So I'm standing at my desk in the ED, stirring in a pile of paperwork trying to figure out where I went wrong, when the charge nurse comes up and hands me a $50 gas/gift card
I say thanks, and pop it in my pocket, then I begin to wonder what I've really done wrong, so I ask what it's for....
She tells me I had a patient the other day that came in as a "Cardiac Alert" and that I managed to get the patient from door to cath lab in under 90 minutes.
Now I'm thinking... ok... so...? Then it's explained that anyone involved in a Cardiac Alert from the nurse, the Assts, LPN's, externs and everyone that lent a hand also got a card as a "Thanks" for a job well done, and it's been going on for a week now with excellent results. And in the words of my kids; OH... EMM... GEE!
So now... I'm realizing that I made a special trip through the ER on said day to specifically thank certain people for helping, or in other words; thank those lazy sloths that never move; for finally moving. Now today it's Smackdown: Reality Series.
[So THAT explains the bum-rushing of the last few cardiac patients..... Figures.]
And now the obvious question.... is the well-intended "Thanks" possibly an unethical "motivation" for these dibwads that are never up and moving??? I mean, PAID EXTRA just for doing what you should have been doing in the first place???
They're darn near fighing for a spot at the bedside now, in order to sign the assist roster.
Is there an ethical dilema here??
Me thinks there is....
Sep 23, '07
Accidentally double-posted, so I'll use this space to explain that when the GWTG program is initiated, they've identified resistance to change as one of the barriers to providing better patient care in this area, and there are recommendations for overcoming these barriers.
Rewarding appropriate care is one of them. Here's that link:
For those of you who have already been adhering to these guidelines, wonderful! But unless everyone on the team is on board with this, patients will die.
IMO, if passing out a candy bar or two increase compliance to clinical methods that have proven to save lives, it's well worth the effort.
Last edit by UM Review RN on Sep 23, '07