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T O P I C    R E V I E W
Daveb Posted - 13/10/2007 : 08:47:13
http://news.bbc.co.uk/1/hi/england/kent/7042050.stm

The latest round of bad news from hospitals.
At least a manager was sacked.
I did hear on the news that cleanliness was not in the government targets or something.

Surely keeping everything clean is the number one priority?
The Navy taught me that. Live in a tin can for weeks and you must keep yourself and the ship or sub spotless so you remain healthy.

The case for keeping Hospitals clean is just common sense.
Maybe Fluffy can shed some light?


30   L A T E S T    R E P L I E S    (Newest First)
Fluffy Sheep Posted - 03/11/2007 : 18:12:57
Well Thankyou LTNS, but I have to admit I`d never heard of the chap till my son showed me some clips from `Bowling for Columbine` a few years ago. Naturally, I made a point of seeing the whole thing, and I`ve been a fan ever since.
There was a chap called Mark Thomas who I also greatly respected, but he seems to have been silenced (more`s the pity). Michael Moore hasn`t, and just goes from strength to strength IMHO.
long time no see Posted - 03/11/2007 : 17:55:03
quote:
Originally posted by Fluffy Sheep

I`ve got HUGE respect for Michael Moore.




You are most wise
Fluffy.
Fluffy Sheep Posted - 03/11/2007 : 17:03:51
Nice to read something positive about the NHS for a change!
nightowl Posted - 03/11/2007 : 16:39:16


http://news.bbc.co.uk/1/hi/uk/7076231.stm
Fluffy Sheep Posted - 01/11/2007 : 00:09:32
I`ve got HUGE respect for Michael Moore.
long time no see Posted - 29/10/2007 : 15:50:19



In London
Fans of Michael Moore's new Film 'Sicko'
have put a diplay on these Roosevelt & Churchill Statues.

Miriam Binder Posted - 28/10/2007 : 19:37:32
nightowl Posted - 28/10/2007 : 19:33:51
Are we governed by just one shadow government?
Maggie,John Major,Blair, Brown are just front men to make us believe we have a choice when in fact we don't.
Is evil Bush behind this deception...
Miriam Binder Posted - 28/10/2007 : 19:22:01
quote:
Originally posted by long time no see

You would need to watch the new Movie
Sicko
to see he is up to date.
And Thatcher was Blairs & even Browns Ground Works helper

BorInHove has seen it.

What bit of "Americanisation of employment contracts started in the early years of Thatcher" do you not understand LTNS?
Daveb Posted - 28/10/2007 : 18:17:53
Surely Blair & Brown are the evil spawn of Maggie?

She not only did the groundwork paved the way for all these years of New Labour who stole Tory policy and did nothing to reverse it.
long time no see Posted - 28/10/2007 : 17:20:55
You would need to watch the new Movie
Sicko
to see he is up to date.
And Thatcher was Blairs & even Browns Ground Works helper

BornInHove has seen it.
Miriam Binder Posted - 28/10/2007 : 17:17:19
quote:
Originally posted by long time no see

http://news.sky.com/skynews/video/videoplayer/0,,30000-1290487,.html

Michael was Live on Sky News
this 3min video has him talking about why the UK
should not have American Style Contracts.

He's a bit behind the times ... the Americanisation of employment contracts started in the early years of Thatcher!
long time no see Posted - 28/10/2007 : 15:17:54
http://news.sky.com/skynews/video/videoplayer/0,,30000-1290487,.html

Michael was Live on Sky News
this 3min video has him talking about why the UK
should not have American Style Contracts.
Fluffy Sheep Posted - 23/10/2007 : 23:28:08
I suggest that anyone who wants to be Informed, rather than mis-informed, should lobby their local paper, and also write to the tabloids if they buy them, asking for REAL information.
Miriam Binder Posted - 23/10/2007 : 23:19:31
I one hundred percent agree Fluffy!
Fluffy Sheep Posted - 23/10/2007 : 22:26:20
I seriously blame the tabloid press far more than I blame the political party in power.
The Opposition hardly seem to help matters.
They are all so busy wrangling against each other I don`t honestly think it`d make much difference whether it was a Labour or Conservative group in power.
The tabloids COULD, if they were at all motivated for the good of their readership, run a fairly simple campaign to inform people about MRSA, C.Diff, and ESBLs. All they`d need to do is contact the Path. Lab. of any district general hospital, and they`d get a consultant happy to explain it all,and advise in layman`s terms. Our pathologists aren`t daft, but they`re rarely asked, and then frequently mis-quoted as the press go for sensationalism.
Tell me it`s because they need to sell their newspapers...ok, then how about a tabloid newspaper actually giving folks real information, getting it`s facts from `the horse`s mouth, rather than the donkey`s bum`. Surely that would sell their newspapers?
long time no see Posted - 22/10/2007 : 19:51:35
You can blame new Labour
because of the Billions wasted in Iraq,
while many die in UK Hospitals that only care
about getting the Stinking New Labour Stats updated.
FACT.
Fluffy Sheep Posted - 22/10/2007 : 18:50:07
We can`t just blame politicians. It`s scary, how Stupid members of the general public can be:-
Old lady had Stroke, unable to swallow so tube fed, unable to control own saliva (not excessive or we could do suction to remove excess secretions, as we do for really poorlies and/or give medication to reduce saliva production, but that goes too far the other way with dry,sore,scruffy tongues.) Just a slight trickle, just a bit too much, and the patient develops a chest infection. Pneumonia used to be the cause of death for so many stroke patients. Now, we give them an antibiotic, usually Cefotaxime, intravenously. It`s saved, or prolonged so many lives. By it`s efficiency in curing post-stroke pneumonias, it also kills off most of the patien`ts` healthy gut bacteria. If they already have C.Diff, (Clostridium Difficile, hence the name) as about a third of the population do now, it doesn`t kill that, it gets room to spread and go rampant, so patient gets diarrhoeia.
We know the unique smell and texture, so we start barrier nursing as soon as we see it, we send specimen to path lab, but we don`t wait for the results before we`ve identified the risk.
We speak to relatives/visitors, do our best to explain and advise.
Would you believe that TWO generations of apparently quite sensible adults would allow this - not only did they sneak the old lady`s great-grandchild, a babe-in-arms, in to visit, but they put the paby down to sleep ON THE PATIENT`S BED. But, they DO use the alcohol hand rub when they enter and when they leave, and they think that makes everything quite alright!!!
We really need Education - Press, Politicians,do your bit - Nurses are ready to bang heads together trying to do OUR bit!
long time no see Posted - 20/10/2007 : 10:29:14
Yes well Evil Blair was like a American
and Scottish Brown the current un-elected UK PM
backed all these moves in the NHS.
Fluffy Sheep Posted - 19/10/2007 : 23:39:30
OK, LTNS, and it`s not just the `too many cheifs` thing - it IS a facet of New Labour administration, but it`s also all come about because politics and the Press have just escalated hysteria on each other`s bandwaggons. I would just LOVE to see the Press take up a useful role in all this, use their power to educate and inform their lay readership about infection control issues, they COULD do so much good but they rarely do. It`s all hype and way too politically influenced, and I actually blame Fear Culture - I think we`ve sadly followed the USA down that route.
long time no see Posted - 19/10/2007 : 22:02:16
Too many Chiefs
that is Stinking New Labour for you.
Fluffy Sheep Posted - 19/10/2007 : 21:49:47
Miriam, unfortunately that isn`t the case. I`ve been chatting with some folks in the Potteries.. they have an entity called a `Modern Matron` - equivalent of our line manager, just that they are cottoning on to appeasing public opinion with the title - and several Ward Sisters are UNDER this strata, and several managerial strata exist ABOVE. There`s a serious loss of potential, waste of leadership skills, and way too many Cheifs having meetings about meetings while the Injuns man the wards.
Miriam Binder Posted - 18/10/2007 : 02:51:08
'Bring back Matron' for most of us stands for returning autonomy to the ward (sister). I know that for me it does.
Fluffy Sheep Posted - 18/10/2007 : 00:15:31
Of course cleaning is a key issue -it`s absolutely vital, whether it`s in a big district general hospital, a little cottage hospital, or a small nursing home, and I`ve worked in all 3, which gives me a fair insight from which to make comparisons. It seems to me that in smaller units individuals are more accountable to each other in their various roles, communicate better and exercise more common sense.
The bigger the unit, the more delegation and more strata of management, and sadly, even how/where/when hospital domestics operate is hamstrung by rotas, timetables and paperwork. Now, unfortunately, this gives no room for common sense and urgent diversion of domestics from one task to another which should take priority.

Example 1.) Afternoon visitors come in and report a thin brown trail down the corridor, evidently some patient has wandered and been taken short. Not nice, but it does happen. Nowhere near our ward, but our visitors report it to us. We tell our ward domestic if there`s one present - she can`t abandon her rota`d tasks and go see to it, so WE have to bleep the domestic supervisors. As they`re obliged to tick boxes and meet objectives etc., etc.,by the time they find someone `spare` to allocate the task to, more visitors have traipsed the same bit of corridor and not everyone looks where they`re treading, so goodness knows how far it`s been carried, and of course DRIED so that tiny organic particles are more likely to adhere and be harder to clean properly.
Example 2.) There`s been a flood or leak from the toilet in an upstairs ward, and the ward below gets to know about it when a ceiling tile drops and dirty water, contaminated with who knows what, comes through - not a flood, but enough to form a great dirty puddle in the middle of a 6-bed room, fortunately not over or under any actual bed. But we don`t know what`s coming next, so:-
Ward staff bleep hospital maintenance and remove patients from that immediate area, and of course we inform the domestic supervisor, who tells you she can`t send anyone to deal with spillage till maintenance have made the area Safe, but maintenance can`t get to us yet as they`re busy with the cause of the trouble upstairs. Meanwhile, ward staff downstairs growl `sod this`, and get on and use what we have to hand, which is inappropriate equipment - drawsheets which will go into (RED) laundry bags and be hauled halfway across Wales to get laundered - as we only have one small mop with bucket for nurses to use. By the time a couple of domestics turn up with a wet hoover and a couple of supermops, the affected area is nearly dry and LOOKS clean....and then we try to convince them that it now needs a thorough cleaning. One of them goes to phone her supervisor and is overheard reporting that it was a `false alarm`, while the other half-heartedly swishes a mop over it for the few seconds it takes her colleague to return with instructions to go back to whatever they`d been doing before.

That`s just 2 recent examples - we have also observed a rather daft routine involving much evening mopping and polishing of floors in entrance areas of corridors just when visitors are coming in. One of our most sensible domestics has grumpily explained this as "for show, so they can see there`s people cleaning `all the time` when we all know there isn`t!" Our domestics are hard working folks, they resent being used as window dressing, they`d rather do their job properly - and on the wards, they`d rather go with what the ward staff indicate as priorities for their attention - yet they`re made to stick to their ticklists. Ironically, this has come about increasingly since both press and politicians have taken an increasing interest in the subject.

It`s not just nurses who get disillusioned and leave the hospitals, we`ve lost and are seeing a trend of losing some excellent domestics as well. I`m not sure about the `Bring Back Matron` lobby, but I`d certainly say bring back the Ward Sister`s Autonomy on her ward, because that`s the biggest thing we`ve lost, and that`s why we`ve lost so many great ward Sisters too- that`s why they`ve been so ready to move to desk jobs, they were lured into strata of middle management not by the appeal of 9-5 hours, but in the hope that they could make a Difference, because they couldn`t do it on their ward anymore - it`s the old `if you can`t beat `em, join `em ` - while others go for Early Retirement.

I LOVE my job,(though I grumble about the system, it`s never about the patients) and you know, every shift I`m so glad I`m `just a ward nurse` with retirement my next horizon. That`s SO empowering, when I get the satisfaction of doing whatever I have to do, ruffling whoever I have to ruffle, to get my patients` needs sorted, rather than having to tiptoe around the hierarchy watching my P`s & Q`s and protect/defend any senior status or promotion prospects.
long time no see Posted - 18/10/2007 : 00:06:25


Life Under Stinking New Labour
long time no see Posted - 17/10/2007 : 10:36:17
http://www.mailonsunday.co.uk/pages/live/articles/news/news.html?in_article_id=487999&in_page_id=1770

Great Nurse Of The Year
gives up her job
un-happy with non stop NEW LABOUR targets.
long time no see Posted - 15/10/2007 : 21:09:31
Nightowl
10 Years is more than enough time,
New Labour have failed.
Daveb Posted - 15/10/2007 : 20:54:51
That's a bit harsh, it may affect their bonus

Definintion:- Management Executive

Accepts all glory, pay and bonus

Blames workers for all short comings and sacks them.

Realises they have no-one left with experience and all else has failed they move on with golden handshake.

W*****s
nightowl Posted - 15/10/2007 : 20:45:36
LT the rot started long before Labour came to power, the forcing of internal cleaning and laundry to outside contractors was done by Maggie's lot just as Councils have to put work out to contract.
Theres only so much money in that pot, even less when contractors have to be paid so services get down graded to fit the pot.
Hospital cleaning and laundry must be brought back into house, hygiene on the wards by nurses and doctors must be closely monitored, visitors should be made to wash there hands before and after visits even to the point of supplying over shoe covers caps and gowns when visitng.
We have to get on top of this now, time for positive action as management now seem to be pointing the finger at nurses and doctors for their management failures.........

Miriam Binder Posted - 15/10/2007 : 16:58:57
quote:
Originally posted by long time no see

Before what?
Before New Labour took the country and sent it down the proverbial without a paddle of course.

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