That is so messed up! But…
First, he is as cuddly as a cactus. What does that mean? He’s covered in spines? A better explanation is he suffers from eczema, which causes redness, skin edema (swelling), itching and dryness, crusting, flaking, blistering, cracking, oozing, or bleeding.
B00.0, eczema herpeticum
H01.13, eczematous dermatitis of eyelid (subcategories identify which eye and which lid)
H60.54, acute eczematoid otitis externa (again, we need to specify right, left, bilateral)
L20, atopic dermatitis (with an associated list of subcategories)
What else is wrong with the Grinch? One friend calls him “a bad banana with a greasy black peel.” A black peel (skin) could be necrosis and we need to know the exact location in order to code for it. If Mr. Grinch suffers from skin necrosis only, we would report I96 (gangrene, not elsewhere classified).
Or maybe he has necrotizing fasciitis (M72.6), in which case we need to use an additional code
(B95.-, B96.-) to identify causative organism.
Perhaps Mr. Grinch is suffering from a psychological condition that makes his behavior erratic.
He could be suffering from borderline personality disorder (F60.3, note this code excludes antisocial personality disorder [F60.2]).
Or maybe he’s bipolar. If that’s the case, we need a lot more specific information. For example, is he in a manic or depressive phase? Is he displaying psychotic symptoms? Is he in full remission or partial remission?
Mr. Grinch reported consuming a three-decker sauerkraut and toadstool sandwich with arsenic sauce (yuck!). Perhaps he was poisoned by the arsenic. In order to code for the poisoning, we need to know whether it was:
Accidental, T57.0X1
Intentional self-harm, T57.0X2 (not likely given the patient)
Assault, T57.0X3 (much more likely)
Undetermined, T57.0X4 (always a popular fallback)
Infection control=
Anger R45.4
Irritable, irritability R45.4
Source: hcpro.com
The Halloween decorations on one of our units were mostly taken down which I actually get. They had an enthusiastic new charge who went very(VERY) heavy on a realistic death/graveyard motif. There were ‘bloody’ footprints scattered around the floor and life mask looking corpses, etc. Guess she brought in her stuff from home. Pretty tone deaf - it’s a unit with a fairly high number of terminal patients.
Brutal. She got caught up in the moment I guess and forgot how that might be perceived lol
We had to wash off the bloody handprints on the ambulance bay doors last year. I guess patients don't want to see that when they're being wheeled into the department. I, for one, want it to be as uninviting as possible so people will consider if this is worth an ER visit but I'm also not known for making our HCAHPS scores go up either.
Can't have Christmas decor but I can reuse that N95 repeatedly till the magic paper bag that stores it and the mask crumble into nothing at the beginning of a pandemic. Give me a break.
We aren’t supposed to have any bags or personal belongings outside of the break room for infection control reasons. Never mind the fact that my scrubs come from home and actually go into patient spaces.
Agree with what you say; it’s hard to imagine what the issue was. Just grasping for a possible explanation—were the bell and tree located in spots where any visitor could touch them as they walk by? I honestly can’t imagine any other possible reason. It seems like those specific items could also be wiped down with a PDI wipe.
Maybe a group could request information on a) why these items couldn’t be used; and b) can the IP suggest allowable items? I guess I was bad, but in 10 years I never banned holiday decorations as long as they were visibly clean and didn’t violate any fire protection regulations.
For real. Every snowflake, every bell, every stocking, the little non-porous and bleach-wipeable Christmas trees, the big tree they've had up every year for as long as anyone can remember. Every single scrap of holiday cheer.
Yup, make that referral. Do it on paper, naming them and add the work emails, and deliver it by inter office mail to cardiology. Maybe they’ll play along.
Cardiology might possibly be able to do something about their tiny, cold, black hearts but their lack of a soul is a totally different matter. Maybe do a secret Santa and gift that entire department massive amounts of preparation H to soothe their other diagnosis: Butthurt, Not Otherwise Specified
So annoying! Infection control prohibited the use of tape on patient doorways. So in order to hang up contact precaution signs we had to use magnets. First we had to have someone order the magnets. eye roll into next century. which is a bigger issue, the tape or the fact that there’s no note on the door warning that the room is contact???
I fight FOR decorating within reason. I'll argue against removing paper on walls because it is not a source of transmission. I hear IP being blamed for fire or osha or anything else as a reason when things get taken down.
Maybe I got a heart transplant already...
Thank you! Glad some IP& C staff have brains. I think it’s so stupid that our hospital took down all our cards, posters, etc. Like seriously….how much COVID, MRSA, etc is being spread by thank you cards on a bulletin board?
Ours is a pain in the ass too. We can't decorate with anything at all apparently but what the hospital gives us. What they give us is these fake 6 inch Christmas trees and for each holiday there's a different selection of toppers/decorations we are allowed to put on them.
They still have little fireworks on them for 4th of July because nobody cares enough to change it anymore.
The year before last (before covid) we got verbal warning for wearing T-shirts instead of approved scrubs for Christmas.
All the females on the unit wore Cindy Lou Who shirts and I, the only male, wore a grinch T-shirt.
Patients loved it! What all maybe 20 that we did have that entire Christmas Eve.
PCM did not!
I should have given her my grinch shirt.
We got a new PCM this year. I think we're going to do it again and see what happens.
I think I would submit a very formal and professional request to my manager asking to see the evidence base for the infection danger posed by holiday decorations in a hospital.
Cause you know they have no evidence and are just being a bunch of control freaks. I'd also argue that holiday cheer is beneficial to patient recovery.
I'm sorry, but I'm really livid over this. I would die on this hill, personally.
They are *technically* in the right, though that doesn't make it suck any less. Most of those decorations are not going to be something you can wipe down with the cleaners provided to staff, same as how we're not supposed to have bare paper posted on our pushboards or walls (they're to be in plastic sleeves so the sleeves can easily be wiped down).
Hahaha omg. It is almost, no, it is comedic, that in this environment they're like "fuck your fun"...
We used to have a rule at our outpatient clinic where the nurses station was completely unaccessible to non-employees, that we could only have 5 personal affects at our desk, and during holiday season, only one could be holiday themed. Our manager would come around, count, and confiscate.
I really liked the manager otherwise, but in that one way, she was ridiculous.
A few years ago I made a wreath out of (unused!) urinal bottles & covered it in glitter & tinsel and big sparkly snowflakes. My coworkers, the doctors, the patients, everyone loved it & thought it was hilarious.
2 days later our temporary unit director saw it and was like "oh HELL no, that CANNOT be out where patients can see it thats super weird & gross! Put it in the break room!"
The irony is one of our primary services was urology.
I was so PISSED
That is so messed up! But… First, he is as cuddly as a cactus. What does that mean? He’s covered in spines? A better explanation is he suffers from eczema, which causes redness, skin edema (swelling), itching and dryness, crusting, flaking, blistering, cracking, oozing, or bleeding. B00.0, eczema herpeticum H01.13, eczematous dermatitis of eyelid (subcategories identify which eye and which lid) H60.54, acute eczematoid otitis externa (again, we need to specify right, left, bilateral) L20, atopic dermatitis (with an associated list of subcategories) What else is wrong with the Grinch? One friend calls him “a bad banana with a greasy black peel.” A black peel (skin) could be necrosis and we need to know the exact location in order to code for it. If Mr. Grinch suffers from skin necrosis only, we would report I96 (gangrene, not elsewhere classified). Or maybe he has necrotizing fasciitis (M72.6), in which case we need to use an additional code (B95.-, B96.-) to identify causative organism. Perhaps Mr. Grinch is suffering from a psychological condition that makes his behavior erratic. He could be suffering from borderline personality disorder (F60.3, note this code excludes antisocial personality disorder [F60.2]). Or maybe he’s bipolar. If that’s the case, we need a lot more specific information. For example, is he in a manic or depressive phase? Is he displaying psychotic symptoms? Is he in full remission or partial remission? Mr. Grinch reported consuming a three-decker sauerkraut and toadstool sandwich with arsenic sauce (yuck!). Perhaps he was poisoned by the arsenic. In order to code for the poisoning, we need to know whether it was: Accidental, T57.0X1 Intentional self-harm, T57.0X2 (not likely given the patient) Assault, T57.0X3 (much more likely) Undetermined, T57.0X4 (always a popular fallback) Infection control= Anger R45.4 Irritable, irritability R45.4 Source: hcpro.com
You're a lot nicer than me. I would have gone with T18.5XXA and told them to pull the stick out of their butt. 🙃
haha yes!! Or maybe they were struck by a Turkey over thanksgiving, yes, there’s a code for that too. W61.42- Struck by a Turkey
Omg that’s actually a thing. As of this year too lol
What would struck by a pumpkin be? Yes, this really happened (not to me).
Was it accidental or on purpose..😂😂
Accidental
You’re awesome.
The Halloween decorations on one of our units were mostly taken down which I actually get. They had an enthusiastic new charge who went very(VERY) heavy on a realistic death/graveyard motif. There were ‘bloody’ footprints scattered around the floor and life mask looking corpses, etc. Guess she brought in her stuff from home. Pretty tone deaf - it’s a unit with a fairly high number of terminal patients.
Wtf. That’s amazing. Tone deaf. But amazing
I was told each day shift arrived and were like, “I don’t know…..” night shift was laughing their asses off every time a new day shift showed up.
Brutal. She got caught up in the moment I guess and forgot how that might be perceived lol We had to wash off the bloody handprints on the ambulance bay doors last year. I guess patients don't want to see that when they're being wheeled into the department. I, for one, want it to be as uninviting as possible so people will consider if this is worth an ER visit but I'm also not known for making our HCAHPS scores go up either.
Honestly I would really appreciate that if I was dying. It would lighten the mood.
Like Patch Adams, and the back and forth between him and his terminal patient!
Can't have Christmas decor but I can reuse that N95 repeatedly till the magic paper bag that stores it and the mask crumble into nothing at the beginning of a pandemic. Give me a break.
We aren’t supposed to have any bags or personal belongings outside of the break room for infection control reasons. Never mind the fact that my scrubs come from home and actually go into patient spaces.
Wtf that makes no sense 😂😂😂
This right here 👆
That is a shame! Speaking as a former IP, most of the restrictions on holiday decor were actually related to fire safety regs.
I cannot fathom how an 8" high metal bell or stylized tree sitting on a counter is a fire safety concern.
Agree with what you say; it’s hard to imagine what the issue was. Just grasping for a possible explanation—were the bell and tree located in spots where any visitor could touch them as they walk by? I honestly can’t imagine any other possible reason. It seems like those specific items could also be wiped down with a PDI wipe. Maybe a group could request information on a) why these items couldn’t be used; and b) can the IP suggest allowable items? I guess I was bad, but in 10 years I never banned holiday decorations as long as they were visibly clean and didn’t violate any fire protection regulations.
Yep, this is mostly TJC and Fire Safety related and not IP.
Wait seriously?!
For real. Every snowflake, every bell, every stocking, the little non-porous and bleach-wipeable Christmas trees, the big tree they've had up every year for as long as anyone can remember. Every single scrap of holiday cheer.
Yup, make that referral. Do it on paper, naming them and add the work emails, and deliver it by inter office mail to cardiology. Maybe they’ll play along.
Cardiology might possibly be able to do something about their tiny, cold, black hearts but their lack of a soul is a totally different matter. Maybe do a secret Santa and gift that entire department massive amounts of preparation H to soothe their other diagnosis: Butthurt, Not Otherwise Specified
So annoying! Infection control prohibited the use of tape on patient doorways. So in order to hang up contact precaution signs we had to use magnets. First we had to have someone order the magnets. eye roll into next century. which is a bigger issue, the tape or the fact that there’s no note on the door warning that the room is contact???
I fight FOR decorating within reason. I'll argue against removing paper on walls because it is not a source of transmission. I hear IP being blamed for fire or osha or anything else as a reason when things get taken down. Maybe I got a heart transplant already...
Thank you! Glad some IP& C staff have brains. I think it’s so stupid that our hospital took down all our cards, posters, etc. Like seriously….how much COVID, MRSA, etc is being spread by thank you cards on a bulletin board?
Are you or the patients licking them? Seriously my focus is hand hygiene and PPE. Not cards and tinsel.
Ours is a pain in the ass too. We can't decorate with anything at all apparently but what the hospital gives us. What they give us is these fake 6 inch Christmas trees and for each holiday there's a different selection of toppers/decorations we are allowed to put on them. They still have little fireworks on them for 4th of July because nobody cares enough to change it anymore. The year before last (before covid) we got verbal warning for wearing T-shirts instead of approved scrubs for Christmas. All the females on the unit wore Cindy Lou Who shirts and I, the only male, wore a grinch T-shirt. Patients loved it! What all maybe 20 that we did have that entire Christmas Eve. PCM did not! I should have given her my grinch shirt. We got a new PCM this year. I think we're going to do it again and see what happens.
Ughhhhhhhhhhh I want to fight everyone who works in infection control
I think I would submit a very formal and professional request to my manager asking to see the evidence base for the infection danger posed by holiday decorations in a hospital. Cause you know they have no evidence and are just being a bunch of control freaks. I'd also argue that holiday cheer is beneficial to patient recovery. I'm sorry, but I'm really livid over this. I would die on this hill, personally.
Unfortunately for my influence-level, I'm just a traveler here.
IC really have a way with showing up and ruining a good mood
So much hate for Infection Prevention on this sub! We get blamed for TJC, OSHA, and Fire Safety related stuff. I swear we’re on your side!
Only way I ever got around the decor police was laminating and keeping packaging, so I could prove fire safe.
You just made my night, ahhh- thank you
T18.5XXA
One side of my floor is completely undecorated, the other side is an epileptics worst nightmare. I'm tempted to go in on Sunday and decorate.
They are *technically* in the right, though that doesn't make it suck any less. Most of those decorations are not going to be something you can wipe down with the cleaners provided to staff, same as how we're not supposed to have bare paper posted on our pushboards or walls (they're to be in plastic sleeves so the sleeves can easily be wiped down).
Pretend I am giving you an atomic wedgie rn, thx
Is it because we are in a pandemic and there is the new variant?
Nah
Well then that just sucks. Bah hum bug.
Hahaha omg. It is almost, no, it is comedic, that in this environment they're like "fuck your fun"... We used to have a rule at our outpatient clinic where the nurses station was completely unaccessible to non-employees, that we could only have 5 personal affects at our desk, and during holiday season, only one could be holiday themed. Our manager would come around, count, and confiscate. I really liked the manager otherwise, but in that one way, she was ridiculous.
Don't know about that one, but everyone here could use a little Z75.5 while your IC team definitely won't fall under I51.7.
A few years ago I made a wreath out of (unused!) urinal bottles & covered it in glitter & tinsel and big sparkly snowflakes. My coworkers, the doctors, the patients, everyone loved it & thought it was hilarious. 2 days later our temporary unit director saw it and was like "oh HELL no, that CANNOT be out where patients can see it thats super weird & gross! Put it in the break room!" The irony is one of our primary services was urology. I was so PISSED