[Karron]

Originally Posted by Howlett1269

My daughter was brought into the emergency room by the EMT;s on Tuesday
October 1 @ 10:10AM she was seen and was told to return to the waiting room at 10:40AM. As of 3:30PM she was still sitting in the waiting room. At 8:00PM she was still not seen and no one came out to even checked to see why she was there that long. She finally left at 8PM and went to Leesburg Hospital where she was seen within 1/2 hour and was diagnose with a possible mini stroke and vertigo. We as a family will never again use the Villages Hospital.

I had the same experience.....
I arrived by ambulance (^ B\P, headache, vertigo & vomiting)...
I never saw a MD...
A PA saw me...( the nurses kept saying "the doctor wil see you before MRI is ordered!)
My own doctor was out of town....
I stayed overnight and saw a neuro doctor (who only worked at the hospital ) who told me, "I'm surprised they admitted you!
He told me I was not sick enough.....
After writing for my discharge, the Nuse, (actually a LPN) was so overwhelmed she never came into the (over 8 hours) so...I just left with my sister...
I worked as a RN (Magnet Status) for 35 years and all I can say is, Shame on you!

[Russ_Boston]

Originally Posted by Karron

I had the same experience.....
I arrived by ambulance (^ B\P, headache, vertigo & vomiting)...
I never saw a MD...
A PA saw me...( the nurses kept saying "the doctor wil see you before MRI is ordered!)
My own doctor was out of town....
I stayed overnight and saw a neuro doctor (who only worked at the hospital ) who told me, "I'm surprised they admitted you!
He told me I was not sick enough.....
After writing for my discharge, the Nuse, (actually a LPN) was so overwhelmed she never came into the (over 8 hours) so...I just left with my sister...
I worked as a RN (Magnet Status) for 35 years and all I can say is, Shame on you!

First you say you were admitted? If so then the neuro doctor can not write the discharge (no exceptions to this rule). It has to be the admitting doctor. So I'm pretty sure that what happened is that the neurologist cleared you but you needed to wait until the attending doc (a hospitalist in this case since your doc either doesn't have privileges or was not available as you mentioned) wrote the d/c orders.

Second an ER doc has to be the one to write the admit to floor order. There is always an ER doc - always. Again no exceptions.

If you were on the floor (which floor?) and a nurse did not see you for 8 hours then you should have brought this to someone's attention. Did you do that? And if so what was their response?

I hate to sound defensive but since I do this for a living at TVRH I need to point out inconsistencies in these posts that I know can not happen.

I'm sorry you felt mistreated but some of the things you are saying are from your point of view only and I know some are not accurate as I pointed out.

[ilovetv]

"the Nurse, (actually a LPN) was so overwhelmed she never came into the (over 8 hours) so...I just left with my sister..."r

Originally Posted by Russ_Boston

First you say you were admitted? If so then the neuro doctor can not write the discharge (no exceptions to this rule). It has to be the admitting doctor. So I'm pretty sure that what happened is that the neurologist cleared you but you needed to wait until the attending doc (a hospitalist in this case since your doc either doesn't have privileges or was not available as you mentioned) wrote the d/c orders.

Second an ER doc has to be the one to write the admit to floor order. There is always an ER doc - always. Again no exceptions.

If you were on the floor (which floor?) and a nurse did not see you for 8 hours then you should have brought this to someone's attention. Did you do that? And if so what was their response?

I hate to sound defensive but since I do this for a living at TVRH I need to point out inconsistencies in these posts that I know can not happen.

I'm sorry you felt mistreated but some of the things you are saying are from your point of view only and I know some are not accurate as I pointed out.

When a person is sick and weakened and has not been able to eat properly because of high BP, vertigo, vomiting, pain, dizziness etc......

...Just who in the heck is the patient supposed to contact when nobody bothers to come into the patient's room for HOURS?????

Is the patient supposed to contact the same nurse/lpn who doesn't bother to come back in to even see if you're gone yet, so that at minimum, the room could be used for some other poor soul who's waited in the ER for a bed upstairs for 18 hours and has now had a full blown stroke because the cheaper, new grad nurses in ER were up to their eyeballs in alligators??

Blaming a sick patient for the nursing administrators allowing inept, apathetic or even lazy employees to continue putting in their time and getting a check for it is part of the problem, not the solution!

[Karron]

I would like to see the admission orders, as well as the discharge orders... When I say I saw NO One....that's exaactly what I meant!
If a hospitalist saw me.... He/she was a ghost!
Yes, a "manager" came in to ask about my care.....I told her.....she left, not to be seen again!
I would like to know the RN to patient ratio....she couldn't tell me!
Since my hospital was designated a Magnet Status facility, I think I know what what happened (or not), to me......

[Karron]

No one heard my IV when it was finished at MN ant beeped until the next day when I dc'd it...
Are you sure you are working at the same hospital?

[OldManTime]

Originally Posted by Howlett1269

My daughter was brought into the emergency room by the EMT;s on Tuesday
October 1 @ 10:10AM she was seen and was told to return to the waiting room at 10:40AM. As of 3:30PM she was still sitting in the waiting room. At 8:00PM she was still not seen and no one came out to even checked to see why she was there that long. She finally left at 8PM and went to Leesburg Hospital where she was seen within 1/2 hour and was diagnose with a possible mini stroke and vertigo. We as a family will never again use the Villages Hospital.

I will rather die than be treated at the Villages Hospital. I went there last Thursday night with a 102 temperature after a day of receiving Chemo at the VA hospital, my request only was please notify the VA so the VA benefits would pay for my treatment, I was told i needed to be admitted for overnight, and I said i had another round of Chemo in the morning at the VA Hospital, the response was "Sorry we can't help you"
9 years ago they did not notify the VA when i was admitted there, and had to pay for a weeks treatment out of pocket, which took 5 years to pay off.
Never again, Never again, go to Leesburg or Ocala hospitals.

[LuckySevens]

Originally Posted by Carl in Tampa

As a walk-in patient to TV Hospital ER with excruciating back pain which was not being relieved by oxycontin I was forced to wait for several hours to be seen although there were only 3 other people in the waiting room. My pain was so great that I couldn't sit and standing was so painful that as I stood leaning on my cane there were tears flowing down my cheeks.

Once I got in to see the doctor, relief came fairly quickly after an x-ray disclosed a major spinal injury.

My next visit, in an ambulance, got fairly quick treatment. It was a life threatening emergency.

I've been admitted twice and the nurses were quite good.

I came away from my last admission with the best cardiologist and pulmonoligist I could hope for as my new physicians in these specialties.

I sent you a PM

[Russ_Boston]

Originally Posted by Karron

I would like to see the admission orders, as well as the discharge orders... When I say I saw NO One....that's exaactly what I meant!
If a hospitality saw me.... He/she was a ghost!
Yes, a "manager" came in to ask about my care.....I told her.....she left, not to be seen again!
I would like to know the RN to patient ratio....she couldn't tell me!
Since my hospital was designated a Magnet Status facility, I think I know what what happened (or not), to me......

I think I asked this before but what floor was it? It should have been 2nd floor medical. The charge nurse knows the ratio. I told you in a previous post it is 6 to 1 on the medical floor. No more - sometimes less.

If I was the nurse or the charge nurse and you asked about the discharge or admit orders I would have (and do all the time) shown you and explained them to you.

Please let me know where you were and I can look back and help you if you PM the info to me.

[Russ_Boston]

Originally Posted by OldManTime

I will rather die than be treated at the Villages Hospital. I went there last Thursday night with a 102 temperature after a day of receiving Chemo at the VA hospital, my request only was please notify the VA so the VA benefits would pay for my treatment, I was told i needed to be admitted for overnight, and I said i had another round of Chemo in the morning at the VA Hospital, the response was "Sorry we can't help you"
9 years ago they did not notify the VA when i was admitted there, and had to pay for a weeks treatment out of pocket, which took 5 years to pay off.
Never again, Never again, go to Leesburg or Ocala hospitals.

All you have to do is tell VA you were there and they can pull the records. We do it all the time. Who told you that? PM the details to me and I can look into it. We have a release of records form that the patient signs and we can fax to any facility. We do it everyday.

You say Leesburg but it is the same facility as TVRH. Central Florida Health Alliance.

[Russ_Boston]

Originally Posted by ilovetv

When a person is sick and weakened and has not been able to eat properly because of high BP, vertigo, vomiting, pain, dizziness etc......

...Just who in the heck is the patient supposed to contact when nobody bothers to come into the patient's room for HOURS?????

Is the patient supposed to contact the same nurse/lpn who doesn't bother to come back in to even see if you're gone yet, so that at minimum, the room could be used for some other poor soul who's waited in the ER for a bed upstairs for 18 hours and has now had a full blown stroke because the cheaper, new grad nurses in ER were up to their eyeballs in alligators??

Blaming a sick patient for the nursing administrators allowing inept, apathetic or even lazy employees to continue putting in their time and getting a check for it is part of the problem, not the solution!

Easy answer: Call the charge nurse from your bedside phone. The number is written on every white board in every room.

This is what I meant about false info. You are quoting this person as if she/he is completely telling the truth. That is why I pointed out errors in what they said. I'm not saying that they are lying but since the said at least two things that could never happen then I question everything. Don't you?

BTW: Our ER nurses are not new grads. In fact we don't allow nurses in the ER until they have had about 2 years experience elsewhere. Again this is the truth but you can ignore the facts if you wish.

[Russ_Boston]

I'm not going to directly reply to any more posts on this thread.

But I can tell you for a fact, because I do it every workday as both a floor nurse and a charge nurse, that many of the statements made on this thread are completely inaccurate when it comes to facts.

If anyone has a direct question about the facts please PM me and I'll let you know our polices at least on the 2nd floor (general medical).

[KeepingItReal]

Originally Posted by Russ_Boston

I'm not going to directly reply to any more posts on this thread.

But I can tell you for a fact, because I do it every workday as both a floor nurse and a charge nurse, that many of the statements made on this thread are completely inaccurate when it comes to facts.

Customer service is only as good as each customer considers it to be and health care is no exception. I do know our scenario played out exactly as it was described and it was not pretty.

It doesn't matter that any business continues to tell themselves what a great job they are doing for their customers and they followed all the rules if customers are not happy. If the customers do not agree soon there will not be any customers to worry about.

Apparently some customers do not agree TVRH service is great even though some did have a good experience but it shouldn't depend on the luck of the draw to be treated for a medical condition. Another poster was right on

Originally Posted by Indydealmaker

Sometimes good and sometimes bad is as bad as always bad.

After 35 plus years in management for a major public utility where I dealt with residential and business customers of all sizes daily I do know I never once told a customer what they were saying did not happen and it would have been a serious problem for anyone that did..

When customer's relate their concerns they are very real to them and a business has to listen and at least be compassionate even if they do nothing more, unless they really don't care.

[Karron]

Originally Posted by Russ_Boston

I think I asked this before but what floor was it? It should have been 2nd floor medical. The charge nurse knows the ratio. I told you in a previous post it is 6 to 1 on the medical floor. No more - sometimes less.

If I was the nurse or the charge nurse and you asked about the discharge or admit orders I would have (and do all the time) shown you and explained them to you.

Please let me know where you were and I can look back and help you if you PM the info to me.

Russ, I was on the 2nd floor...
Does the hospital call all LPN's Aides & RN's "nurses"....
Confusing....

[steamdogman]

How about we give The Villages Hospital a break. If you have been there, you will understand that the ER is no different than any other in this Country. Unless you go there by ambulance you are going to wait. Remember one thing, there are around 90-100k people living here, one hospital serving a lot of seniors with emergency problems.

[rn1tv]

I know Russ Boston will not respond as he indicated in a previous post, but I must respond to his response to me.
1. Russ, if you were completely happy in your current position, there would be no need to look elsewhere.
2. There is NEVER a break in patient assignment. If patient load drops, nurses are sent home and patients are reassigned to other nurses. I have had this happen 1 hour be change of shift. Again, it's all about the almighty dollar as expressed by CN's.
3. Ten with 10 years of experience...am I supposed to be impressed? Don't tell me about the CN experience as they are not on the floor and providing direct patient care. I, too, have done charge and have many more years of experience.
4. FYI, I have my BSN and worked at a Magnet hospital. Comparing policies, procedures, staffing, education, diversity, etc. to CFHA; there is no comparison.
5.You state that there are times it "gets skewed," you do not have to move patients; simply make assignments based on acuity. So a nurse has to walk a few extra feet, patient safety should be the issue.
I believe many of these responders have valid complaints. Bedside nursing and patient care are things of the past which is sad!