bsg rnc

BLAH BLAH BLAH!! I graduated from an ADN program in 1979. By 1980, in Oklahoma, the buzzword was to have everyone have a BSN by 1985. The ADN nurses would be relegated to a sub professional status and LPN would be phased out. Many community colleges had already ramped up education for ADN prepared nurses and in 1976 the last diploma program in Oklahoma had closed. I dropped out of a large state university program years ago because of the fluff curriculum and high cost. Look through these comments, see the one about the young nurse who is about to finish the few weeks of orientation in a critical care setting? Would YOU want to be cared for by a Masters degree prepared nurse in an ICU who did not know an art line from a care service line? Like it or not we are a technical profession. Let's get out of the Ivory Towers and meet the needs of the patients foley caths, iv starts, life losses and all.

Yes, the "sorry we missed you" is part of the Studer program. Your facility wants you to sign because they have spent a great deal of $'s on this program. The program even says you have to check you rounded on EMPTY ROOMS!! As yet, I have not seen the data on their evidence based practice. Our manager checks and files a report on the data sheets taped to the pt door each 24 hours. C'mon, do they really think every one really is in the room for each check mark on the page? I calculate for the cost of this program we could have added at least one staff member/shift and really given the pt more attention. Sorry state of affairs. Do we see a manager at night verifying rounding? no. Do the managers check when they have entered the room to do pt satisfaction inquiries? no. Hear that? that was the crash of the ball dropping on Rounding With A Purpose!!

RE: Rounding with a purpose. It has been 2 years now since we incorporated the Rounding.. As with any "rule" it is only as good as the enforcement. We also rejected the canned porgram put out by Studer. I never could get an answer from ANY of the reorted test sites about staff mix, acuity etc, I even called, emailed and wrote to the nurse author of the article, no reply!! Even the Studer group did not reply! I feel the information is bogus. Save time, not really. As usual, the better practioners rounded, did actual assessments and followed up on pain meds. The poor practioners did "door way" assessments and then sat at the desk. Studer has made a bundle on his infomertial programs and managment is buying it! I am at a for profit facility, we have a rounding sheet with vs, i/o etc on the door(HIPPA?) I know they are being checked at the beginning of the shift "I was here". It just happens we have very weak supervisors, no leadership, no follow up, the program was rolled out poorly, no initial stats as to # of call lights in order to determine if call light usage was down. The attitude was"Git'er done!" I was on the committee to roll it out, we modified it to fit out facility and to be workable, use your own personality to follow the plan after all we promote, people caring for people. So, no, this has not worked, nothing has changed on to the next program, "Ideas to save money" complete with little paper flags as a promo. Sheesh!

Our hospital is relativley new to the CHS family (the health system based in Tennassee). Would like your input as to the corporate managment style. We here in Oklahoma have seen lots of customer service emphasis such as 1.Studer: hourly rounds, Pillars, AIDET, etc. 2. Budget, "bring it in at budget in 90 days or you are fired". 3. higher pt ratios. Do find that such threats and pressure are inconsistant with good customer service! Any thoughts?

About the hourly rounding.....that concept was rolled out at our hospital a few months ago, we had to initial a paper in the pt room. Pt began complaining that we came in and just signed the paper. That was it, no inservice, no reasons etc, just sign the paper. It was dropped. Now, we have a committee to roll out the "Rounding with a purpose". We made videos of the right and wrong way for a pt encounter. The Studer video was a joke, we decided to best way get this thing going is first to over come resistance by making our own educational devices, not prescribing an hourly plan but timely and involving every department that comes in contact with the pt -- housekeeping,dietary,admissions et. Yes, Studer Group strikes again! I have written, emailed, and tried to phone all involved to find out the pt/nurse ratio and skill mix(Nurse aides,unit clerks, Pt care specialists) to see just how they did the study. No answers. Posed the same question to my CNO, CO and Studer Rep, the answer is "I don't know". I also questioned the need for the hourly rounding, do we have an assessment? Have we identified a problem? Hellllooo, nursing process! No. We have an advertising campaign about to roll out and we have to be ready to say,"....I have time." I will keep pressing on about the need for good customer service and the Administration to read that darn book and make THEIR rounds as prescribed!

I was spoken to by the head nurse ( loooong time ago) for spending too much time with the patients, the other nurses were feeling insecure about themselves and I should spend more time with them at the desk! I transferred to high risk OB.