Confessions of a Hospital Administrator - page 4

by ServantLeader

Gallup announced the results of its annual “Honesty & Ethics in Profession” recently. I was so pleased to see nurses ranked number one in the survey because they certainly deserve the honor. With the exception of grade school... Read More


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    This discussion is turing into a sad situation. There is heartache on both sides. My job in administration often placed me between a rock and a hard spot , and trying to please both. The ultimate loser was me. That said, look for SOLUTIONS not problems...START by ASKING HOW and WHYexample: I was a manager on a CCU where staffing was determined by an acuity system. The system seriously. undercaptured the workload of cardiac nurses, and my unit staffing was always recommended low. My staff and I became EXPERTS on the crietria for the staffing tool. We then documented 95% of recommended vs. needed staffing AND the classification errors that caused the difference. Turned out the staffing tool was in error, and my nurses got fully supported staffing back. ASKING WHYA surgical ICU I covered as a nursing director consistenly lst hugh $$, after making money for years. I asked why.... When are charges posted, what is covered in a charge, when did the loss begin. Tured out to be that the interface between the electronic chart and the hospital charge siystem had never been tested. when computer charging went live, once an ICU patient got transfered to other floors. he charge was wiped from the bill .... No one asked why for OVER 2 years. Finally SHAREAs nurses we are only as strong as our communication. If you know of a solution to a problem SHARE it, and follow it up. The whole best practices movement is BASED on sharing and utilizing the successes of others. We can initiate solutions to our problems
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    EXCUSE my typos above... formatting here is difficult
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    Wow - two years to discover charges were being lost in transfer. Too bad administration did not listen to you sooner. As I noted, if a problem needs to be fixed, ask the nurses. Greats story THX for posting.
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    I say BRAVO and agree with other nurses on here as well that we definitely need more CEOs with your heart and mind set! We used to have a wonderful CEO until he retired and was replaced by a more "modern" thinking one who's only concern seems the bottom line with NO REGARD WHATSOEVER about the nurse's opinions. We are NEVER included in any decisions the administration ever makes any more (which we are mostly the ones that usually carry out said decisions or new policies!). It has made me so glad that I will only work for approximately 6 more years (at age 60)and then after that I want to just forget I was ever even a nurse. I think the Gulf of Mexico could use me more!
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    Wow MonkeyBug, your commentary "hits the nail on the head" EXACTLY!
    monkeybug likes this.
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    That is awesome it worked out for you. Been there, done that; however, the attitude of this particular nursing administration is that they don't want solutions or new ideas. They are perfectly content with the status quo et al. It is a complicated situation that is also layered with nepotism and favourtism et al. I am one who likes to present solutions not create further problems; however, unfortuntaley, it doesn't work well with this hospital. What needs to be done is an entire change (from the top on down) overall.
    Chiggysmom likes this.
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    Too bad 99.9% of hospital CEOs will never follow this advice. They're more concerned about the bottom line and getting their million-dollar bonuses (as opposed to the nurses measly 2%) than they are about quality patient care.
    Chiggysmom likes this.
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    WOW.Finally after nearly half a century as a nurse a CEO who makes sense and well appreciated I am sure by all of those hard working nurses throughout the world,who in my opinion,deserve the reputation of being voted almost annually the most respected of all professions.Your comments should be published and a copy given to every hospital CEO and CNO in the country.Your comment about"one day being the patient" has rung true in my experience several years ago .When working in the largest and much heralded hospital in Dallas,the hospital administrator was one of my 15 patients I was caring for on an intensely busy cardiac floor.In all the hustle and bustle of a normal,understaffed night shift,the gentleman had a life threatening cardiac arrhythmia requiring immediate IV meds that saved his life.Later the other nurse remarked jokingly"that was a good time to ask for a pay raise".Please note that each of us had 15 cardiac patients each a regularly occurring event that that hospital deemed'okay' to the detriment of staff and patient health alike.Fortunately comments like yours will go a long way toward treating nurses health as well as patients.Thank you again for your encouraging words


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