LEFTFLANKPAIN
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It is what it is, weather or not anyone can handle the truth, this is happening in my place. Looking for real, constructive input, I know there are other facilities that have big problems too.
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How has Studer worked out for your facility? In principle, it's all very good. However in execution, our facility has seemed to lose touch with reality and moved out all of its proven high performers who have always behaved ethically, and moved in very green staff. The old staff who remain are considered high performers by our Administration, but in reality they are low performers. The green staff are so new that they go along with the old, unethical staff. For example, there are many extramarital affairs, drug use, people coming to work admitting they're very hungover by our new high performers. There's a heavy-drinking and partying staff clique with which many managers and supervisors belong. Many staff in this clique at work seem unfocused, are loud and always screaming and shouting about partying and getting drunk. At work, many disappear for hours and it's rumoured there are affairs occurring within the facility during work hours. Because those doing this are considered high performing by Managers, complaints about disappearing, appearing impaired, affairs fall onto deaf ears. Those of us who work hard and work ethically seem to be the targets of managers because the managers favor the unethical, disappearing staff. Administration's radar for who are high and low performers is so off, that there are days they will walk in and simply fire someone who works hard and ethically, calling them a low performer, while the true low performers are absolutely off of Management's radar. The Studer Mentor did a site visit and immediately took to one of the drug users, recommending she work for Studer! All of this has caused a massive decline in quality of patient care in our facility, people getting away with messing around on the job and the hard workers being overloaded with all the work. I also can't help but doubt the credibility of the Studer staff when a supposed proven mentor takes to a person who has been instrumental in the playing around on the job. I realize Studer's intentions were good, but in our place, in execution, it's made things far worse.
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Thank you. These are scary times in some ERs around the country. I may try to lobby for a safe harbor type of program in my state. Thank you for that information.
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I love the ED so I would still go there. It's our facility that has lost complete sight of the patient, relying upon extreme short staffing to maximize profits. It has become extremely dangerous to work there.
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Might be time for me to do that.
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Our facility chronically leaves our ED shorthanded by 25% to 75% in Nursing staff. This leaves extremely unsafe staffing ratios, I'm talking up to 11, 12 patients to 1 RN; also our RNs often must do our own housekeeping, be security for violent events in the department, hold ICU inpatients in the department etc because the hospital does not want to pay for ancillary staff; all of this is in addition to our 4-12 patient load for each RN. Then when a patient complains that their wait was too long or if a bad event occurs, the hospital blames the nurses. I would write an occurrence report, but that goes to our Risk Manager who is also a blamer. Everyone else is afraid to address the unsafe nurse to patient ratios due to our Administration will simply terminate anyone who questions them. What is everyone else doing to stay safe in this kind of facility?
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For those who may have been under a rock, this has been the recent buzz about Peer Reviewed studies and Scientific Integrity (aka *gasp* some scientists have been hasty, inaccurate or unethical): How science goes wrong | The Economist Hank Campbell: The Corruption of Peer Review Is Harming Scientific Credibility - WSJ
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As of late 2014, medical errors are the #3 cause of death in the U.S. This is one reason why I don't sit on my high horse as a Bachelor's Degree educated RN. Also have several other college degrees, decades of experience, but still do not condone the practice of sitting on a high horse. Have seen too much bad medicine to not want to make a concerted effort to stay humble and never feel like I "know it all". Cannot say that about some people, especially those with 2 year RN degrees who cite peer reviewed studies as their know it all go to.
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It's called Coersion and it's Unethical. At the point where the RN is asked to take a medication into his or her body, that staffmember becomes a Patient. To coerce a Patient into taking a medication he or she does not want to take is considered assault in some states, to coerce a Patient into doing something is unethical and in many facilities a violation of the Code of Conduct. In my facility, coercing any patient like that would be a violation of the Code of Conduct and grounds for immediate termination, we signed a contract to this effect.
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Pretty unethical those here who are mocking Patient Choice. Judge, judge, judge. Ethically, our jobs are not to push our personal beliefs upon patients, but to inform them of the choices, the risks and benefits associated with them, and it's the patient's FREE CHOICE how they decide to approach their disease process. This is called Informed Consent, it's the cornerstone of what we do. I hope nobody ridicules their cancer patients for seeking complimentary therapy. Difficult enough to be dying then some know it all with a 2 year degree comes along on a high horse ridiculing how the dying are trying to best cope with what they're going through. Sorry but if my patient is dying, they can do what they wish. I had a dying patient who instead of pain meds wanted a small square of chocolate every hour, which was ok with the doctor, and I complied. It made him extremely happy and that's how it should be for the dying. I did not spout off about how the patient was wrong because randomized peer reviewed studies brought me to the conclusion that Opiates would be better than chocolate. Chocolate was right for the patient. Chocolate it was!