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Originally Posted by jjshabado
My kid was in the hospital for a couple of months when born. It's sort of mind boggling how bad monitoring is of patients. The best practices and tools we have for monitoring computers are light years ahead of what we do for patients.
You need to be able to turn down heart monitors because what's acceptable changes based on circumstances and it can be really distracting and bad for the patient if the alarm is constantly going off and there's nothing to do. Ideally you'd use an adjustable threshold (which I think they might actually have) but I suspect tuning that would actually require a doctor and not a nurse. And no doctor has time to constantly check to make sure each patient is set at the right level.
But in general the whole situation is ****ed up. Each system has their own monitoring and alerting. And the severity of the alert (in terms of noise and visual cues) has little relation to the actual severity of the situation. Something that just requires action in the next 30 minutes might alarm louder than something that requires immediate life or death action.
And with patients in serious medical conditions there's almost always going to be something 'wrong' with them. So nurses end up 'learning' what alarms are usually false positives and which aren't. They rarely react with urgency because there's so many false positives. Etc. Etc.
I could rant about this for hours.
Not saying this is exactly your situation, but I always have to remind myself that the nurses and doctors are seeing patients all day every day, and what is huge to us on an individual scale is mundane work for them on a large scale.
FWIW, MLK hospital was shut down for many violations, but famously, this...
The center attracted national attention in May after a homeless patient who had come through the emergency room collapsed on the floor, screaming in pain, but got no response from employees. A janitor mopped up around the patient as she vomited blood. She later died.
http://www.nytimes.com/2007/08/11/us/11hospital.html
Quote:
Originally Posted by jjshabado
I guess there are probably 'lots' of Cxs that aren't clued in, but its almost certainly the minority (at least for their respective areas) for any non-trivial (say > 4-5 employees and relatively profitable/funded) company. The CTOs of these types of companies have generally done a lot more than just pay a few hundred dollars.
My post was overly dismissive, and that wasn't my intent. In places like SF with their apparent bias to younger people, the CTOs, CEOs, COOs, are often going to be a little more fresh-faced.
It was more a response to ChrisV's skepticism that a CTO wouldn't know any better.
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Huh? This is basically the first technical task for any developer at any company I've worked at. Sure, they have a person assigned to them for help/questions, but generally the task is "follow these instructions and set up your development environment". And if we set up those instructions/the vm in such a way that a new employee could easily **** up production - that would be completely on us and not them.
Oddly, I've only seen to opposite.
I certainly see the value in letting devs have the freedom to build up a machine the way they see fit, but at the same time, how do you deal with programming language / database version conflicts, etc?
Here's an example I actually
did have to deal with. I used PgAdmin and the team I was working with used SQuirreL. This wouldn't be an "issue" on the surface, until you realize that SQuirreL doesn't support dollar-quoting and other needed features to work with Postgres correctly. We both had things that worked, but we couldn't actually run each other's code using our GUIs, and in fact some of their stuff wouldn't work via the CLI because SQuirreL added whatever atrocious things to work-around it's own bugs.
Also, why wouldn't they, at the very least, use a bash script to automate the on-boarding process?
From the description, using the prod database, giving a fresh-faced admin access, etc, like that, is plain bad practices, and presumably, any CTO should know better...
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Again, why? I moved to a different country for my first job. Lots of people move from the area where they grew up / area they went to school to a new place right after graduation.
Because the standard for getting a job as a relo tends to be much higher than the standard for getting a job as a local, but that obviously depends on where you are planning to move to.