How would you change Healthcare Delivery? - page 2
We live in a time where getting ANY bill through the Congressional Process is a (pun intended) Act of Congress!!! I want you to assume YOU could change the current ways things are done in your... Read More
2Apr 23, '12 by BostonTerrierLoverRNI knew you guys would blow my mind, another reason this site is so addicting, . . .Binge Thinking!!!!
It also blows my mind still that a Physician can work the hours safely, legally, and ethically! We found out after an investigation at a local hospital that a surgeon began an open heart surgery- 23 hours into a shift. It was a "wrong-site surgery."
Impaired? I am not judging, and if he was the only thing standing between me and my grave, Cut Away!!! but, try to squeeze a cup of coffee and some blow in before! <Joke>
1Apr 23, '12 by WongRN-4lyfNothing like the pair of stats on an Xray.
That said, Lol, I would cap damages, and make malpractice insurance mandatory. I would cut down the Nurse:Patient Ratio to 5:1 maximum.
I would let LPNs with 2 years experience or greater sit for the NCLEX-RN. If anyone can prove they know the basic standards, why hold them back?
3Apr 24, '12 by Lennonninja, BSN, RNGet rid of pt satisfaction being more important than anything and everything.
Some sort of centralized database for medical histories. It gets really old having to do an admission database on a pt that was just discharged in the last week.
Like someone said above, mandated advanced directives for everyone, even if it's just "I want everything possible done" because then you know it's been addressed.
Mandatory ratios and safe staffing.
Charging for nursing care separately so maybe we would be considered to be important instead of just another expense to cut willy nilly.
Standardize point of entry, just make it all BSN already and do away with ASN programs. Also, make people with a previous Bachelor's degree in something else count as having a BSN. (This is coming from an ASN with a previous BA in something else).
0Apr 24, '12 by classicdameStandardized medicine scares me. What if your situation is not standard? Not opposed to single-payor system but am opposed to deadbeats and foreigners being included at my expense. Please remember that in EVERY country where medicine is socialized the healthcare workers earn far less than American healthcare workers.