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San Juan Regional Medical Center


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The Express Lane
Posted by on 05/05/2010
While I believe in the concept of the express lane in most walks of life, there are just certain areas that it shouldn't be allowed.
Years ago, I worked for the local hospital in our city. I was originally hired as a temp, but soon worked my way into full time employment, and began working through a program of theirs that paid for college nursing classes. I have since changed directions in my career, with no regrets, but I digress.
During my stint, I was in charge of prepping the rooms beforehand for the doctors, assisting the nurses with sedating the patients, monitoring vital signs, etc...We worked in the cardiopulmonary/endoscopy department. Those not familiar with the latter, it is where they use a rather "invasive" scope/camera to inspect and look for polyps, bleeding, etc...It is also where colons are checked. (Funny side note: One of the 4 doctors in this department was aptly named Dr. Colon!)
I often attended the various procedures, and assisted the doctor as needed. LET ME TELL YOU! If I only had the sense back then to videotape these occurrences, I would be a millionaire 10x over from the offers I would've received from Dateline NBC, and such. We had nurses actually put in for department transfers because of the atrocities we witnessed.
On average, the normal procedure takes about 30-minutes to perform correctly. Keep in mind, the patient is sedated, and has no earthly idea how long they are with the doctor. There were four main doctors at the time that performed these procedures, and to their credit, two were absolute true professionals, and gave their patients not only what they paid for, but what they deserved as human beings. The other two are a completely different story. I am NOT exaggerating when I tell you that they would willingly admit to golf tee times, pending personal appointments, etc...and LITERALLY perform a 2-3 minute procedure. Absolutely sickening! The patient, even in a sedated state, would moan considerably at the discomfort. The offending doctors would literally "shove" the scope in, take a 1-2 minute glance around, and say, "That's a wrap"! The nurse and I would actually look at each other, then the clock on the wall, and back at each other again. Just plain sickening! No other way to put it.
I have often carried around a tremendous amount of guilt in life for not having spoke up to administration for such barbaric medical practices. But I personally believe such said doctors should have their license's suspended or all together revoked, because I would be willing to bet that such hasty inspections resulted in missed symptoms, or a wrong and incorrect diagnosis. These are peoples lives that they're playing with. Somewhere along the line, they lost perspective of their profession.

     
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Posted by Anonymous on 2010-05-05:
I was just recently at an outpatient clinic with a friend who had to have an endoscopy procedure done. Reminded me of a cattle drive...her doctor told me they perform as many as 40 a day between 4 doctors there. My friend barely had time to come out of her stupor from the anesthesia before they were pushing her out the door. I have to admit I did let out a little "mooo" as we left.
Posted by Anonymous on 2010-05-05:
Geez They should let the patient rest at least before they kick them out. Your paying big money for one of these things.

Talk about malpractice
Posted by Anonymous on 2010-05-05:
Wally> I'm not saying they never had a chance to recover. There was never any issue in that facet. It was the actual procedure that was neglected. They weren't always given a fair examination.
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Off the record
Posted by on 04/14/2010
Is is just me, or am I missing something? Perhaps, I am just ignorant of some hidden company policy. I'm not being facetious either, maybe I just don't know, so if any of you do, please feel free to share. But why is it every single time I take my wife to the same hospital, they ask every single piece of information over again, as though it was her first visit there. I took her there on a Wednesday evening. The condition persisted, so we came back on Friday. They asked for her name, address, phone number, previous health conditions, prescribed medications, long term medical conditions, height, eye color, allergies, etc...Without going into a lot of detail with respect to her personal privacy, she has a long term medical condition, so we are frequent visitors of the hospital. And yet, each and every time they treat her as though she is walking through the doors for the very first time. One would think in the present day and age, with the computer technology we have, that they would be able to keep databases on each of us. I understand updating the files, but to have to re-enter the info each and every time is aggravating as heck. Any idea as to why they do this?
     
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Posted by MRM on 2010-04-14:
This is an odd occurence. They usually update your personal file every 6 months but asking your information almost everyday is insane. Have you ask them why they need this information every time you visit there? Since the staff see you very frequently, they wouldnt mind asking them the question. Perhaps its for billing purposes.
Posted by BEJ on 2010-04-14:
I think each hospital has different requirements. I work at an all Cancer Hospital. We ask for updated information (address, insurance etc every 3 months) At the general hospital across from us they ask for updated information with each visit. Going through the ER as I assume you did perhaps it is there policy to get information each time but it could be more easily taken care of by asking if there are any changes as opposed to starting from scratch again. Ask them the next time you go in for a visit.
Posted by trp2hevn on 2010-04-14:
Maybe you could ask them for a copy of the completed form and make your own copies and just hand it to them each time you go. Hope your wife feels better.
Posted by MRM on 2010-04-14:
Thats a good idea Trp!
Posted by Anonymous on 2010-04-14:
Trp, Excellent tip! I will definitely use that one!
Posted by MRM on 2010-04-14:
But Justice, please let us know why they ask you frequently for your personal information. It doesnt make any sense at all.
Posted by Anonymous on 2010-04-14:
I have asked them, and they just say it's policy. I became frustrated with them and explained that I am sick (no pun intended) and tired of repeating the same basic information over and over again. Every week, every month, same thing. What's her name? What's she allergic to? What medications does she permanently take? What dosages of each? I finally snapped and said, "the same pills she's taken for the last 10-yrs, and the same ones you asked us about the other night (same nurse). She politely smiled and said, "I cannot possibly remember everyone that I see and register". I politely said, "No...but your computer can after it's been entered". Seems to me that they are set up on temporary files or something. I have no other explanation. But maybe they'll get tired of copying the registration sheet each time I ask, and wise up to the whole situation. Maybe it's something I could address with the hospital administrative staff. On the rare occasions that I'm unable to be there with her during registration, and she's extremely sick, coupled with her asthma (very difficult to talk when you have an asthma attack), she becomes VERY agitated with the process of having to explain her entire medical history each and every time. Theoretically, she should be able to just say her name and they can pull the rest up from there.
Posted by PepperElf on 2010-04-14:
J4A have you considered possibly scanning your medical records and making a digital copy?


when i got out of the navy i found out that i didn't get to keep my medical records so i took a day and scanned every single document. took a while (i had over 13 years to do) but now i have a complete copy of my medical history while i was in.


if they keep asking you each time what issues you both have... i wouldn't recommend giving them a copy... cos hell they might lose it.

however you may be able to use the data to generate a sheet to bring in to give them, containing all the data they ask for each time you go in.

that way they can just put it into the system and leave you along while you wait.

or... ask them for a copy of the form - i'm assuming you have to filll one out each time. that way you can ust print it up before going in.
Posted by MRM on 2010-04-14:
I still dont understand Justice's situation. Almost all healthcare facilities are now electronic records and it is mandatory that all healthcare facilities should be electronic by 2012. So every time Justice shows up at the ER, all he has to do is give his name and have a seat.

In electronic records, you have patients' info, insurance, allergies, medications, x-rays. Its pretty cool.
Posted by PepperElf on 2010-04-14:
the only thing i can think of is that if you're going to the ER they might be working fast and would have an easier time if certain information was available from the patient.

you know i just remembered what mom does.
she has a medical bracelet for one of her medications

but in addition to that she has a card in her wallet that lists all of her meds, doses, drug allergies, etc.

you might want to consider printing one up to bring with you.
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