I work for an 85 bed hospital here in the MidWest. Our hospital includes a 7 bed ED, 4 bed ICU/CCU, 5 LDRP, 10 psych, 22 skilled nursing beds and 30 general med/surg beds. I think we have a nice little facility, but when I tell people where I work I always get: "Oh, I wouldn't take a dead dog to ......" I know that our hospital is not perfect, nor are we equipped to deal with every type of medical problem but we do know how to do some things. I don't know why our facility has such a bad reputation. When I talk to other nurses who work at facilities that are about our size, they say they get the same replies from the public. Why is it that most people think that unless you are a 600 bed teaching facility you are not capable of giving good care at all? The doctors who work at our hospital know quite well what the hospital can handle medically and what it cannot. They are usually pretty good about transferring a patient to a larger facility when the need arises. I always talk positive about our hospital to other people to try and improve our image. I point out the positives of our facility. We are JCAHO accrediated and always do well on our state surveys. Any thoughts from other nurses on this topic would be appreciated. I would like to hear from nurses who work in small hospitals, and nurses who work in larger hospitals.
Sep 30, '01
Good post . . .
I live about 5 miles from a small community hospital (total bed occupancy is about 50). It has a horrible reputation. . . I've heard several people - local folk- talk very negativley about this hospital. A friend who used to work in the ER said that the day and evening staff just do not get along and that there's a lot of internal tension. Maybe the public can sense this?? (I personally think the ICU/CCU staff are wonderful at this hospital.)
I work for an even smaller rural hospital (total bed occupancy about 35 including 5 ICU/CCU beds). Interestingly, this hospital has a wonderful reputation with the community. The ER department has been described as "The Diamond of the Hospital". People actually request to come to this hospital's ER over the above mentioned hospital's ER!! (They're about 25 miles from each other!)
Bottom line, though, both hospitals are competent to provide good care to the community. They shouldn't be judged because of their small size.
Last edit by Ted on Sep 30, '01