Confessions of a Hospital Administrator: The Good, the Bad and the Ugly

A look at recent data that explains the impact of uninspiring workplace culture.

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  • Specializes in Administrator inspired by nurses. Has 25 years experience.

You are reading page 4 of Confessions of a Hospital Administrator: The Good, the Bad and the Ugly

BeenThere2012, ASN, RN

1 Article; 852 Posts

Specializes in PICU, Pediatrics, Trauma.
They wanted to CUT our staffing once. We asked a board member to follow us for one day to see what we did. The board member made it for 4 hours, and left the floor saying "CUT your staff?!? I don't see how you do what you do with the staff you HAVE!!!!!"

The hospital was only posting part-time positions for awhile (anyone remember when UPS was doing that about 12 or so years ago?) Our hospital thought it was a Great idea. I had been there long enough to know who to drop information to that it would get "carried" back to the powers that be efficiently, so I "dropped" that we were talking union. Suddenly, full time positions were being posted again. Imagine that?!?!

At least they took the time to check it out. Most don't...they just cut.

Specializes in Critical Care.
Would knowingly, purposefully, and chronically under staffing units such that the nurse to patient ratios are at all time highs (and thus increasing the chances of med errors or other problems) be considered to be "bad process"? Because I'm thinking that is one of the major contributing factors to the mistakes that are made in hospitals. And while not "intentional" on the part of the nurses and ancillary staff, it most certainly seems "intentional" on the part of the powers that be. Increasing caregiver to patient ratios is done to boost the bottom line, with no thought whatsoever of the consequences on the caregivers themselves, and ultimately, on patient safety.

As someone whose worked in the front lines for over 20 years I can't like this statement enough! I've been watching working conditions and staffing ratios deteriorate while patient acuity has increased tremendously! This will not end well! It's time to fight for safe staffing ratios like CA has!

Specializes in Critical Care.
OP:

This can best be done by the hospital lobby in each state. QUOTE]

The hospital lobby is the last one that would lobby for safe staffing ratios, that would interfere with their need to maximize profit sad to say!

ServantLeader

6 Articles; 42 Posts

Specializes in Administrator inspired by nurses. Has 25 years experience.

Here' what I learned working most of my career in hospitals: There is never money to correct a safety issue until something bad happens. Then money can't be spent fast enough.

SallyRNCNOR

26 Posts

Obviously this Hospital Administrator is not working for a for profit hospital. In such a facility the staff is treated as a commodity, that can be easily replaced by lesser skilled personnel. The employees don't fee either engaged or valued. They are flogged to keep their departments under budget. Then the Managers and others in Administratiion get a financial bonus for which they did none of the work. What do the RN's get you may ask, they get an ice cream social or cookies and cake, of which more than half of them can't leave the unit, because they are short staffed. Can you think of any other profession in which peoples lives hang in the balance, where the staff is treated in such a denigrating and condescending manner. No wonder they don't feel eith engaged or valued, and they burn out. Wake up for profit hospitals.​YOU ARE THE CAUSE OF THE NURSING SHORTAGE AND BURNOUT.

ServantLeader

6 Articles; 42 Posts

Specializes in Administrator inspired by nurses. Has 25 years experience.

Hi Sally - I understand your frustration. I worked as a senior manager for a large for-profit hospital for nine years and the CEO (my mentor) was very sensitive to treating the staff with respect and appreciation. I worked in a large not-for-profit where the opposite was the case. In my experience - and not to discount your own experience - it always comes down to the authenticity of whoever is in charge.