ServantLeader

ServantLeader

Administrator inspired by nurses

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All Content by ServantLeader

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

    ServantLeader posted a topic in General Nursing

    You've probably heard of the now controversial Johns Hopkins study that medical mistakes are the third leading cause of death in the U.S. When, as part of an assignment, I asked a Chief Medical...

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

    ServantLeader replied to ServantLeader's topic in General Nursing

    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...

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

    ServantLeader replied to ServantLeader's topic in General Nursing

    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

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

    ServantLeader replied to ServantLeader's topic in General Nursing

    Ha - very smart counter strategy - well

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

    ServantLeader replied to ServantLeader's topic in General Nursing

    I have occasionally come across clinicians who provided lousy or even negligent care and this is truly shocking. The main character in my novel "Medical Necessity" is such a person. However, most...

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

    ServantLeader replied to ServantLeader's topic in General Nursing

    And administrators wonder why when charts get pulled during a regulatory inspection (JC, state) or a there is noncompliance. Or they wonder why medical errors (meds, testing, etc). Inadequate floor...

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

    ServantLeader replied to ServantLeader's topic in General Nursing

    Well said - it's the staffing, stupid. From my own experience, I have found that balance between what administrators want to control labor costs (the biggest expense in hospitals) and what nurses feel...

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

    ServantLeader replied to ServantLeader's topic in General Nursing

    Or unionization. I worked with unions in two hospitals, including a nurses union, and we got along fine. Staff turn to union and lawsuits when they feel they have no other options. It's a shame for...

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

    ServantLeader replied to ServantLeader's topic in General Nursing

    Oh yes, it is illegal. But I have seen cases were doing something illegal was not enough to motivate executives to make changes - they had to get caught, first (this is not widespread, but I have...

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

    ServantLeader replied to ServantLeader's topic in General Nursing

    When I started as a hospital administrator in 2000, an older guy explained to me about how hospitals were becoming more complex to management: "You know, it used to be in the old days you counted the...

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

    ServantLeader replied to ServantLeader's topic in General Nursing

    All of your feedback: lack of nursing input; poor work processes (including info overload); inadequate pay, etc all come down to poor workplace culture. As many of you know, I've talked about this...

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

    ServantLeader replied to ServantLeader's topic in General Nursing

    I have been in the room when superiors cut staffing to reduce costs. They never went up on the floors, as did I, to see how such reductions impacted

  13. Confessions of A Hospital Administrator: My Job Got Easier When Nurses Got Happier

    ServantLeader posted a topic in General Nursing

    I was reading through the ongoing Winter 2016 Nursing Article Contest at allnurses. I came across one entry, an unpublished letter titled, Dear Hospital Administrators. A sentences that particularly...

  14. Confessions of A Hospital Administrator: My Job Got Easier When Nurses Got Happier

    ServantLeader replied to ServantLeader's topic in General Nursing

    Thank you Cyndylou. The best moment in my career was when a unit secretary who did not speak to me for the first two years told me that, for the first time in 25 years, she looked forward to coming...

  15. Confessions of a Hospital Administrator: I Feel Your Pain...Pill

    ServantLeader posted a topic in Emergency

    As a hospital CEO, I listed my home phone number in the admission kit for each of the three hospitals where I served. I invited patients to call me at anytime if they had a concern or problem they...

  16. Confessions of a Hospital Administrator: I Feel Your Pain...Pill

    ServantLeader replied to ServantLeader's topic in Emergency

    And the word should be succinctly, not

  17. Confessions of a Hospital Administrator: I Feel Your Pain...Pill

    ServantLeader replied to ServantLeader's topic in Emergency

    Agreed. I finally learned that if I wanted to manage any problem in a hospital, to ask the nurses and as much as possible, do that. Nurses always came up with better solutions than I or my leadership...

  18. Confessions of a Hospital Administrator: I Feel Your Pain...Pill

    ServantLeader replied to ServantLeader's topic in Emergency

    As I used to tell my late, lovely father-in-law it's OK to use pain meds if you have pain. He had an unusual late stage cancer of the bile ducts and he was afraid of getting "hooked" on pain meds. He...

  19. Confessions of a Hospital Administrator: I Feel Your Pain...Pill

    ServantLeader replied to ServantLeader's topic in Emergency

    These patients are often operating from a place of self-delusion, convinced the world is against them. It's their defense mechanism so they don't have to admit they are

  20. Confessions of a Hospital Administrator: I Feel Your Pain...Pill

    ServantLeader replied to ServantLeader's topic in Emergency

    It's usually out-of-the-box thinking that come up with better responses and patient care. My experience is when an opiate patient realizes there is not other course available, they will either seek...

  21. Confessions of a Hospital Administrator: I Feel Your Pain...Pill

    ServantLeader replied to ServantLeader's topic in Emergency

    HA - that's poignant and

  22. Confessions of a Hospital Administrator: I Feel Your Pain...Pill

    ServantLeader replied to ServantLeader's topic in Emergency

    I agree that the there is a tendency to be unsympathetic to narcotic pain addicts. It would be cheaper in the long run and better patient care to develop the addiction resources to treat

  23. Confessions of a Hospital Administrator: I Feel Your Pain...Pill

    ServantLeader replied to ServantLeader's topic in Emergency

    You are too kind Emergent, this is a fine compliment, thank

  24. HCAP scores - I can live without them

    ServantLeader replied to FancypantsRN's topic in Nursing Professionalism

    FancyPants - You make an excellent point that I, as a hospital CEO who has served at two hospitals, have long held. Satisfied patients are a direct result of satisfied associates. The path to high...