Re: Nsg home administrator vs the nurse.
Of course, we see some really insane things that occur in health care because of the almighty dollar. Transporting patients improperly is one of them because the driver of the vehicle can be liable if something happens, and of course, the vehicle is not equipped to deal with a possible emergency nor is the driver trained to intercede if there is one. One of the main arguements that medical personnel such as nurses and doctors have is that they are now interacting with administrators that are not licensed providers themselves...they may not have a full understanding of what risks are involved for the licensed providers due to their intervention.
But, another reality is that the administrator is usually in charge of the budget. In this economy, where it is a worldwide economic shortage, one does have to look at alternative methods of achieving the same thing for less. We do it at home, the hospitals have to as well. If money is wasted, it can lead to the reduction of beds, furlough of hours (such as reduction of hours to work), lay offs, closing of the entire facility. I don't know of too many situations where staff nurses are ultimately responsible for what particular drugs are available in the hospital. An example of this may be that instead of using namebrand Tylenol, acetomenophen is prescribed instead. There is some budget person that will assist the pharmacy by saying that one type of drug that is cheaper can achieve the same result...so, in essence, the administrator may, in fact, have a role in this somehow, but we don't see how decisions are always made on our level.
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