Patrol the hospital halls

Rubicon · Post by **Rubicon** » Mon Oct 24, 2022 9:06 am

lazarus wrote: ↑
Mon Oct 24, 2022 8:13 am
All I know is that the last time I patrolled the halls of a hospital, I was walking slow, pushing a drip, and wearing a funny gown that opened at the back.

Were you a patient or just visiting?

lazarus · Post by **lazarus** » Mon Oct 24, 2022 9:34 am

Rubicon wrote: ↑
Mon Oct 24, 2022 9:06 am

lazarus wrote: ↑
Mon Oct 24, 2022 8:13 am
All I know is that the last time I patrolled the halls of a hospital, I was walking slow, pushing a drip, and wearing a funny gown that opened at the back.
Were you a patient or just visiting?

I find it's the easiest way to get past security when doing undercover work.

chunkyfrog · Post by **chunkyfrog** » Mon Oct 24, 2022 9:50 am

I was so grateful when they finally gave me underwear.

Rubicon · Post by **Rubicon** » Mon Oct 24, 2022 1:46 pm

Rubicon wrote: ↑
Mon Oct 24, 2022 4:03 am
I think where we're at now is where we'll stay.

Appreciate the anecdotal stories but that ain't what drives the boat.

Because you've got these guys:

https://www.ahrq.gov/

Who control these guys:

https://www.uspreventiveservicestaskforce.org/uspstf/

Who say

https://www.uspreventiveservicestaskfor ... nXsbjVqtQb

Original research:

The clinical utility of potential screening tools is uncertain. Although screening with MVAP
followed by unattended HST may accurately distinguish persons in the general population who
are more or less likely to have OSA, current data are limited by potential spectrum bias, with an
oversampling of high-risk participants and those with OSA and OSAS. Further, we found no
study that prospectively evaluated screening questionnaires or clinical prediction tools to report
the calibration or the clinical utility for improving health outcomes. Other eligible screening
questionnaires (BQ and STOP-BANG) were evaluated by two studies each and found
inconsistent results. Treatment with PAP and MADs improve intermediate outcomes—PAP
effectively reduces AHI to normal or near-normal levels reduces BP; MADs also reduce AHI
and BP, although the magnitudes of effects were generally less than those with PAP. Although
consistent observational evidence has established that persons with severe or moderate to severe
OSA die at twice the rate of that of controls, trials of PAP and other treatments have not
satisfactorily evaluated whether treatment reduces mortality or improves most other health
outcomes, barring evidence of possible benefit for reduction in EDS and improved sleep-related
QOL.

Rubicon · Post by **Rubicon** » Tue Oct 25, 2022 3:08 am

Rubicon wrote: ↑
Mon Oct 24, 2022 3:33 am

D.H. wrote: ↑
Sun Oct 23, 2022 4:33 pm

If anesthesia is not needed, this screening is generally not done.
What does that mean "Generally not done"?

Call up your hospital and ask for Nursing Education. Tell them you're a sleep apnea patient and advocate. Ask them if they have/use tools to assess sleep and/or sleep apnea on inpatient and/or outpatient admissions.

So where's your report? We (yes, AAMOF I do have a mouse in my pocket) need that information to keep the discussion going.

Rubicon · Post by **Rubicon** » Wed Oct 26, 2022 5:23 pm

Threadkiller strikes again.

Anyway, JCAHO told hospitals 7 years ago to put in an OSA program:

https://www.jointcommission.org/-/media ... al-rev.pdf

colomom · Post by **colomom** » Wed Oct 26, 2022 5:53 pm

Rubicon wrote: ↑
Wed Oct 26, 2022 5:23 pm
Threadkiller strikes again.

Anyway, JCAHO told hospitals 7 years ago to put in an OSA program:

https://www.jointcommission.org/-/media ... al-rev.pdf

Best practices unfortunately don’t always translate to implicated practices.

SleepGeek · Post by **SleepGeek** » Wed Oct 26, 2022 6:37 pm

Rubicon wrote: ↑
Wed Oct 26, 2022 5:23 pm
Threadkiller strikes again.

I thought that was my j-o-b.

zonker · Post by **zonker** » Wed Oct 26, 2022 7:01 pm

SleepGeek wrote: ↑
Wed Oct 26, 2022 6:37 pm

Rubicon wrote: ↑
Wed Oct 26, 2022 5:23 pm
Threadkiller strikes again.
I thought that was my j-o-b.

you DO rather excel at it.

SleepGeek · Post by **SleepGeek** » Wed Oct 26, 2022 7:17 pm

zonker wrote: ↑
Wed Oct 26, 2022 7:01 pm

SleepGeek wrote: ↑
Wed Oct 26, 2022 6:37 pm

Rubicon wrote: ↑
Wed Oct 26, 2022 5:23 pm
Threadkiller strikes again.
I thought that was my j-o-b.
you DO rather excel at it.

AND YOU contribute absolutely NOTHING and EXCEL at that.

lazarus · Post by **lazarus** » Wed Oct 26, 2022 7:20 pm

I consider Zonker the heart and soul of the forum. He's one of the reasons I'm here. Just sayin'.

Pugsy · Post by **Pugsy** » Wed Oct 26, 2022 7:34 pm

And this post from you was really helpful????? NOT.
Come on now, we all know why you do this to Zonker and it sure isn't because he's at the top of your Christmas card list.
You just want to troll him and I have had it with this behavior. It stops RIGHT NOW.

You will STOP right now and if you do it again here in this thread or anywhere else....You won't be posting anymore.

You have crossed the line into harassment and stalking and that will earn you a permanent ban.

The trolling stops....NOW....and you have had your one and final warning.

SleepGeek wrote: ↑
Wed Oct 26, 2022 7:17 pm

zonker wrote: ↑
Wed Oct 26, 2022 7:01 pm

SleepGeek wrote: ↑
Wed Oct 26, 2022 6:37 pm

Rubicon wrote: ↑
Wed Oct 26, 2022 5:23 pm
Threadkiller strikes again.
I thought that was my j-o-b.
you DO rather excel at it.

AND YOU contribute absolutely NOTHING and EXCEL at that.

Rubicon · Post by **Rubicon** » Thu Oct 27, 2022 3:01 am

colomom wrote: ↑
Wed Oct 26, 2022 5:53 pm

Rubicon wrote: ↑
Wed Oct 26, 2022 5:23 pm
Threadkiller strikes again.

Anyway, JCAHO told hospitals 7 years ago to put in an OSA program:

https://www.jointcommission.org/-/media ... al-rev.pdf
Best practices unfortunately don’t always translate to implicated practices.

That doesn't sound exactly right.

I think to add more effect I would have worded it:

Best practices unfortunately don’t always translate to... best practice.

Anyway if D.H. really wanted to make a difference instead of painting broad-brush condemnation then he should do what I suggested. If his hospital is really that much in the dark then he should say "Y'know, JCAHO says you should be doing this. You can save lives." And that's not just drama. Seen and testified on things that went horridly wrong.

Hey, if you see something, say something.

And not just on internet forums.

ejbpesca · Post by **ejbpesca** » Sat Oct 29, 2022 7:19 am

If a snorer is detected, as I would be, what course of action would be taken? Desperately needing sleep, I hope the snore police would not wake me.

lynninnj · Post by **lynninnj** » Sat Oct 29, 2022 7:23 am

ejbpesca wrote: ↑
Sat Oct 29, 2022 7:19 am
If a snorer is detected, as I would be, what course of action would be taken? Desperately needing sleep, I hope the snore police would not wake me.

A look at o2 levels and possible referral for sleep study?

Patrol the hospital halls

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