Hi Sarah,
You and I (as with much of the CF crowd) have a lot of the same complaints. Here's what I've learned.
Doctor's orders are followed to a T. So..... instead of having your doctor write abx q8, ask for antibiotics at specific times. This has to be doctor's orders. I have my doctor also leave more time at night, and squish the daytime meds together thus leaving me longer to sleep. AND when it's possible I run two abx at a time to condense the number of hours I'm actually hooked up to a machine. (I get a double lumen PICC line) So here's a sample schedule
7 AM Merrepenum and Ceftaz IV
2 PM Merrepenum and Ceftaz IV
3PM Tobramycin
9PM Merrepenum and Ceftaz IV
See how the Q8 now leaves me with 9 hours to sleep (theoretically I'm done at 10PM and I don't start again until 7AM.)
I also get doctors orders for NO vitals, NO weights, NO I/O's, NO labs from 10PM to 7AM. In addition to those doctor's orders I post a sign on my door each night with the same requests. It usually works too. (But I did have one NA that couldn't read last time...argh)
I'm not a fan of manual CPT since I have the vest. I bring my own vest (the SmartVest) with me to the hospital. Before the first use it has to be checked out by a hospital engineer to be sure I'm not going to blow the circuits of the hospital or something. But it's worth it. I get my little pink safety sticker on it and I'm all set to go.
My CF doc is also very on board with 4x/day CPT while in the house. She held a meeting with the RTs and they have come up with a simple plan to "schedule" nebs/vest with us. So during my first day of admission the first RT in my room writes down my schedule (the one I want!) and they always show up on time. This makes planning visits with guests easier!
And like some have suggested the easiest way for me to clear my lungs is the vest and HTS. If you find it works for you, get your doctor to prescribe more HTS than twice a day while you're in the big house (if you can hack it).
So that's basically how I cope with being an over scheduled OCD type in the hospital. They pretty much let me schedule everything and it makes me feel a little bit more at home. At this stage in my life I actually get MORE rest in the hospital than I do at home because at home, I'm chasing two preschoolers around.
You and I (as with much of the CF crowd) have a lot of the same complaints. Here's what I've learned.
Doctor's orders are followed to a T. So..... instead of having your doctor write abx q8, ask for antibiotics at specific times. This has to be doctor's orders. I have my doctor also leave more time at night, and squish the daytime meds together thus leaving me longer to sleep. AND when it's possible I run two abx at a time to condense the number of hours I'm actually hooked up to a machine. (I get a double lumen PICC line) So here's a sample schedule
7 AM Merrepenum and Ceftaz IV
2 PM Merrepenum and Ceftaz IV
3PM Tobramycin
9PM Merrepenum and Ceftaz IV
See how the Q8 now leaves me with 9 hours to sleep (theoretically I'm done at 10PM and I don't start again until 7AM.)
I also get doctors orders for NO vitals, NO weights, NO I/O's, NO labs from 10PM to 7AM. In addition to those doctor's orders I post a sign on my door each night with the same requests. It usually works too. (But I did have one NA that couldn't read last time...argh)
I'm not a fan of manual CPT since I have the vest. I bring my own vest (the SmartVest) with me to the hospital. Before the first use it has to be checked out by a hospital engineer to be sure I'm not going to blow the circuits of the hospital or something. But it's worth it. I get my little pink safety sticker on it and I'm all set to go.
My CF doc is also very on board with 4x/day CPT while in the house. She held a meeting with the RTs and they have come up with a simple plan to "schedule" nebs/vest with us. So during my first day of admission the first RT in my room writes down my schedule (the one I want!) and they always show up on time. This makes planning visits with guests easier!
And like some have suggested the easiest way for me to clear my lungs is the vest and HTS. If you find it works for you, get your doctor to prescribe more HTS than twice a day while you're in the big house (if you can hack it).
So that's basically how I cope with being an over scheduled OCD type in the hospital. They pretty much let me schedule everything and it makes me feel a little bit more at home. At this stage in my life I actually get MORE rest in the hospital than I do at home because at home, I'm chasing two preschoolers around.