MAKE CLINICAL SENSE
    SIMON IS OBVIOUSLY A NURSE AND IS TALKING FROM EXPERIENCE

    ALSO NEGATIVE PREGNANCY TESTS FOR NINE MONTHS? NOT LIKELY

    Like

  52. ac January 18, 2016 at 1:53 PM #

    Look GP in the article a doctor in the article. Dr. Gil Weiss assistant professor of clinical medicine at the Northwestern University and an ob-gyn in Chicago says it can happen..

    Like

  53. Georgie Porgie January 18, 2016 at 2:09 PM #

    I DONT CARE IF AN ANGEL FROM HEAVEN TOLD YOU SO
    A PREGNANCY TEST REFLECTS THE LEVEL OF HCG IN THE BODY
    VERY UNLIKELY THAT ONE WILL GO NINE MONTHS WITH A NEGATIVE PREGNANCY TEST

    THE ONLY PLACE THAT WILL HAPPEN IS ON BARBADOS UNDERGROUND

    Like

  54. Georgie Porgie January 18, 2016 at 2:18 PM #

    BY TH WAY ANY TWIT WHO TEACHS IN THE US IS AN ” assistant professor ” hE MIGHT JUST HAVE FINISHED A RESIDENCY

    Like

  55. ac January 18, 2016 at 6:19 PM #

    GP Can the following explanation be a reason why the pregancy can go undetected

    A baby that produces a scant amount amount of HCG might go “under the radar,” failing the pregnancy test and going undetected by the mother. When a fetus doesn’t put out much HCG, he or she also gets fewer resources. This explains why these babies are so often small for their age and are born preterm and underweight.

    Like

  56. Georgie Porgie January 18, 2016 at 7:17 PM #

    the HCG is produced by the placenta not the baby
    HCG levels do not affect the issues you cite

    the issues you cite are maternal………like drinking alcohol or taking drugs in pregnancy, poor diet especially lack of iron and B vitamins etc

    Like

  57. Simple Simon January 18, 2016 at 11:57 PM #

    ac January 18, 2016 at 6:19 PM “GP Can the following explanation be a reason why the pregancy can go undetected. A baby that produces a scant amount amount of HCG might go “under the radar

    I don’t know if you have ever been pregnant ac, but I have been. From the “quickening” on one can practically feel the baby “walking ’bout in one’s belly”.

    Women who deliver a full term baby and then say “I didn’t know that I was pregnant invaribly have “issues”

    Like

  58. ac January 19, 2016 at 3:14 AM #

    look Simple Simon it is as simple as this! ac reads an article makes reference to what is said in the article now you want to test my knowledge or lack thereof about pregnancy ac is not the subject matter so do not display arrogant behavior in similar vein like other ignoramus on Bu who side step the issue and go on the attack of ac! whether i was pregnant or not would not be sufficient scientific proof to prove this woman story,
    there is a link to the article you can read it , i am not a ob gyn all ac did was cite an article

    Like

  59. Simple Simon January 19, 2016 at 11:50 AM #

    Google is your best friend. Use Google and read the followup articles.

    The father of the baby was unemployed.
    The mother was employed only in a part time job.
    Notwithstanding they decided to go on a holiday to a distant land.
    After the baby was born a gofundme site to set up to collect $50,000 Canadian dollars to “help with the baby’s birth expenses”. The couple then claimed that they had no idea how gofundme works.
    Remember as well that Canada is a world leader in communications technology and that free public libraries are open 7 days per week.
    Remember as well that Canada has a pretty well funded social welfare system, and that unemployed or minimally employed parents of infants can receive substantial social assistance so that neither the parents nor the baby will be homeless or hungry.
    Remember as well that the unemployment rate in Canada is always in the single digits.
    So what was the $50,000 Canadian dollars for?
    Bear in mind that Canada has an excellent tax payer funded health care system.
    A pregnant mother can make as many doctor’s visits as required at no cost to herself.
    Canadian medical schols are excellent.
    It is impossible that this mother attended multiple Canadian doctors all of whom were unable to diagnose a pregnancy.
    Pregnancy is not that that difficult to diagnose.
    My grandmother who had no medical training – none- successfully diagnosed hundreds of pregnancies and successfully delivered hundreds of babies, and she did not even go to standard 7.

    Like

  60. Simple Simon January 19, 2016 at 11:52 AM #

    I hope ac that you are not one of those people who will have people rub sh!t in your mouth and that in response you will say yum! yum!

    Remember that believing others people lies is just as bad as telling lies yourself.

    Like

  61. ac January 19, 2016 at 1:56 PM #

    @simple simon. WTF there u go again trying to make ac the subject matter. Amm where in the article does it make mention of ac. dumb a.sss . i am just an outside observer having said yea or nay as to credibilty or reliabilty of the story. Btw what the hell should i care.

    Like

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