Monday, June 9, 2008

An All Too Common Theme

"Management wants us to do more with less and it can not be done."

Hospital administration can choose to spend the money to provide excellent patient care and customer service or they can cut the budget, slash patient care positions while continuing to give themselves big raises and bonuses. The can make sure that there are enough nurses, aides, ward clerks, Xray tech's, lab tech's, physical therapists etc. etc or they can cut those positions to the bone while making sure that the administrative assistants have assistants. They can provide excellent care or they can be slaves to JCAHO's bullshit mandates that do nothing to improve patient safety but do manage to generate ever increasing piles of paperwork.

Guess which path most hospitals choose to take?

4 comments:

GuitarGirlRN said...

They just laid off all but THREE of our patient reps. Now there's no one out there in the waiting room to run interference for us and hand out goodies to cranky patients.

buttercup58 said...

I heard that! That's why I'm not working. The hospital that I was at cut back so much on essential personnel that it was outright dangerous and well,IMPOSSIBLE. I couldn't even practice the type of nursing that I went into nursing for. All I was was a data entry,lab checking,stethoscope wearing pill lobber.
What? What patient desatting? I'll get behind.
Forget it,I'd rather work in a garden.

Rogue Medic said...

But, if they were to lay off the assistants to the administrative assistants, how will they be able to come up with more to do, while trimming the dead wood from the clinical staff?

You just don't understand how difficult it is to administer something you have minimal contact with, to match the minimal understanding of it.

:-)

Ellen said...

As far as the bs from JCAHO...I came thru our ER the other day and found a nurse who I have never seen in Triage out there sitting in one of the bays...JCAHO came thru and for whatever reason decided the nurse should not sit where she/he did before, but needed to be in one of the bays.

Of course, that leaves the nurse essentially trapped if attacked by a patient. Oh well, perhaps there is some perceived positive patient outcome...but I doubt it.