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G. Kuppuswamy Naidu Memorial Hospital - Coimbatore Image

MouthShut Score

45%
2.14 

Infrastructure:

Medical Care:

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Netaji Road, Pappanaickenpalayam, Coimbatore 641037, TN

+91-422-2245000

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coimbatore India
Medical ICU, the one way to hell
Nov 16, 2008 09:03 PM 18776 Views

Infrastructure:

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Well, iam a 48 year old professionally a nurse, having worked as a icu incharge in various hospitals in the middle east, iam a asthmatic, unfortunately when visiting coimbatore had a bad exacerbation on a cold evening, my host, my old friend took me to GKNM as it is popularly known, I was taken to the posh emergency, a nurse took my pulse, BP, a young dr saw me & he ordered for a ecg, he had not even examined my chest, well my wheeze was glaring, it could be heard, even with out a steth, I presumed like that, I can understand it being a popular cardiac hospital they are tuned in picking up heart attacks better. I was administered nebulisation & promptly referred to medicine.


I was seen by a  lady doc, who opined that my wheeze was pretty bad, & I needed to be admitted in a ICU, I thought I required admission but I thought level 1 nursing not essential but then you see since I was in the pasenger seat I just agreed, I just enquired who my consultant was, she thought for a while & then told his name, I wondered why, is it that nobody was on call on that day,


I enquired when he would see me, she told the next day & she would be informing him the next day morning about my admission, I thought it was little odd because the consultant I thought is responsible for my care & he should be briefed about admissions to high dependancy units & though he is not around the whole work up starts from that point itself. I asked her if she was the ICU registrar, her answer was no. well my friend warned me that if we are too fussy, then things might not work well


So I was shifted to medical ICU, by now I was feeling better, but my nightmare started.


opposite to me was a young girl, who was so restless, moaning, trying hard to breath, she was on a ecg monitor, which showed a flat line, i knew thats because of disconnection, her pulse oximeter was not picking up, I knew she was having low blood pressure, in respiratory failure, I could not keep quiet because her breathing was worsening, so I called out to the nurse, to help the poor girl, i asked her if they had a registrar for the icu, she told that the concerned unit duty doctor was responsible for her & it happened that it was the same dr who was incharge for my care.


Time just ticked off, another 15 min my wheeze disappeared, but then the girl had no voice she could not breath, i sent a silent prayer to god I was helpless, I just wished I was in my ICU, by now my doc would have intubated her, on all monitors on earth, ionotropes etc.


I could see nurses, frantically on the phone, my god the girl now had shallow breaths, a doc in blue theatre dress rushed in, he yelled at the nurses, and the screens were down, I knew her heart had stopped, nurses, running in & out of the screen, I could hear them breaking glass ampoules, After about 20 min the dr in the blue dress, left the place after speaking to my lady dr, I thoght I heard " we do too little too late". I knew that was very true in this case, since I umpired the whole show for nearly 2 hours.


I prayed, I prayed, for the girl, her parents, she was so young, probably in her 20s, I place where I work we have a mortality of about 40% but then no patient is left unmonitored, I could see her worsening over 2 hours & nothing really active was done till she took her last few breaths


Probably it just reflects the system thats so weak, I think may be she could have been salvagsd had they put her on a respirator 2 hours earlier, monitor her aggressively, Iam disturbed because she was supposed to be in level 1 nursing unit, but nothing really was level 1 except probably for the charges.


It just reminds me of my growing days as a ICU nurse, when my mentor, the dr incharge of the ICU I worked in chennai used to spend sleepless nights in the ICU, working hard to keep the patient going, & gradually over a period of 5 years, he had a team, protocols, system that really though not fool proof were producing results


I think its for the hospital to audit such events in great detail & if things are this bad the concerned consultant should not be allowed to admit such sick patients under him, rather refer it to some body else who has the zeal, committment. I feel the consultant who had admitted that girl is filly responsible, not for her death but for the level of care, the apathy shown to her. I know critical care is all about level of care & not the end result.


Oh I dont want to the other hardships I faced in the wards, because I feel  the issue I have raised will get  diluted. communication is very poor, the procedure for admissions, discharge are all printed in all the wards, but no nurse, doctor, or the public relation people give any straight answer, they usually give a vague answer, which would be so stupid, impractical., probably no body reads these procedures that are stuck in the except for the patient relatives.


food is not provided in time, care not taken whether the patient is a diabetic, I had to remind the nurse everytime that i was allergic to citric foods, & I was a diabetic


I believe discharge summary is like a visiting card, of the hospital, if well written it would attract doctors to refer other patients, my discharge summary didnot carrry any information that iam a diabetic, what treatment was provided for diabetes, no mention about what medicines to take for diabetes


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