![Dr. William Martin](/img/default-banner.jpg)
- Видео 82
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Dr. William Martin
США
Добавлен 7 июн 2020
Just a guy who has been in the healthcare business for a long time. I might have some sage advice from time to time, and may give an opinion on occasion. What I really want is peace and quiet.
Видео
Dental care should be included in primary care
Просмотров 724 месяца назад
Information about the slow movement toward incorporating dental care in primary care
Trust in Nurses DROPS!
Просмотров 8844 месяца назад
It's still better than any other profession, but it's slipping. Why do you think this is so??
Just call me "PROVIDER"
Просмотров 2224 месяца назад
NPs don't get too upset by this, and I don't think PAs do either. Physicians...well that's another story, and I get it.
Being Hospitalized? Bring this with you
Просмотров 904 месяца назад
If you are able to bring one thing to the hospital (besides an insurance card and a checkbook) make sure you have someone to advocate on your behalf. Even for minor things, having someone there as a second set of eyes, a second pair of ears, someone to ask those questions are so important.
Canadian Doctors Quitting
Просмотров 825 месяцев назад
The five pillars of the Canada Health Act: system must be universal, publicly administered, have comprehensive coverage, portable across provinces, and accessible to the population!!!!
The ER is not your doctor
Просмотров 2,3 тыс.5 месяцев назад
The Emergency Department will care for everyone who walks through the doors, regardless of ability to pay or presenting problem. However, it is important to realize the mission of the ED is to provide emergency care. This means that once life threats are ruled out, patients will often be referred to outpatient followup, whether that be their primary care provider or another specialist. This vid...
Room for improvement, folks
Просмотров 1065 месяцев назад
Quality is slipping, and it's not the student's fault. Let's lay the blame where it belongs...at our institutions of higher education, who are happy to take in the tuition money while depending on free education via "preceptors", i.e US. There is a movement out there attempting to call for change, but change occurs at a higher altitude than most of us. That is organized nursing.
No one cares about your degree
Просмотров 2,5 тыс.5 месяцев назад
I don't intend to disparage the DNP (Doctor of Nursing Practice), but it doesn't represent what it was originally intended to represent: a terminal degree for practicing clinicians at the bedside, such as NPs and CRNAs. My recommendation is to soul search for what you may do 5 or 10 years down the road, and whether the DNP will become more and more the equivalent of the current Masters degree. ...
NP PA Session 1 | The Basic Chat
Просмотров 2106 месяцев назад
A couple of guys who happen to work together decided - let's have a chat once in awhile about the job, the career, the good and the bad of healthcare. Stay tuned for more NP PA Sessions! Sorry its in 720p, I messed up. I'll blame it on Vic.
Slow down
Просмотров 3376 месяцев назад
Stop the cycle of over-extending, under-delivering, and suffering in the process.
Signed up for the Paramedic Challenge Exam!
Просмотров 1608 месяцев назад
It's been 20 years since I've been in the back of an ambulance, but having recently rejoined my local volunteer fire department, I want to help out in EMS as well. So, it's time to challenge the New York State Paramedic written and practical exam. Any tips/trick/insights are appreciated!
DNP: Not the degree I expected
Просмотров 1,3 тыс.8 месяцев назад
I was sold on the DNP back in 2009, and really thought it had the potential to be a legit degree for practicing NPs, CRNAs, etc. Well, now it's as ubiquitous as a masters degree, yet no one outside of nursing has a clue what the degree really represents.
Top 5 Ways to complete a PhD
Просмотров 2168 месяцев назад
Five ways I've found are key to not only getting to dissertation, but completing it! Good luck to all of you.
First Responder Day
Просмотров 639 месяцев назад
National First Responder Day is today. Take a moment and thank a first responder, and if you are a first responder, be proud. We will talk more about this in later videos.
Harder to Kill: 5 ways to improve your mental and physical health
Просмотров 5810 месяцев назад
Harder to Kill: 5 ways to improve your mental and physical health
Better than going to the emergency room...
Просмотров 4910 месяцев назад
Better than going to the emergency room...
More DECLINE in Masters degree nursing enrollment (and graduation)
Просмотров 17710 месяцев назад
More DECLINE in Masters degree nursing enrollment (and graduation)
Enrollment DECLINE RN to BSN Programs
Просмотров 16610 месяцев назад
Enrollment DECLINE RN to BSN Programs
Death Experiences after Cardiac Arrest
Просмотров 12110 месяцев назад
Death Experiences after Cardiac Arrest
Livestream Scheduled! 9/27/23 at 9pm
Просмотров 1810 месяцев назад
Livestream Scheduled! 9/27/23 at 9pm
Here's some advice for those nurses/NPs/PAs who lack confidence
Просмотров 9310 месяцев назад
Here's some advice for those nurses/NPs/PAs who lack confidence
Can you provide a more in-depth example of the dissertation process? Do you create your own hypothesis and then have to go and complete research through surveys, etc??
I just got admitted to M.Phil in nursing. What should I expect? Can you help me with some materials to start preparing myself?
Definitely. When you are not of white descent, your intelligence is always down played.
I literally got physically abused for 15 an hour talked to management and they said well we can send you to the doctor but thats it, no compensation and nothing happens to the resident.
And Labor and Delivery too. Demanding.
What is the best emergency np program?
I'm done with nursing thank God people are so entitled
Problem is also administrative! If that lady files a complaint against the poor nurse he/she will get written up! Administrators NEVER back the staff! I left nursing because I couldn’t take that treatment anymore.
48yrs Level 1 Trauma Nurse-i have seen this the entire time I have been attacked,spit on ect. But i loved what i did-and have always been grateful to God to serve the "least " of these. I have been an ED Director and a flight nurse. I left (retired) right before Covid.I miss the ED every day!
For me, the maddening part of all this is the underlying GREED! And the lack of repercussions for the patients. I worked in OB for many years, so there was always the desperation of the patient to pull it together and be nice to her nurse (especially if she wanted an epidural-not they would be denied, but that's their fear)......But I've read several of these stories and two things stand out. Hospital administrators, CEOs and upper management squeeze the nurses for more and more. Government has basically pit administration against the nurses by hinging reimbursement on patient satisfaction (lots of sick people are not happy about their hospital experience). So management tip-toes around patients and asks the nurse what she could have done to prevent the situation!! It's a cycle of abuse and nobody is breaking it. Meanwhile, the fat cat CEO OF A NON-PROFIT HOSPITAL I WORKED FOR MAKES $13MILLION PER YEAR!!!! Where is the IRS investigation on that set up???? Perhaps if you require $13million per year, perhaps a faith-based, non-profit hospital is not for you. I could go on and on. It's just disgusting BS. The main problem is ABSOLUTELY NOBODY is held accountable for ANYTHING while nurses are being scrutinized, ridiculed, and pressed to give more and more. This sounds like an unorganized rant.....just paused from my studies to comment.....it's not a manuscript, so please excuse. I would say this: I love helping others. I love healthcare. I think most nurses do.....I just need someone to protect and defend nurses at some point, so we can continue speaking our love language. If I did leave the profession, I wouldn't be happy because I would have left due to injustice. And Injustice should never be the reason someone leaves a career they love.
I appreciate this post. This is with LOVE, white Americans are deeply ignorant about African diaspora issues. We have Black people from many countries here in America with very unique issues. Caring about Black issues is caring about EVERYONE'S issues. For us to progress, white people have to be willing to FURSY LISTEN and then be WILLING TO CHANGE the paradigm of their beliefs.. We also have to appreciate that Healthcare is inherently racist institution. To make it equitable for ALL people, especially, my white brothers and sisters have to be intentional and purposeful with every move to make significant progress. This is not an easy feat unless people are willing to change to make a brighter world for everyone and particularly our children. EVOLVE. 🙏🏿💜🧡💛🤍🤎🖤
I am a second career nurse with baccalaureate nursing training at Columbia Univ. When I saw DNP programs popping up like mushrooms after a heavy rain, I was skeptical and early on, I saw this as a revenue driver for SsON. Fast forward 2023 - 2024, I have done all my coursework but I'm stalling out at the "QI project." I've been soul-searching this weekend and came upon your video. Decision made. I'm out. I turned 60 this year and honestly do not plan to teach (though at one point I thought I did). Will pivot to psychoanalytic studies, possibly MDiv. instead. Thank you for your candor!
I did home care / wound care. By the time I was done with the documentation and care and driving I was making less than 15/hr. Then you get dinged for your charting because of Medicare Medicaid doesn’t matter how hard you work or how much you skimp on supplies you are always in trouble for not making money It’s a nightmare
Im latin, 2 year of experience as med surg nurse, and guess who they want to be new charge? The white new nurse whos been on the unit 5 month off orientation
Yes I have as an ED RN I received racism from my patient their families and my co workers. It’s very disheartened at times , but I just keep pushing through it .
Please listen to this gentleman: no one is going to care that you have a doctorate degree, and the time and effort put into completing a terminal degree can be exhausting. I have a doctorate degree, but it isn't central to my identity, and I couldn't care less about being called 'Dr' or anything similar. I've been teaching at the university level since 2006, and although I worked in a college with a nursing program, I am not a nurse. DNPs in our institution could qualify for tenure with a certain number of publications, but unfortunately, in my opinion, DNPs were undervalued and not very respected by PhD holders. I didn't necessarily agree with this, as I've worked with many PhDs in my career whom I didn't consider very intelligent. Nevertheless, some people do make these degrees their essence. As this gentleman points out, strive to excel in your career, and people will respect you; it isn't necessary to pursue a doctorate degree.
After just barely 3 years, I’m so happy to know that I am in my last year of nursing. I have set myself up financially and what else to finally LEAVE this industry completely. I’m so grateful that I get to leave but my heart goes out to the ones that are forced to stay and the countless unnecessary patient deaths that will result from nurses leaving en masse. Sorry but I’m out.
Money needs to be better for sure but the work conditions, patient numbers per provider, co-worker behaviors, ego issues of people who are in charge- it leads to toxic work environment that leads to poor patient outcomes which is not best practices. Health care workers need better well care practices so they stay well.
Pay for their college. Then hire enough where the hospital work day feels sane. Get a mental health counselor or two for the nurses who feel bullied by doctors and other unprofessional behaviors. Make it a federal law where each nurse can only have a limited number of patients. Dont allow a nurse to work more than a 12 hour shift at a time- for best practices for the patients health and well being. A healthy body mind spirit nurse and environment- produces better hospital outcomes.
College and medical school are Still not free and hospitals in america do offers opportunities to low tier worker to be a rn/ Cna/and other positions but when you get treated like shit as a low tier by our supervisor, nurses and fellow caregivers that dissuade many to not grab those opportunities and low tier worker are living off minimum wages that's non liviable wages . Nurse and medium tier caregivers get treated better and west coast nurses had security and patients to nurse ratio with union having there backs 24/7. Ever since covid 19 hospital saw that they can get away with short team and they doing it to us Housekeepers. Patient transport work just as hard . Nurses need more support and be more humble
It’s horrible. I’ve been Nursing for 20 years next September, and the patient behavior has just completely nosedived. My first job was a big DPH [public] hospital in MA, on an infectious disease floor, and who gets IDs now, requiring hospitalization, but immunocompromised patients such as untreated HIV, the occasional suppressed patient like a transplant patient, and cancer patients. On that floor at that time it worked out to be primarily patients shooting drugs through dirty skin and acquiring endocarditis, often coinfected with HIV. Perhaps obvious to say amongst medical professionals, some of these folks could be leading pretty risky lives with some pretty maladaptive behaviors, but even then they mostly showed a measure of respect for the medical staff on the floor during their stay. We were a good bunch who approached our patients with a genuine desire to help them, and they seemed to get that, primarily speaking. But now it’s a whole different story. I worked in the public hospital in San Francisco, which primarily serves the huge disadvantaged population there, and the threats, the abuse of nurses, the dangerously labile behavior was just out of control, and this was in the presence of pretty accommodating protocols for IV drug abusers like rapidly up-titrating methadone schedules tied to COWS assessments, diligent CIWA assessments with flexible benzodiazepine coverage… like this isn’t thrown in jail with nothing and sweat it out for a week, and the behavior was still such that I couldn’t stay. To me, what I was doing was no longer Nursing. I don’t know what it was- enabling, which seems to be the official SF policy- but not Nursing, and I had to leave, because I genuinely love being a nurse, I was called to it, but that was not it. But it’s absolutely incredible how quickly the Overton Window of public behavior seems to have shifted to a very entitled, selfish place. Culture and society are malleable- norms can be shaped and have been shaped countless times through history, I always use smoking as an example: 10-15 years ago if I lit a cigarette in a bar, the bartender would pass me an ashtray. Now they’d probably call the police and ban me from returning. And that’s just in about a decade of time, the change in that norm. Now we have nobody and no cohesive message being put out to the public in terms of what is and isn’t acceptable behavior, other than antisocial media, which prioritizes the most outrageous, offensive behavior by algorithm because it drives the most traffic and thus generates greater ad revenue by keeping users engaged longer. This very negative example being pushed out is taking a serious toll, and public-facing workers like customer service, law enforcement and medical personnel are the canaries in the coal mine in experiencing it and being negatively impacted by it. I don’t see how it’s going to get any better as currently hospitals and municipalities don’t seem willing to do anything about it. I see some posters up by some hospital entrances at some locations saying behavior matters, threatening behavior won’t be tolerated, but what really is done about it? A big additional insult, as I see it, is the near-ignoring of it as a problem among us nurses by media. When I’ve searched abusive patients/threats to nurses, there’s maybe one story about that, and 10 stories after it about nurses abusing patients. Now, I’ve never abused a patient and have almost never seen or heard of it happening around me, yet it’s made to look like abusive nurses are far more prevalent than abusive patients, and that’s so degrading to us. I don’t blame nurses for walking away, and perhaps it’s the only thing we can do that will be heard.
unfortunately, healthcare has become a retail service. I've been at my community hospital for 14 years. Used to have maybe, one code white a week. now it's a daily page. and i can feel it in the community. it's a smallish town here. and the incivility is at an all time high.
So glad you brought up the vaccine because I have friends that lost their jobs because they were refused an exemption. Seems like big pharma is running the show and hospitals are more like corporations rather than places to get care. By the way I’m trying to figure out why there’s a pharmacist shortage too.
You’re inspiring me to get a PhD
I work on the Observation floor, so we are connected to the ER and also feel like a Med-Surg floor. We have become a detox unit with very rude, violent, and entitled patients that just want opioids. Most do not want to get better. All this is happening while juggling 6 patients, their families and doctors and other specialities. We barely have security, and they hardly do anything. I have developed PTSD from this job. I was a nurse who left 15 years ago because i hated it. I worked at Trader Joe's, which was SO much better. I'm part the point of being upset because no change ever happens to help the nurses. I have become numb working there. It's time to leave. It's a very sad state in our hospitals. Anyone who gets mentally healthy will leave this job. If they heal their family of origin(usually alcoholic homes) issues and codependency, they won't stay.
As a former 30 year ED nurse, I agree with these concerns. For me, it was the C19 response. Every bit of it was and is total BS. Seeing my coworkers, people I respected and learned from bobble-heading the nonsense, was more than I can take. The corruption is so profound, I refuse to be a cog in the wheel.
It's Cooperate Greed, bullying, medical insurance carrier changes, shorter hospital stays, bedside care) higher acuity patient's demands, and the vaccine mandate for example...🙄👍
People
I agree however these Same situations also happen on the Rehab/Skilled and LTC facilities as well as in the Home Health Care side (Post hospitalization)... 😐👍
You don't know where everyone went? really? Okay, I'll say it. Just a little bit ago there was this thing the government tried to make all nurses do or else they could never work again. We lost over 100,000 nurses over that. Who knows how many students changed majors as well.
Getting,/Mandating the "Jab"... Amen Preach 😐👍
I've been a RN for 38 years....there is soooo much.more going on...I could write a book...
@@lisamarks4651 Spill the beans! I actually would like to know what is really driving the industry. We all say things like, "It's big pharma." and "It's all about the money.", but that is all pretty vague. Do you know of a book, article, web site...anywhere I could get some solid information?
@csouthland I need time to write that book... I've seen lots of overworked nurses and CNAs over the years. They've been underpaid for years. Covid has made a difference, but there have been so many issues prior to the Global Pandemic. Money is a big part of it...nurses work evenings, nights, weekends, holidays, looong hours, forced "12" hour shifts, and aren't shown enough appreciation or money... I remember years ago...I was working in ER, and a drunk patient suddenly hit me in the face. He yelled horrible things in front of quite a few people in ER. I wasn't hurt ...physically....but I think about it once in a while and wonder why some people think it's ok to treat nurses this way. I think I was trying to get an IV in him. Many patients have been kind and appreciative, also. I like being a nurse, but hate times we've been understaffed and "the powers that be" seem to think that's just fine. I could go on and on....I've got to start that book....
This female's behavior has nothing to do with her drug addiction, her mental illness, her past trauma, or any of the other excuses we all hear every day. She has one problem and one problem only: she has never faced any serious consequences for her actions. I have worked in the ED for over a decade.
"Entitlement" is the "medical" issue...🙄
Wear a mask to keep me from taking disease home to my daughter on chemo. I explain to the patient and most understand. Work with many patients who cough in your face. Once that happens patient education about hygiene is useless. So maybe have that conversation with the masked people.
Wear a mask to prevent taking things home to my daughter on chemo!
This is true in every workplace. We are all expendable slabs of meat. Typically kids find this out after a few years of real world work.
Will be in fast track, 12 hour shifts, high risk, indigent population, docs secretly don’t dig you. Trust me, ER sucks huge monkey balls. But yeah, you can brag to friends and family that you work in the emergency depart, just like the tv shows. But this prides goes away in 1 year. Please be more honest in these videos!!
I worked as a LPN in long term care for 12 years, then went back and got my RN and transitioned to acute care. I work on a med surg unit and so many patients honestly act Like they are in a 5 star resort, not a hospital. They treat us nurses like we are to wait on them hand and foot and for every single need they want. They also treat us like absolute care. We get hit, spit at, kicked, told to go fk yourself, etc etc etc. It's so challenging. And then our facility is pushing that we need to "make moments" with the patients and go out of our way to do all these things. Sure, I'd like to do that. But we have ratios of 1:7, but they "try to cap us at 1:6". We don't HAVE TIME to make moments. I never ever get out by 730. It's usually 830 or later because I'm still charting. I barely get to chart during the Day. It's so stressful and daunting. Idk how long I can do this for to be honest. But my identity is a healthcare worker. I've been in tbe field since j was 18. I worked in dietary, then was a CNA, then a medical assistant and worked as a phlebotomist, then LPN and now RN. I don't want to not be a nurse. I just don't want to deal with this crap anymore
I spent 30+ years in Critical Care, OB & NICU. I watched US medical care plummet to depths I was not going to go in my patient care. I told the CEO of Northwest Providence Systems that When I became a nurse, it was a calling, not just a job. The PT was all-encompassing and above all else #1. Now it is all about Covering your Ass and Litigation." His response was INSTANT " Oh Absolutely!" ??? He asked me if I was OK? I said 'NO, I am not ok. I guess the confirmation of your fears and suspicions is always a bit of a shock, even when you thought you were prepared. I can't help wondering what the public would say if they knew the CEO Of Providence, and all the "charitable mission statements told one of his senior care nurses that the patient is no longer #1"? He jumped up in his chair and said " Oh, we don't need to go there. I am sure we can try a little harder...after all, you were the one that said it and brought it up" . That was my eye-opener. Nursing is not what it was. There is a new generation that has been raised in a society of " personal victimization". They were not raised with any discipline or personal responsibility for their actions. Now, put them into the decline of true medical "CARE" of the pt. when the hospital is run like a very expensive Casino. The outcome is not good to say the least. They only want the $$$ and have no moral or ethical responsibility to the Nursing Staff. The beautiful, marble facilities are not trying to keep the patient well and cured. This is where the public is clueless. The longer the clinics can draw out repeat clinical visits, the more they make by extending the care. This, I believe, is why the pts are critically ill in the hospitals. Then, the Nurses get dumped on, and pushed to unbelievable limits and they are saying forget it. Put that with a societal norm of being absolutely horrible, and having NO understanding of what is acceptable behavior in Society. From infancy, they have had NO limits, and no punishment for bad behavior by believing they are OWED everything in life, and when they don't get it, they throw temper tantrums. The brats grow up and take it out on the Nurses and Doctors who are trying to take care of them. It is a full-blown nightmare. As you know, we nurses invest a TON of MONEY in our education. The degree will put you into debt for your whole career, and it must be kept current. They don't make enough money to offset that, and it is not worth it if nobody is thankful, and the hospital we work for doesn't care about us. Not to mention the risk of deadly illnesses we are exposed to. One more point..I do not believe the internet has been that good for healthcare. How can a Dr make a diagnosis from a video chat without ever placing a hand on the pt?? How many cancers are missed because the pt has not had a proper physical exam??? I am sure, quite a few. It is all about the $, until we make a human mistake because we are pushed too hard. I have seen the response of a hospital that always said they backed the nurse, until a lawsuit...then, the truth comes out and they take no responsibility for putting Nurses in an unsafe environment..and it is the Pt that suffers, and DIES. I am deeply saddened to see what has happened to my profession. I quit because I would not place my pt above the system. I miss my Patients, but not all the rest.
Dead on accurate.
You are cute
Hospital administrators are only concerned about Press Ganey scores and whether the ER patient with abdominal pain was given food, immediately, upon their demand!!
We just don’t get paid to deal with the BS we have to deal with! By management, pts., staff! It’s all crap! I’m so over it n I’m only 12yrs in! I’m so over being treated like a total piece of crap. 😢
If hospitalized for any reason, please treat the medical teams with respect. They deal with unprecedented levels of admin and an ever demanding public. Take care of your health. It’s the best thing one can do. Don’t become a burden to an already overburdened system. Stay safe everyone!
I feel for nurses everywhere. I'm 53 and work as a psych RN, second career for me. 4 years in and even in that short amount of time healthcare and society in general have declined significantly. And I work at one of the best hospitals in the NE. It's like the wild, wild west. It's a trifecta of worsening general health, lack of social services, basic needs like housing and food, and worsening mental health. Depression, anxiety, suicide attempts and substance abuse are just OFF THE CHARTS. We routinely now see 4,5,6 year old in our ED for SUICIDE ATTEMPTS. LET THAT SINK IN. American society is in decay and I truly fear for the future. Long gone are the days when nurses could work this "career" for 10, 15, 20, 25 or more years. Now making it to the 2-5 year mark is really rare. It's frightening to me to see so many new grads in the ER and critical care because the seasoned experienced nurses have had enough. But even they don't last. The RN turnover in my hospital ER is 70%!!!!
They don’t pay the seasoned nurses jack! That’s why.
I quit nursing after 40 years in healthcare.
That’s called retirement!
Thank You for the advice, Dr. William. God bless y'all. ✝️❤️
Thank you, doc.
leaving nursing and going into oriental medicine after years of disappointing professional experiences in hospital(s)... it has nothing to do with the patients.
check out vids made by nurses... the bullying is peer-to-peer, your resources are not adequate, management is running around focused on white boards and scripts instead of really helping creatively troubleshoot system issues and the constant unenlightened quibs made by jaded docs. in the same way management comes in to tell a unit what they need instead of listening to what they think they need. Patient ratios are antiquated and reflect a time when inpatient patient acuity was mixed. so the patients we get now are sicker. i experienced bullying from at least 1 co-worker in every hospital environment i have worked in. The phrase nurses have been indoctrinated to tell eachother is to "get thicker skin" in response to overt bullying. Once i got that gratifying call several months after leaving the unit that i worked my entire youth to attain because i had a bully... the person said "i'm sorry, you were right, now she's bullying me. She was our union rep.
I would not want to go to some of the neighborhoods to do home care . It’s not safe anywhere - particularly if you are identified as healthcare - they think you may have drugs and you are then a target
70%of workplace violence is in Healthcare, not post offices, not schools, not police stations