Abby's Blog

If you ever find happiness by hunting for it, you will find it as the old woman did her lost spectacles. Safe on her own nose all the time. ~ Josh Billings

9.27.2006

No more cheetos or glazed donuts??!?!?!

So I don't do it very often, but I have to rant about work because it has just been getting more and more insane lately. For those of you who need a reminder, I work on the General Medical floors, which means I see anything and everything. For example, sickle cell anemia, suicide attempts, AIDS, pneumonia, drug overdoses, pancreatitis and anything in between. A lot of my patients are over the age of 75 who I enjoy working with, making my job rewarding, and usually don't give me much trouble. It's usually the younger ones that make me crazy. Unfortunately, a lot of my patients are what we call "frequent flyers" meaning they come and go to the floors a lot. One patient has actually had almost 70 admissions since January, so I get to know some of them very well, which isn't always a good thing. Sadly, a lot of my patients have a lot of social issues which often interfere with the care I try to give them. Some of them have a more secure life in the hospital than at home. Think about it, shelter, TV all day, someone to make your bed. Some of them do not have that at home. Most commonly the thing that is different from their home to the hospital is 3 hot meals a day, plus snacks if they want them. So first off, I must say I feel genuine sympathy for these patients, no one should have to live life wondering where their next meal will come from. That said, these patients make my job so difficult. One patient for example, likes to order ridiculous amounts of food, stock pile it (non-perishable and perishable foods) and send it home with her family. They even had to have someone come and spray for bugs at one point... So we have diet techs at work. Their job is basically to go around, collect menus, enter them into the computer, and get them their meals. So usually that takes all of the crappy details of meals off of the Dietitians. However, when complications arise, who do they want to solve all their problems? Me of course! So today I was getting ready to leave work and the diet tech from my floor comes in to tell me about a problem they've been having on my floor. This diet tech that approached me is great, I must say. She lays down the law with my patients and will not let them break their diet order, no exceptions!! Unfortunately, she doesn't work every day, so when someone else fills in on the floor, they are not always as strict. Today she was complaining to me that the tech who had filled in on her last day off was giving all of my "frequent flyer" patients cheetos with every meal and for 3 snacks a day. Now that may not seem too bad, except the cheetos are ONLY allowed for the children. In fact, I got in big trouble ONE TIME for ordering cheetos for ONE patient, ONE time only. So anyways, this diet tech ordered massive amounts of cheetos, and the kitchen actually ran out. So there are no cheetos for the kids. (I have absolutely no idea why the adults aren't allowed to have cheetos, but that's just the way it is) This also happend with glazed donuts, because the substitute diet tech was giving them all to the patients on my floors. So the point of this story is, the diet tech came to me to solve the problem. What in the world am I supposed to do about it?!?!? That is not my job! I should not have to worry about who's getting cheetos or glazed donuts. Also, I should not have to go explain to a patient why they can't have bacon while they're on a sodium restriction, even though the substitute diet tech gave it to them for the past 2 days. I have much more important things to do. For example, I have patients who actually have nutrition concerns besides running out of glazed donuts. I have patients literally starving or patients who will die of complications of diabetes if I don't educate them or elderly patients who can't swallow and need tube feedings. So I don't know what the point of all of this is, except some of my patients come to the hospital and think it's the Hyatt-complete with room service. Good thing there's no mini bar or they'd NEVER go home!

3 Comments:

  • At 7:58 PM, Blogger Maria said…

    oh you are allowed to rant about work, I do it too much! What an intersting job you have. I sometimes forget that you are a real dietician now! My question is, how can these people who can't afford meals afford the hospital? It makes sense why they would want to stay there if there home life is so bad, but how do they pay? Sounds like you need some social workers in your hospital, actually, you probably have them right??

     
  • At 2:30 PM, Blogger Abby said…

    Yes, they have lots of social workers. In fact, I cover two floors, and for my two floors there are 5 or 6 I believe. So they have a lot to do. And as far as the payment is concerned, I don't know the details, but I am sure the governement (and you and I) pay for them to stay in the hospital. Most of the patients obviously cannot work since they are in the hospital so they are on disability, welfare, etc. So I believe for the most part Medicaid pays for their care.

     
  • At 5:44 PM, Blogger Laura said…

    Hmm...I haven't had cheetos in a long time. They sound good, so I don't know why they would only be for kids. However, why would a hospital stock cheetos anyway? Do they have any nutritional value at all?

     

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