Holly, if it is really you, and not Randy, I have a question.

[wyliec]

I work in a hospital rehab unit, and I've noticed a rise in stroke patients during surgeries, or shortly after. This rise in stroke patients started about a year and a half ago. Have you noticed any increase where you work. I'm assuming you are Holly, still in nursing, and at a hospital.

 

[bhern]

Sorry to butt into what may be none of my business...

I work in a hospital rehab unit, and I've noticed a rise in stroke patients during surgeries, or shortly after. This rise in stroke patients started about a year and a half ago. Have you noticed any increase where you work. I'm assuming you are Holly, still in nursing, and at a hospital.

...but with a close relative having gone through that exact situation (stroke after a very successful but invasive heart surgery), your question certainly raised my eyebrows a bit. Has there been a change in protocols in the last couple of years that you think may be at the root of this? Not looking to assign blame or find someone to sue, just really puzzled by that outcome, which has caused a lot of difficulties for my relative.

 

[wyliec]

...but with a close relative having gone through that exact situation (stroke after a very successful but invasive heart surgery), your question certainly raised my eyebrows a bit. Has there been a change in protocols in the last couple of years that you think may be at the root of this? Not looking to assign blame or find someone to sue, just really puzzled by that outcome, which has caused a lot of difficulties for my relative.

I don't know the answer. Holly may know more.

 

[bscrive]

It is definitely Randy using Holly's screen name, but I am sure he can ask Holly and get back to you.

What do you say Randy.

BTW, are you guys going to Spyderquest this year?

 

[Bob Denman]

:agree:...

 

[ARtraveler]

:dontknow::dontknow::dontknow::dontknow:

 

[Holly]

HIPAA regulations.



The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information

and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically.



Sorry...................... My mouth has duct tape on it !!!!!!!! ​

 

[IGETAROUND]

I have a question.

...but with a close relative having gone through that exact situation (stroke after a very successful but invasive heart surgery), your question certainly raised my eyebrows a bit. Has there been a change in protocols in the last couple of years that you think may be at the root of this? Not looking to assign blame or find someone to sue, just really puzzled by that outcome, which has caused a lot of difficulties for my relative.

Stroke after any vascular proceedure though not an expected occurance is in the range of 1.5 to just under 4%. Here is an excerpt from a 2014 study.

—Using the national Vascular and Stroke registries, we identified 3998 patients who had undergone carotidendarterectomy or carotid artery stenting for symptomatic carotid stenosis between May 2008 and December 2012.Among these, 2% (79 of 3998) had undergone previous thrombolysis for stroke. We conducted a retrospective reviewof registry data and individual case records with regard to postoperative complications, including surgical-site bleeding,stroke, and death. The outcome was compared with the results for the remaining patient cohort (3919 of 3998) undergoingcarotid surgery and stenting during the study period.Results—The median time between thrombolysis and the carotid procedure was 10 days. Seventy-one patients underwentcarotid endarterectomy, and 6 patients underwent carotid artery stenting. The 30-day death and stroke rate for thethrombolysis cohort was 2.5% (2 of 79), and for the whole cohort, it was 3.8% (139 of 3626; P=0.55). The postoperativebleeding rates requiring reoperation were not significantly different between the groups (3.8% [3 of 79] in the thrombolysisgroup versus 3.3% [119 of 3626] in the whole cohort; P=0.79). There was no correlation between time from lysis tosurgery or stenting and complications at 30 days postoperatively.Conclusions—Urgent carotid endarterectomy or carotid artery stenting after thrombolysis for stroke may be safe withoutincreased risk of serious complications. (Stroke. 2014;45:776-780.)Key Words: endarterectomy, carotid ◼ stroke ◼ thrombolytic therapy

So to answer you initial question, thouhg not the expected outcome, it is certainly a possibility with major vascular surgeries.

Al in Kazoo

 

[Bob Denman]

HIPAA regulations.
The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information

and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically.
Sorry...................... My mouth has duct tape on it !!!!!!!! ​

If you're not speaking about a specific patient: HIPPA rules don't apply.
Essentially: you're speaking hypothetically! :thumbup:​

 

[Holly]

Stroke after any vascular proceedure though not an expected occurance is in the range of 1.5 to just under 4%. Here is an excerpt from a 2014 study.

—Using the national Vascular and Stroke registries, we identified 3998 patients who had undergone carotidendarterectomy or carotid artery stenting for symptomatic carotid stenosis between May 2008 and December 2012.Among these, 2% (79 of 3998) had undergone previous thrombolysis for stroke. We conducted a retrospective reviewof registry data and individual case records with regard to postoperative complications, including surgical-site bleeding,stroke, and death. The outcome was compared with the results for the remaining patient cohort (3919 of 3998) undergoingcarotid surgery and stenting during the study period.Results—The median time between thrombolysis and the carotid procedure was 10 days. Seventy-one patients underwentcarotid endarterectomy, and 6 patients underwent carotid artery stenting. The 30-day death and stroke rate for thethrombolysis cohort was 2.5% (2 of 79), and for the whole cohort, it was 3.8% (139 of 3626; P=0.55). The postoperativebleeding rates requiring reoperation were not significantly different between the groups (3.8% [3 of 79] in the thrombolysisgroup versus 3.3% [119 of 3626] in the whole cohort; P=0.79). There was no correlation between time from lysis tosurgery or stenting and complications at 30 days postoperatively.Conclusions—Urgent carotid endarterectomy or carotid artery stenting after thrombolysis for stroke may be safe withoutincreased risk of serious complications. (Stroke. 2014;45:776-780.)Key Words: endarterectomy, carotid ◼ stroke ◼ thrombolytic therapy

So to answer you initial question, thouhg not the expected outcome, it is certainly a possibility with major vascular surgeries.

Al in Kazoo

In 2012 Nurses/Doctors and hospital staff got mandatory scheduled breaks.............. Now, Nurses/Doctors and hospital staff barely have time to use the restroom. Form your own conclusions......... :thumbup:

 

[IGETAROUND]

In 2012 Nurses/Doctors and hospital staff got mandatory scheduled breaks.............. Now, Nurses/Doctors and hospital staff barely have time to use the restroom. Form your own conclusions......... :thumbup:

Oh please, what planet do you reside on. Nurses and hospital staff, not to mention office staffs take breaks when their work flow allows for it.

Al

 

[Holly]

Come to work on my 12 hour shift (which really is 13-14)....... I dare you !!!!!!!!!!!! :thumbup:

Obviously you are a pencil pusher and have no clue about patient care......... :banghead:


Never mind, you are probably a teacher......:gaah:

 

[wyliec]

Stroke after any vascular proceedure though not an expected occurance is in the range of 1.5 to just under 4%. Here is an excerpt from a 2014 study.

—Using the national Vascular and Stroke registries, we identified 3998 patients who had undergone carotidendarterectomy or carotid artery stenting for symptomatic carotid stenosis between May 2008 and December 2012.Among these, 2% (79 of 3998) had undergone previous thrombolysis for stroke. We conducted a retrospective reviewof registry data and individual case records with regard to postoperative complications, including surgical-site bleeding,stroke, and death. The outcome was compared with the results for the remaining patient cohort (3919 of 3998) undergoingcarotid surgery and stenting during the study period.Results—The median time between thrombolysis and the carotid procedure was 10 days. Seventy-one patients underwentcarotid endarterectomy, and 6 patients underwent carotid artery stenting. The 30-day death and stroke rate for thethrombolysis cohort was 2.5% (2 of 79), and for the whole cohort, it was 3.8% (139 of 3626; P=0.55). The postoperativebleeding rates requiring reoperation were not significantly different between the groups (3.8% [3 of 79] in the thrombolysisgroup versus 3.3% [119 of 3626] in the whole cohort; P=0.79). There was no correlation between time from lysis tosurgery or stenting and complications at 30 days postoperatively.Conclusions—Urgent carotid endarterectomy or carotid artery stenting after thrombolysis for stroke may be safe withoutincreased risk of serious complications. (Stroke. 2014;45:776-780.)Key Words: endarterectomy, carotid ◼ stroke ◼ thrombolytic therapy

So to answer you initial question, thouhg not the expected outcome, it is certainly a possibility with major vascular surgeries.

Al in Kazoo

Do you consider hip, and knee replacement, and spinal surgery, such as fusions major vascular surgeries? Sometimes, for example, in a total hip replacement the dr. may be near an artery; but, unless he/she screws up, it would not be considered a vascular surgery. It is mostly those surgeries that I am talking about, and that's my fault as I wasn't clear in the original post. I did have a patient this weekend that had sternal precautions; so, that surgery was vascular, and she had a stroke during or after surgery; I'm not sure which.

I'm just saying I have noticed more patients that have had strokes, during surgery or shortly after, in the last year and a half. What you have quoted is from 2012, and to me is not really related to my original question, in both time frame, and type of surgery; once again my fault as to the surgery.

Blood clots can occur for numerous reasons, and when they break away and reach the heart or brain, you can have a stroke. There are many reasons for clots, not just surgery. Maybe that's a factor in why I have seen an increase.

 

[wyliec]

Come to work on my 12 hour shift (which really is 13-14)....... I dare you !!!!!!!!!!!! :thumbup:

Obviously you are a pencil pusher and have no clue about patient care......... :banghead:


Never mind, you are probably a teacher......:gaah:

I just checked this thread, and this was the first post I saw after checking earlier today. I thought you were talking to me.pps: Or, were you.:shocked:

 

[wyliec]

Oh please, what planet do you reside on. Nurses and hospital staff, not to mention office staffs take breaks when their work flow allows for it.

Al

I admittedly only work 2 weekends a month. But, I am given a schedule to follow, and there is no time included for chit chat breaks. It's one patient after another. Most times I work thru lunch to catch up on my notes. If I don't like it, I can quit anytime.

 

[UtahPete]

In 2012 Nurses/Doctors and hospital staff got mandatory scheduled breaks.............. Now, Nurses/Doctors and hospital staff barely have time to use the restroom. Form your own conclusions......... :thumbup:

There are numerous possible conclusions, some more provocative than others.

It's a free country, Holly. Why don't you quit and find something more satisfying? Like TSA agent, or Border Patrol or ICE?

 

[Saluda]

Or a teacher.

 

[JerryB]

Hi Holly,

Re: Form your own conclusions.........

OK, I have,

About 4 weeks ago I suffered a heart attack; unbeknownest to me.

On 21 Apr I had been working on a small house project & I would work some, have serious chest pains, then sit for ~ 5 minutes & get back to work.

On Monday, I called & made a routine visit to see WTH was going on.

By 2 PM I was admitted & transported across town to their cardio-vascular hospital.

After some tests, I went into surgery the next day. Triple-bypass surgery. I spent a week in the hospital & now am at my daughter's on a 6-8 week recovery.

I do not care how many breaks those support people get, I could not have been taken care of better. Every person I inter-acted were tremendous.

So there,

Jerry Baumchen

PS) I have no idea on what tomorrow will bring, but I am a glass-half-full kind of guy. I guess you are a glass-half-empty kind of person.

 

[Saluda]

Hi Holly,


About 4 weeks ago I suffered a heart attack; unbeknownest to me.

On 21 Apr I had been working on a small house project & I would work some, have serious chest pains, then sit for ~ 5 minutes & get back to work.

On Monday, I called & made a routine visit to see WTH was going on.

By 2 PM I was admitted & transported across town to their cardio-vascular hospital.

After some tests, I went into surgery the next day. Triple-bypass surgery. I spent a week in the hospital & now am at my daughter's on a 6-8 week recovery.


Sorry to hear, wish you the best.

 

[UtahPete]

About 4 weeks ago I suffered a heart attack; unbeknownest to me. Triple-bypass surgery. I spent a week in the hospital & now am at my daughter's on a 6-8 week recovery. Jerry Baumchen

PS) I have no idea on what tomorrow will bring, but I am a glass-half-full kind of guy. I guess you are a glass-half-empty kind of person.

I'm sorry to hear that my friend. Take care of yourself and best wishes for a full recovery.