yeah

Maryville, TN

#21 Aug 17, 2009
thanks for the correction Whatever. Next time i need a greasemonkey to do a car audio job for me, I'll be sure to keep you in mind sweetheart. Now the guy behind you needs his turn on the library computer.

As far as Yep goes, ANY ER visit is going to take hours, simply because it isn't a clinic. Sounds like everything turned out ok to me. Good idea about going to vanderbilt. Maybe an ER visit there will cost tenncare more because I enjoy paying for your healthcare ;)
Duh

Monterey, TN

#22 Aug 17, 2009
I don't have TennCare aka: Medicaid, you scumbucket!

Why are you defending CRMC like a Pit Bull guarding a bone?

I am now tending to think you are Jeff Ferryman based on your one-track mind and nasty attitude.
yeah

Maryville, TN

#23 Aug 17, 2009
I think you're a kindergarten teacher by your ridiculous metaphor and use of the words "nasty attitude". I'm sorry miss nancy. I'll play nice now.
CRMC employee

Cookeville, TN

#24 Aug 23, 2009
As a CRMC employee, I can tell you that I see both sides of the coin. I know a lot of hard workers, but I also know a lot of people who get by doing nothing (and even get promoted!). The problem is that people are not held accountable!
However, I do believe that overall, they are doing the best they can. The employees are not to blame bc of uderstaffing, poor equipment, poor scheduling, etc. Take that up with administration.
If Obama gets his way, it's going ot be a lot worse, folks!
wondering_why

Cookeville, TN

#25 Aug 23, 2009
I would like to know how some employees get away with things that others could never get away with. They usually end up losing the best people because they let the bad apples rule the barn. This especially goes for the OIC dept. One of the nicest, sweetest girls that you could ever meet works the front there and gets the blame constantly, but she is STILL expected to do her job and shut up. And because she is a single mom she HAS to do this or lose her job.????? Ass backwards if you ask me.
Whyaretheythere

Cookeville, TN

#26 Aug 23, 2009
I have to agree that the ER at CRMC is lacking in some areas. I have in my recent years had to experience a few visits to the ER with my grandmother who suffers from Alzheimer's and is generally just getting less stable and having a harder time getting around. On the last visit to the hospital we arrived at 5:30. She was brought in by ambulance and she was thought to have had a stroke. For several hours my family and I rotated in and out of her room as we waited to find out what was going on with her. They found she had a small stroke and wanted to admit her... this was about 8:00 pm. I was in the room with her from there after as we were ignored and talked down to by a nurse who I can only describe as useless. She was young, threw trash on the floors and was very condescending and hurtful to my grandmother while asking her questions because, as most people with Alzheimer's, she didn't remember why she was there. The nurse kept asking her the same questions and getting frustrated with the differing answer... we asked the nurse when we would get a room and she kept telling us we were next on the list... until about 1am when the doctor on call (Dr. Strange) finally admitted that he had overlooked her when sending information up to have people admitted and it would be about another hour. At 3:00 we headed upstairs with a very nice male nurse and were happy to be introduced to the nurse for my grandmother's room who did amazing and made her feel like a princess. The ER needs to teach the nurses what Alzheimer's is and what it means for the patient so maybe the cold heifers will respect the people who suffer with it.
an employee

Cookeville, TN

#27 Aug 24, 2009
I also work at CRMC, and I can't say I got better attention at the ER myself. I have waited for hours and also heard the same gossip and talking going on. I was very aggravated myself but also ashamed. This is the place I work, too. I want to be able to take pride in my place of employment!

I also see so much waste, it is unbelievable. Administration says they want ideas, but they do not act on them. WE HAVE PEOPLE IN POWER WHO ABUSE THE HOSPITAL. Bottom line. Can't fix things until you start at the top!
CRMC employee

Cookeville, TN

#28 Aug 24, 2009
They should take a look at OIC, pharmacy, and housekeeping! I know a pharmacist who leaves the hospital, then comes back to clock out. The supervisor in housekeeping is mean to the employees.

I agree that the hosptial isn't good to women. Men in power often will not offer flexible scheduling, sick time, etc.
What a joke

Cookeville, TN

#29 Aug 25, 2009
I have never met a larger bunch of people who think they are so infallible and righteous. CRMC is a joke. Not just the ER. The whole hospital. I wouldn't take my dying gerbil there. There are good nurses and an occasional good doctor, but overall it is a "too big for your britches" scenario. Take me there if I am having a heart attack, stabilize me and send me on to Nashville please. Otherwise, let me die; that will be the outcome anyway.
This is what happens when it is a "Good Old Boys" club. They let each other get away with murder just to make sure they keep the power. Nothing ever gets better and nothing ever changes. And has anyone noticed how frequently women providers are run out of this town? Family docs, Internal Medicine docs, OB docs, Surgery docs? I have never seen such a witch hunt in all my life. Women are only allowed to be nurses around here unless they play by the rules these boys put in place years ago. That goes for any profession in this town; lawyers, city officials, all the way down to the manager of a store. If you are an intelligent, successful woman with an opinion, you had best go home. Cookeville doesn't want you.
concerned resident

Cookeville, TN

#30 Oct 1, 2009
first, to all of you who think that floor nurses are so much kinder and spend so much more time with with your family members, it's because THEY CAN! they only have 1-2 patients at a time and dont dare send them a third from the ER, even if there is 20 people in the waiting room. the ER nurses have anywhere from 4(on a GREAT day) to 8 patients sometimes ie: in the hallway, wheelchairs, whatever. and the doctors sometimes see 20-30 patients in an hour, so if he spends 5 minutes with you, he's taking time from someone else.
second, PLEASE do not use the ER as your clinic, if you think you've got the flu, stay home and take tylenol and motrin, you'll be better off. also we are not a chronic pain clinic-----

COOKEVILLE ER DOCS NO LONGER WRITES NARCOTIC SCRIPTS!!!! DONT COME SEEKING!!!!!

lastly, if you truly are having a true emergency ie: acute SEVERE pain, you are cyanotic, or you have severed your arm/leg-buddies arm/leg please come in. BUT, if you come in between the hours of 1700-2200, EXPECT TO WAIT, because the aforementioned seekers and sniffling noses are taking up the beds.
Algood Resident

Cookeville, TN

#31 Nov 23, 2010
I am amazed at the peoples' attitudes on here. I think if you can do the job better for a long period of time then go for it. But after you see so many people that abuse the ER then you may think twice before giving medication. Also if you are the doc you can get in trouble for giving narcotics to druggies but then blamed if you don't. Now in your jobs you can't say that everything goes smoothly and you are a 100% because then you would be lying. If I have a TRUE emergency then I would trust the ER nurses WAY more than the floor nurses to care for me. If you come to an ER to use as the clinic because your teeth are hurting and you didn't want to pay for a doctor visit from your doctor or urgent care then you will wait longer because there are people that are dying or extremely sick before you. They should be first right? People will never be happy with any hospital or ER they go to. Esp drug seekers cause that is all they want. I only wish I could work in CRMC ER. beats flipping burgers or doing nothing at home
Well

Hillsboro, TN

#32 Nov 24, 2010
CRMC EMPLOYEE wrote:
Cypress ... kiss my ass!! I have worked at CRMC for many years. I love the entire hospital, but the emergency room nurses and staff are sooo very rude! Most all should be let go. My family has been in the medical field ... Father was a Doctor, Mother an RN, and brother a doctor (out of town), all of them agree that the ER is an embarrasment and unprofessional unit. The ER is probably the one part of the CRMC family that needs great changes.
I get SO tire of hearing this crap. CRMC is a joke. Had a Dr. tell us to go to Dr. Cancel on Monday morning first thing. I questioned him, like are you sure, just walk in? Yes. Dr. Cancel had NO idea about any appointment..Went to ER and encountered some sort of Nurse. The BS started, WE didn't do anything, we are not responsible, you have to make your appointment through Dr. Cancels office. Very condesending woman, but I hung with her.

I agree with you CRMC Employee the ER is an embarrasment. But then again, many medical people to me are. At a persons most vunurable point in life, "they" are the Gods and Generals. It's a total shame how "they" take advantage of human suffering in the name of science.

First clue, patient respect isn't a line item on the companies mission statement. It is, talking to a person like they are an ill, scared, and in pain human being. That you ASK before you ever touch them and discuss what you propose to do procedure wise. Not as a challange to there "professionalism", but as a matter of ownership. My body is mine and I have not written any kind of blank check when I walk through the door. You want to know how to respect me...ask ME.
Livingston Resident

Cookeville, TN

#33 Nov 26, 2010
Well wrote:
<quoted text>
I get SO tire of hearing this crap. CRMC is a joke. Had a Dr. tell us to go to Dr. Cancel on Monday morning first thing. I questioned him, like are you sure, just walk in? Yes. Dr. Cancel had NO idea about any appointment..Went to ER and encountered some sort of Nurse. The BS started, WE didn't do anything, we are not responsible, you have to make your appointment through Dr. Cancels office. Very condesending woman, but I hung with her.
I agree with you CRMC Employee the ER is an embarrasment. But then again, many medical people to me are. At a persons most vunurable point in life, "they" are the Gods and Generals. It's a total shame how "they" take advantage of human suffering in the name of science.
First clue, patient respect isn't a line item on the companies mission statement. It is, talking to a person like they are an ill, scared, and in pain human being. That you ASK before you ever touch them and discuss what you propose to do procedure wise. Not as a challange to there "professionalism", but as a matter of ownership. My body is mine and I have not written any kind of blank check when I walk through the door. You want to know how to respect me...ask ME.
Sometimes when a patient is seen in an ER setting they may speak to the on call doctor and they may intruct a patient to follow up in the morning with another person in their office and might have dropped the ball. It is always a good thing to call ahead anyways. And to say everyone is an embarrassment is not fair. Some people may have bad attitudes but I can say when I have had family in there they have been great and very helpful. I also know that there were sicker patients sometimes than my family member and I can be patient.
Yes a doctor should discuss what they are going to do but to many times now patients go to the ER or the Family doctor and demand certain tests that are not needed. And in the sense of touching yes they should ask or let you know that they are going to check you out but you did give permission to treat to the hospital which ever one you go into.
One last note the ER is blamed for a lot of things but there is no doubt that they can take care of patients when they have a true emergency and need to be seen in an EMERGENCY ROOM. If it is a chronic thing or a minor issue it may take a while to be seen and I fully understand that. My family and I would never dream of going to the ER for a cold or a tick or something so minor. Maybe I was raised differently than most.
Well

Hillsboro, TN

#34 Nov 26, 2010
Livingston Resident wrote:
<quoted text>
Sometimes when a patient is seen in an ER setting they may speak to the on call doctor and they may intruct a patient to follow up in the morning with another person in their office and might have dropped the ball. It is always a good thing to call ahead anyways. And to say everyone is an embarrassment is not fair. Some people may have bad attitudes but I can say when I have had family in there they have been great and very helpful. I also know that there were sicker patients sometimes than my family member and I can be patient.
Yes a doctor should discuss what they are going to do but to many times now patients go to the ER or the Family doctor and demand certain tests that are not needed. And in the sense of touching yes they should ask or let you know that they are going to check you out but you did give permission to treat to the hospital which ever one you go into.
One last note the ER is blamed for a lot of things but there is no doubt that they can take care of patients when they have a true emergency and need to be seen in an EMERGENCY ROOM. If it is a chronic thing or a minor issue it may take a while to be seen and I fully understand that. My family and I would never dream of going to the ER for a cold or a tick or something so minor. Maybe I was raised differently than most.
Nonsense...they are a business, they perform a service. Drop the ball..nonsense, it's THEIR job to know what they're doing...ask'em...WE DO THIS EVERY DAY. Dr. Cancel accepted the patient, therefore, HE acknowledged "part" in the matter. It wasn't a "follow-up" it was discussed with the doctor. Listen, if the CRMC is gonna be hooked up in a racket with the local doctors, then they should have their crap together. Right? I, as a patient shouldn't have to "second" guess the ER doc, which I actually did by asking the ER doc AGAIN, just go on in Monday morning.
WOULDN'T you expect part of their job, no, PROFESSION, be effective communication? Are they so lofty they can't get down on OUR level? They CRMC/doctors in general, LOVE to infer that you, the patient, misunderstood. CRAP!
Embarrasment is the word. And if the CRMC don't like it, they can clean ALL that are UNDER THEIR ROOF. You're no stronger than your weakest link OR no better than your worst "provider". Are you suggesting they shouldn't accept responsibility for the "work" of their employees?(please, don't pull that legal crap.......... Oh, they're not employees of CRMC, they're contractors,blah, blah, blah) Whomever "practises" medicine or provides a medical service under CRMC's roof, then in my book they, CRMC, are responsibile for allowing them to be there and warrant whatever that person does.
"...but you did give permission to treat to the hospital which ever one you go into." NO...I didn't. Do you AGREE to buy a car when you go into the Honda "dealership" browsing..(interesting word)? You're posing, in defense of CRMC, that by "being" there I would be "quilty by association"....then why sign a release form? It's ALL legal BS, you're talking about and apparently YOU subscribe to such practises. Which I personally think is most disgusting....have a person show up, in great distress, hook'em with a "general" consent..yes, a legal document, to which they are in no position to give responible consent...nor have means or time to find alternatives. THEN, EVERYTHING, the CRMC does will be fervantly defended by THAT ....consent.
Well

Hillsboro, TN

#35 Nov 26, 2010
Livingston Resident...you may just be a little more understanding than I. BUT I am talking about real people...folks that because they ARE NOT doctors, feel they need to go to the ER; it may whined up being "nothing", but please give them credit for doing the BEST they can with themselves or a loved one.
I believe you are basing some of your case based on the law, to which IF we only discussing legal issues, you'd be in line with. I'm talking...right and wrong. They are not always the same.
Seems folks are making an arguement of...drug addict "patients"/nurse JUST having a bad day. I highly resent such a proposition, as it DISMISSIVE of serious issues to those BEING treated. Sometimes that is the case, MANY times it is not. That is MY discussion. And blame needs to be placed were the responsibility is.
p.s. I'm not sure what..."Maybe I was raised differently than most." was suppose to mean. My comment was not about druggie-patients or defending any kind of right of theirs....my comments were about REAL people, with REAL issues to which, like CRMC (the business), some folks refuse to acknowledge or take with the seriousness they deserve.ntinued..........
Well

Hillsboro, TN

#36 Nov 26, 2010
LR...you may just be a little more understanding than I. BUT I am talking about real people...folks that because they ARE NOT doctors, feel they need to go to the ER; it may whined up being "nothing", but please give them credit for doing the BEST they can with themselves or a loved one.
I believe you are basing some of your case based on the law, to which IF we only discussing legal issues, you'd be in line with. I'm talking...right and wrong. They are not always the same.
Seems folks are making an arguement of...drug addict "patients"/nurse JUST having a bad day. I highly resent such a proposition, as it DISMISSIVE of serious issues to those BEING treated. Sometimes that is the case, MANY times it is not. That is MY discussion. And blame needs to be placed were the responsibility is.
p.s. I'm not sure what..."Maybe I was raised differently than most." was suppose to mean. My comment was not about druggie-patients or defending any kind of right of theirs....my comments were about REAL people, with REAL issues to which, like CRMC (the business), some folks refuse to acknowledge or take with the seriousness they deserve.
Livingston Resident

Cookeville, TN

#37 Nov 26, 2010
Well wrote:
LR...you may just be a little more understanding than I. BUT I am talking about real people...folks that because they ARE NOT doctors, feel they need to go to the ER; it may whined up being "nothing", but please give them credit for doing the BEST they can with themselves or a loved one.
I believe you are basing some of your case based on the law, to which IF we only discussing legal issues, you'd be in line with. I'm talking...right and wrong. They are not always the same.
Seems folks are making an arguement of...drug addict "patients"/nurse JUST having a bad day. I highly resent such a proposition, as it DISMISSIVE of serious issues to those BEING treated. Sometimes that is the case, MANY times it is not. That is MY discussion. And blame needs to be placed were the responsibility is.
p.s. I'm not sure what..."Maybe I was raised differently than most." was suppose to mean. My comment was not about druggie-patients or defending any kind of right of theirs....my comments were about REAL people, with REAL issues to which, like CRMC (the business), some folks refuse to acknowledge or take with the seriousness they deserve.
Well...
You lumped everyone together in your defense. That includes druggies, average people, and people who abuse it.. If you want to talk about the average person then let me know how people are supposed to know that they are average! If you watch the news you see that there are drug addicts that look like the average person in all age groups so it is hard to see who is what. Are you supposed to give morphine or something stronger to any patient that wants it because they demand it?
When I referred to "I may have been raised differently" it meant that when I had a cough or a cold AND it was during regular business days I would go to my family doc or walk in clinic instead of running to the ER because 1) I have to pay a high amount in the ER compared to the family doc. 2) I know I am not sick enough to run to the ER.....
Livingston Resident

Cookeville, TN

#38 Nov 26, 2010
Well..
Legal Issues.. Unfortunately many patients have ruined the ability to just have a normal visit. If again you watch TV people file lawsuits for stupid stuff.(Is it ok to file a lawsuit against a fast food place because the coffee was hot and they burned there arm when they spilt it? A lot of people file lawsuits for stuff that used to be common sense) Now with that being said yes there are cases that need to have a lawsuit filed and they should be.
Would you be the same happy person if you just saw a kid die in front of your eyes and had to tell the family? ER staff has to deal with those cases but still "carry" on with the cheerful attitude and do there job. Also have you noticed the amount of violence that happens in the ERs? These people still show up to work even thought they know that because a druggy doesn't get his meds he wants he may turn violent or the psych patient may lash out and hurt someone.

Now in reference to the connection to the doctors in the community have you ever thought that no matter how hard the doctor fights to have that patient seen they may refuse to see them saying "it is not an emeregency" or that they may not take call that day so there is no choice but to transfer to another hospital. I would say the blame should be on all the doctors and the administration!

One last thing.. Yes CRMC should be responsible for there workers but have you considered the amount of patients that are seen in the ER compared to the number of providers. When I had my family there I noticed that with all the patients there the nurses had multiple patients and seemed to have multiple forms to fill out.. You job may allow you a break every so often and even allowed to eat and go to the restroom. When the ER is swamped do you think they always get to eat or run to the restroom? Maybe administration should hire more nurses to help with the burden of so many patients. The floors have a smaller ratio of patients to nurses.
And my family are REAL people too! I believe if you have a true emerency then you will be taken care of in the ER no matter what. If it is something minor then yes you will be taken care of it just may be a delay in getting out of there. I also hear out in the community that people did not get out ot admitted in 1-3 hours so they blame the ER but they are not fully responsible for the delays. There is many people that can add in delaying everything, such as Lab, X-ray/CT, radiologists, call backs from other docs and so on.
Just some thoughts
Livingston Resident

Cookeville, TN

#39 Nov 26, 2010
Well wrote:
LR...you may just be a little more understanding than I. BUT I am talking about real people...folks that because they ARE NOT doctors, feel they need to go to the ER; it may whined up being "nothing", but please give them credit for doing the BEST they can with themselves or a loved one.
I believe you are basing some of your case based on the law, to which IF we only discussing legal issues, you'd be in line with. I'm talking...right and wrong. They are not always the same.
Seems folks are making an arguement of...drug addict "patients"/nurse JUST having a bad day. I highly resent such a proposition, as it DISMISSIVE of serious issues to those BEING treated. Sometimes that is the case, MANY times it is not. That is MY discussion. And blame needs to be placed were the responsibility is.
p.s. I'm not sure what..."Maybe I was raised differently than most." was suppose to mean. My comment was not about druggie-patients or defending any kind of right of theirs....my comments were about REAL people, with REAL issues to which, like CRMC (the business), some folks refuse to acknowledge or take with the seriousness they deserve.
[unfortunately my first part did not transfer onto here]

Well..

When I refered to the "maybe I was raised differently" means that when I have a cold or a problem and my family doc is open I go to them or a walk in clinic instead of straight to the ER. Now if it is something like chest pain, severe abdominal pain, or something like a stroke YES SKIP family doc and go to ER. But for toothache is the ER the right place to go? Now I believe everyone has rights including the staff and even druggies. But what about all the lawsuits against doctors for supplying druggies? How do you protect them. Unfortunatly this world has succumed to the courts in many cases. When i said it is not fair to lump up the whole ER for one person doesn't mean it is not the responsibility of CRMC i mean that because someone has an issue with one person doesn't mean everyone is bad.
No in reference to the appointment someone dropped the ball or misunderstood. But do remember it is a two way street someone covering for that doctor may have said to come to the office monday and not passed on to the doc. Also the doctors in the ER can not control who is on call or if there is no one to cover for that specialty. That is on the administration to enforce. The docs do there best with what they have. Sometimes that means transfering patients.
Cookeville Tax payer

Cookeville, TN

#40 Nov 26, 2010
If you want to go after something else here is a question. If CRMC helps service Putnam county and the Upper Cumberland why do we not have a larger pediatric floor that can take more cases and not have to send so many of them off? I had a friend of the family that had to be transfered because the staff upstairs was not comfortable in caring for them... Is that ok?

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