What would you ask your hospital administrator to change?

[live4rachael]

Just curious... what things would you want to change at your hospital for either you or your patients? Or, what things would you tell your administrator that you LOVE about your hospital?

I'm a new grad RN. Just want to know what the more seasoned RNs out there can envision, or what you love about where you work now (that may be different from where you used to work).

[Flo., BSN, RN]

Decrease the pt ratios!!!

[neuroms]

Decrease the pt ratios!

[ParvulusPuella]

Ratios based on accuity, not just number!

[jammin246RN]

Oh I don't know.... Our hospital is run pretty well... But I think I would implement a room or two in the hospital with 4 beds where we could stick a CNA and 4 climbers. That way it wouldn't hurt staffing ratios too much but may decrease falls. I like the fact that we have decent staffing ratios at our hospital, we have Resp Therapists, Lab for blood draws, CNAs for VS and help, and Comp charting can be somewhat effecient. Possibly work out kinks in a new issue before mandating it.... Case in point scan all meds prior to admin to patient.... Except 1/2 the meds don't register in the system, and the name band almost never scans.

[WindyhillBSN]

Stop treating me like I have super powers and can take 6 pts at a time, on a high acuity floor.

[gentlegiver, ASN, LPN, RN]

I work LTC so;

1.) decrease patient to Nurse Ratios

2.) decrease patient to CNA Ratios

3.) hire a a Nurse at the desk for all shifts to answer the phone & write Dr's orders, answer Family members questions

4.) give us the correct amount of supplies for my unit (so I don't have to spend time leaving the floor to find what I need to do the job YOU hired me to do)

5.) get rid of the repeating paperwork, (why do I have to write I&O's in 4 different areas?)

6.) make the Pharmacy send me meds when I order them and tell them not to tell me I never sent to order in (I did I have the paperwork to prove it!)

7.) tell the Dr's/PA's/NP's they are NOT allowed to yell at me because they do not like the information I am relaying to them (or the time I have have to call them).

8.) A sitter (or 3) would be great to stop those who insist on falling because they can't remember they can't walk any more ( especially when I'm trying to pass meds, do tx's, answer phones, write orders, answer call bells, etc...)

9.) screen the patients better (putting a highly demented pt on a rehab unit "to fill the bed" just causes more complaints from the non-demented patients)

I could probably think of more but I just woke up & it's my day off, I really don't want to think about work today! (and yet here I am at All Nurse's)

[Katie5]

Oh I don't know.... Our hospital is run pretty well... But I think I would implement a room or two in the hospital with 4 beds where we could stick a CNA and 4 climbers. That way it wouldn't hurt staffing ratios too much but may decrease falls. I like the fact that we have decent staffing ratios at our hospital, we have Resp Therapists, Lab for blood draws, CNAs for VS and help, and Comp charting can be somewhat effecient. Possibly work out kinks in a new issue before mandating it.... Case in point scan all meds prior to admin to patient.... Except 1/2 the meds don't register in the system, and the name band almost never scans.

We may be at the same hospital LOL. But I can'tbegin to state how very much helpful this is, a true blessing, I tell you.