War is coming, the lines have been drawn! - page 2

by outptsurgeryrn 4,296 Views | 13 Comments

War is coming and the lines have been drawn. Management says we need to cut payroll. Flex people off. We are being looked at by "Corporate" for low numbers and high payroll. I work in a hospital in a very very depressed area.... Read More


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    So how much more work will the CEO and the rest of management be doing to help cut costs. Hospitals are for patient care. Patient care is the last place that should be overloaded. A few less management people wouldn't be noticed at all by the patients. Just saying......
  2. 0
    Facts are usually your best defense. Here is the best place to start. http://www.aspan.org/ClinicalPractic...lt.aspx#acuity
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    Quote from outptsurgeryrn
    We were told to "come up with a better solution"
    This irks me. You know why? Management is responsible for identifying problems, recommending solutions, getting buy-in from staff and higher-ups, piloting a chosen solution, tweaking it based on pilot data, and implementing an improved version on a permanent basis with continued reevaluation. Management 101, regardless of industry.

    While good leadership always engages front-line employees in solving problems, what you were told reeks of throwing the sole responsibility for solutions on the front line. Ridiculous.
    ktliz likes this.
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    Quote from outptsurgeryrn
    roser13, how many pts per nurse? this sounds good to me. I would be for it. We were told to "come up with a better solution".....

    inshallamiami....there is no hope of union, too small and most have given up and just want out
    A pre-op nurse traditionally takes one OR and so by definition is only admitting one patient at a time (an OR can't have more than 1 patient at a time in it). If the admit doesnt take the whole time period before the next patient, she is helping others with their admits. Or if the case is 2+ hours, she will definitely have other admits of her own.

    The post-op nurses tend to have 2-3 patients apiece at any one time. The managers really keep an eye on those RN's who might tend to drag their feet in discharging so as to not to receive a new post-op. Those who try that soon find themselves with 4 or 5 post-ops simply because they have not managed to discharge anyone.

    This system beats the heck out of trying to admit patients at the same time that others are flowing out of PACU and wanting to be discharged. Plus, it allows the nurses to sort of "specialize" if they choose. Most of us definitely have our preferences as to which position we prefer.
    ktliz and kcmylorn like this.


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