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Everybody, thanks. Your info has helped. I'm busy as heck right now. Quick summary:
-To provide in-bed weighing they switched my mother to a model with one rail each side. (I've helped several nurses with functions and setup since it's really one of their ICU beds.) A slightly scatterbrained nurse left one side open and my mother (who can't talk or use the small call buttons) tried to get out to the bathroom. She fell badly, hurt her head, chest, and one leg. Head CT & chest xray show nothing serious but it got plenty of attention. I'm not sure how it'll play into things but have a feeling it might. At least for mindshare. (I want progress, not payback.)
-I have a better understanding of staff functions and influence.
-My research into vent weaning paid off. I was hitting everyone up for alternative methods/protocols and eventually found the senior ICU pulmonologist. He was good enough to take charge of my mother's case until his vacation in 3weeks. (continuity is a wonderful thing)
-I'm interviewing RN's & CNA's as sitters to help cover when I'm sleeping. Some hospital staff appear nervous, others think it's great.
-This week we're back with the slightly better hospitalist. Between her and the pulmonologist I'm getting better information. I'm coming to understand who to pay attention to, who to remind about customer service, and who represents insurance interests.
-I have fairly good access to the chart, depending on who's on duty. Some staff are completely taken aback by it. It amazes me how much is recorded incorrectly and what isn't recorded at all. Definitely helps fill in the blanks.
-I'm logging things daily. Just having the notebook with me and writing in it seems to encourage activity from the better nurses, and avoidance from the ones I've learned to watch.
Heading back across the street now. I'll try to put more energy into this later tonight.
Thanks again!
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