Quote from MedicalZebra
I have asked what UltraCare is until I'm blue in the face, and none of the nurses seem to know. We get pamphlets extolling its virtues, but when you read them closely, they're blathering on for a full page and still tell you NOTHING!
I guess when they never tell you what it is, no one can complain when they don't achieve a goal.
Zebra, if you work for FMC, you WILL soon know what Ultra Care is.. believe me. It was a year before we got our training CDs, etc. on this.. before that it was all through the "grapevine".. knew it was coming.. just didn't know WHAT.
Then came the mandatory CDs, the following quizzes, "certification", etc.
Yes, ULTRA Care and its concepts are GOOD... not arguing that at all. It is educational, and would be IDEAL if all this could be implemented. And it COULD be.. IF
they provided the facilities with the proper staffing and actually followed through on these promises. I LOVE learning and having a more detailed knowlege base about the nitty gritty aspects of much of what we do, what the machines do, the clearances, limits, values.. (which you DO learn with the Ultra Care CDs, etc.)... BUT.. to have that knowlege and still waste good nursing time pupming acid from the barrels/drums out in the sleet and snow with some electric pump down into the basement is NOT good use of nursing time IMO...
nor is doing inventory, diasafe machine testing and the other "technical dept." components... endlessly running supplies up from the basement, etc.
Ideal would be three patients per nurse, and two techs/pcts ON THE FLOOR with those nurses to ease the load and free up good nursing time and letting the techs do most of the NON nursing tasks. Even four patients this way would be manageable.. if we had enough pct's to help on the floor with tearing down the machines, setting them up, bringing the patients back and getting them ready, packing them up when getting then ready to leave... putting the flowsheets in the proton...
I would dearly LOVE to do the "trending".. where each nurse has three to four set patients for 6 mos. to a year.. and concentrate on these alone.. for ALL their needs.. and be knowlegeable about their tx., progress, interventions needed.. time to teach/educate.. all that good stuff nurses should be and would LIKE to be doing.
Sadly, we just don't HAVE that luxury. Heck, our DON/Clinical Manager herself is counted in the staffing grid as floor staff !!!
So again.. while Ultra Care has the right idea.. if they would truly implement it... ALL of it.. not just the extra AF Flow testing, daisafe testing. added documentation here and there and everywhere.. piling work on top of work when as it is we don't have enough hours in the day to do what we do NOW !!!
Don't just expect all this "extra" from an already overburned staff and not give us any extra floor staff to do it with !
Who knows,,, SOME privileged FMC facilities might already HAVE the extra staff to implement Ultra Care.. I have noticed that not ALL FMC facilities are alike.. not ALL are treated "equal".. in more affluent areas, I do believe some of these facilities do get the advantage... perhaps because these patients are more educated, aware or would complain more??? Who knows.
Don't talk to me about "quality care" and "customer service" when you treat the staff with utter disrespect and do not see, even WANT to see THEIR needs in order to PROVIDE this "ULTRA" care....