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View Full Version : A Whole New Definition of "Austere" Medicine



Reasonable Rascal
03-25-02, 02:21
From the Las Vegas Sun:

http://www.lasvegassun.com/sunbin/stories/thrive/2002/mar/24/032402351.html

Report: Mice Infested Mo. Hospital

KANSAS CITY, Mo. (AP) -

Maggots were born in the noses of two comatose patients four years ago at a city Veteran's Administration hospital infested by mice and flies, according to a medical journal report released Monday.

The story in the Archives of Internal Medicine details the 1998 infestation. It said mice would sometimes dash over the feet of employees in the hospital director's suite.

Hospital officials said the hospital no longer has any cleanliness problems. Barbara Shatto, the hospital's quality manager, said the hospital scored 99 out of 100 when it was inspected by the Joint Commission on Accreditation of Hospital Organizations in October.

"We learned from that incident and took action to make sure it doesn't happen again," said Pat Landon, the hospital's director of facilities.

The infestation started with a housecleaning oversight, according to the article.

Dr. Stephen Klotz, then the hospital's chief of infectious disease, said the mice moved in
after the cafeteria and food storage areas were dropped from a cleaning list. Some areas
weren't cleaned for at least a year, according to the article.

By July 1998, a pest control contractor put out bait and glue boards to kill the mice.

Inspectors later found dead mice in food storage rooms, mouse nests behind boxes on food shelves, and mouse droppings on the floor of a cafeteria work room. Live mice were found in a large wastebasket.

Cleaners missed some of the dead mice, which attracted flies. Green blowflies like to lay their eggs in dead mice.

Electronic fly-control devices were installed, and pest-control workers began using live traps for the mice.

Some of the flies flew into the hospital's intensive-care unit, where they were trapped by automatic doors and kept away from mouse carcasses.

Maggots were found in the nostrils of one patient on July 22, 1998, the article said. Maggots were found in the nose of a second patient on Sept. 30, 1998.

Klotz said the maggots were removed immediately and that neither patient was harmed by the infestation. The first patient died two days after the maggots were found but the cause of death was unrelated.

"They're ghastly," he said, "but they're harmless."

Klotz said he found a few other cases where flies laid eggs in patients at other hospitals.

RESQDOC
03-25-02, 02:31
In the Wichita, Kansas VA hospital several years ago the Monday morning nursing shift came on and found a patient expired, with full rigor and lividity in place. The on-call resident checked a rectal temp, it was 74, room temp. Vital signs were documented every four hours all weekend. Ya.

I'm so glad that this country values it's veterans. I love our "use up and dispose of when annoying mentality," especially as it applies to children, elderly, and pets.

No cleaning food service areas for over a year?

Reasonable Rascal
03-25-02, 03:17
One hospital I worked in as part of an attached EMS service back in the 80's didn't sweep the kitchen but once annually. Oh the floor was mopped nightly, granted. But they didn't sweep until before the annual inspection. Hmm, wonder why they couldn't get a 2-year certification?

Since our ancillary duties were mopping the kitchen each evening and I worked the evening/night shift 2 days back to back out of every 10 days while I was there at least it was swept every week/half. String mops are lousy at picking up chunks of stuff otherwise.

The first year I was there the hospital performed a total of 12 surgeries, the 2nd year - 1. I have to wonder why it is even still in operation.

My first hospital back in the 70's didn't install air conditioning in the OR suites until the early 70's. According to one of the GP's who was still doing surgeries there at the time the windows were unscreened. Shooing flies out of open laps was routine he claimed.

RR

jagdkampf
03-25-02, 07:11
Another casualty of hospital cutbacks. Our housekeeping dept. is horrible. They only hit the high spots and to heck with the rest of it. They have this weird "union" mentality. "Sorry, I can't clean there because this object weighs more than 25 pounds and I might injure my back moving it. You move it, then I'll come clean." Arrrrgggh ! We did a couple of experiments to test their efficiency. We put a grape under a desk and checked it daily to see how long it would take them to find it. The dang grape turned into a raisin. We finally threw it away at 3 weeks. Second experiment involved a mouse. We found a dead mouse behind some boxes. So, we hung the thing by string (hangman's noose) along with a suicide note in the back storeroom. It was finally found by the OR supervisor, she wasn't impressed. That ended our experiments.
Jag

cayoung
04-07-02, 16:12
First, it is tragic that medical care facilities (of all places :roll: ) suffer from such terrible cleanliness. :mad:

I'm glad to see that I'm not the only person with a sense of humor. :lol: Some years ago, I foil wrapped a Readers Digest and put it in my Mom's freezer. Inside the foil, I put a note "25 cents reward to the first person who brings this to me". It was almost two years, to the day, before Mom found it. :oops:

Of course, <my> freezer it would probably be five years. :puke1:

Scott Adams and Dilbert would have a few things to say about this. :bounce1: I'm glad he isn't going to find out. :psycho1:

Darkangel
04-13-02, 17:03
Hay RR, I rotated through that KC Vets Hosp. in 1975 as a Nursing student. It was a terrible rotation, I made my wife pledge never to have me placed in any Vets hosp.
Some years later I toured the Vets hosp in St. Louis....I was even more shocked there when I saw the patient care. On the whole the Vets Hosp either are very good or a Horror, unfortunantly the latter seemes to be the rule.
DA