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GaryRay

GaryRay

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Reputation Activity by GaryRay

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Like 1

Reactions Received

Like 3

  1. Like
    GaryRay got a reaction from chare in Uncomfortable with practices at new job   
    While leading the charge and advocating for evidence based practice sounds like a fabulouse romantic though, its a great way to piss off your coworkers and put a bulls eye on your back. You will get pushed out of there so fast youll wish you had just quit. 
    1. Lead by example, if they want to ignore patient safety when they are working you cant change them, but you can refuse to do it when you are working. Insist on proper time outs and consents when its your patient, you'll still make enemies but not as quickly
    2. Use trigger words, " case delayed due contamination of sterile field" "for patient safety requested MD consent pt prior to procedure" "hostile Negligent..." Some things (if they are in writing) are too big of a liability to ignore for mngt
    3. Change can't happen overnight, incremental nudges work better than massive shifts in culture. Try to get a unit quality council started or find another way to empower your team members to be part of the process. 
    4. Find another job, this isn't a step by step process just a list of ideas. If the culture doesn't look like it can be influenced and the practice is against your ethics than do you really want to work there anyway? Decide if you willing to fight this battle... because its going to be a long time before things are the way they should be.
    5. evaluate what is most appropriate for this facility. Not everything can reasonably be changed, concider resources and pt population...
     
    Good luck hope that helps
  2. Like
    GaryRay got a reaction from chare in Uncomfortable with practices at new job   
    While leading the charge and advocating for evidence based practice sounds like a fabulouse romantic though, its a great way to piss off your coworkers and put a bulls eye on your back. You will get pushed out of there so fast youll wish you had just quit. 
    1. Lead by example, if they want to ignore patient safety when they are working you cant change them, but you can refuse to do it when you are working. Insist on proper time outs and consents when its your patient, you'll still make enemies but not as quickly
    2. Use trigger words, " case delayed due contamination of sterile field" "for patient safety requested MD consent pt prior to procedure" "hostile Negligent..." Some things (if they are in writing) are too big of a liability to ignore for mngt
    3. Change can't happen overnight, incremental nudges work better than massive shifts in culture. Try to get a unit quality council started or find another way to empower your team members to be part of the process. 
    4. Find another job, this isn't a step by step process just a list of ideas. If the culture doesn't look like it can be influenced and the practice is against your ethics than do you really want to work there anyway? Decide if you willing to fight this battle... because its going to be a long time before things are the way they should be.
    5. evaluate what is most appropriate for this facility. Not everything can reasonably be changed, concider resources and pt population...
     
    Good luck hope that helps
  3. Like
    GaryRay got a reaction from chare in Uncomfortable with practices at new job   
    While leading the charge and advocating for evidence based practice sounds like a fabulouse romantic though, its a great way to piss off your coworkers and put a bulls eye on your back. You will get pushed out of there so fast youll wish you had just quit. 
    1. Lead by example, if they want to ignore patient safety when they are working you cant change them, but you can refuse to do it when you are working. Insist on proper time outs and consents when its your patient, you'll still make enemies but not as quickly
    2. Use trigger words, " case delayed due contamination of sterile field" "for patient safety requested MD consent pt prior to procedure" "hostile Negligent..." Some things (if they are in writing) are too big of a liability to ignore for mngt
    3. Change can't happen overnight, incremental nudges work better than massive shifts in culture. Try to get a unit quality council started or find another way to empower your team members to be part of the process. 
    4. Find another job, this isn't a step by step process just a list of ideas. If the culture doesn't look like it can be influenced and the practice is against your ethics than do you really want to work there anyway? Decide if you willing to fight this battle... because its going to be a long time before things are the way they should be.
    5. evaluate what is most appropriate for this facility. Not everything can reasonably be changed, concider resources and pt population...
     
    Good luck hope that helps
  4. Like
    GaryRay reacted to Wuzzie in Inclement weather conditions...mandatory to work?   
    Yes, I remember that thread, it was riveting and I'm glad you made it our safely.
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