Summer's great. Get's you outdoors, reminds you there's a life beyond work. Makes it harder to "blog" (...and I know that'll make some people happy! Cheers to them!)
There was a column last week in the Denver Post by Cal Thomas...not ususally a totally inspiring writer/thinker...but this piece deserves some attention. It was titled "Focus on the Patients"
and it was talking about a documentary on Public Television by Lloyd Dobyns about "Systems Thinking". When applied to hospital settings, systems thinking "..is not focused on reducing staff, reducing costs, or improving profits." Instead, everything is focused on the patients. "..as you focus on the patients, all the other things occur naturally. You want to help the hospital? Help the patients." Thomas says "In hospitals where systems thinking is used, health care costs have been reduced by as much as half.
I wish that our administration would at least make an attempt to really re-think the prevailing management "style" (process? method?), best characterized by "ignore it and it will go away"; perhaps they could use the PBS documentary to inspire them...perhaps we all could. I suggest the Director acquire a copy and play it at the next Director's Forum...start a good discussion...come up with some ideas for real change. Even I am beginning to get bored with just complaining...can't we actually improve something for once????!!!
Meanwhile, while I'm wishing, I wish Facilities Management would PLEASE turn on the sprinklers in the patient courtyard on T1, where what used to be grass is now dirt and straw. That would certainly be a patient centered thing to do. It is, after all, the only outside space many of these patients are allowed to inhabit for weeks on end. For years, it has been a pleasant, grassy area where volley-ball, or other outdoor activities could be held...for some reason, this year, there's been zero water applied and it's a really disgraceful excuse for a patient area.
And, oh what the heck, while I'm wishing: I wish that the hospital followed it's own grievance policy. The policy is spelled out prominently on every grievance form; it describes 4 steps, each to occur 7 days after the previous one. In actual practice, at least 3 grievances that I have personal knowledge of, got to step two and stopped....in spite of protests from the grievers, requesting that they proceed to the next step...it makes patients and staff feel that there is, in fact, no formal method for dealing with issues as they arrive. The grievance procedure, (written policy nothwithstanding) is just another exercise in frustration leading to cynicism and culminating in, among other dysfunctional gestures, the "blog" - where these matters become a public disgrace, instead of a private one.
Just to round out the wish list, I wish the State of Colorado would offer to take care of those whose personal identities were compromised in the same way the Office of Veterans Affairs has done. The VA is paying to have the victims credit info monitored...so far, our State Government has offered it's victims nothing at all...it's not clear to me that anybody's even said "sorry".
Now, who do I give this wish list to, I wonder...is there a Madhouse Fairy? A Santa?...Harold? Shinning Elmer?
.....Steve?
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Summer On, bloggers!!
There are new comments at least on the last post...have lost track a little...there was good one on an earlier post, too...egad. Dahlias are distracting.
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10 comments:
those are some darn good wishes my dear gadfly. I ray your wishes come true.
I've always wondered why Mountain Star has a team leader, who by profession is a teacher; and a head nurse. There are teachers on that unit who are there specifically to teach. The team leader does not teach. She has a M-F 8-5ish job and probably pulls in a hefty salary due to length of time w the MadHouse. Mountain Star, for those of you who don't know is an unlocked adolesent residential unit with a census of approx. 18. The head nurse can quite capably run the unit. My point is that attention could be given to the grounds, the interior, toys for the childrens unit, etc instead of retaining expensive unneccessary administrative staff. Medical hospitals have functioned very well under the direction of head nurses. Do you ever walk into a medical hospital and see staff sitting at a table reading the paper?
Well if you want to look at the spending on mountain star ???? Did you know in the comunity the residential units have No full time nurses' no team leader' no full time PHD and the line staff get paid much less then our MHC's.? The best job with big bucks goes to the principal of the school ! Where else in the state would get to be the head of a school with less then 60 kids and get her money now that is a real rip off.....
I see line staff reading the newspaper, watching TV, chit chatting, and hanging out behind closed doors all day, every day were I work. But they don't get paid enough???
Something is very wrong at our Madhouse. We have had more horrible assualts. What has been happening to have our clients go off. Another one happened yesterday. 4 in less then 2 months. Something has changed. Becareful out there.
Finely a chronically assaultive pt goes back to jail after returning from jail and committing several
more assaults. Last I knew there is no cure for sociopaths. He can take his meds in jail as well as he can take them @ the Madhouse. My wish for the day is to have an independent psychiatrist (not one of the good ole boys) review all pt medications on the assaultive team.
but this cant be a new idea - to focus on the patients as the goal; a lot like customer focus in business.
What was all happening on those admit teams the last few days ???clients beating each other up on Fri and staff did not even call the supervisor, no reports, no Dr. called???? Another client has to report it in the AM..... Man that is not care that is neglect. We have problems here in River City....Another client runs up to the locked door kicks it, runs away and start throwing huge rocks at the cars on Quincy..What a 4 th of July...
Sounds like lots of activity at the Madhouse, but nothing beats 5, nor 1, not 2 or 3 but 5 -- FIVE -- episodes of sexual intercourse on the adolescent unit. All by the same couple. Who was watching the patients??? There were only 11 or 12 of them. Whats up with this??? Heard the head RN came in on Sat to give the staff a "pep" talk!!!
I work evenings. Recently when leaving the sprinklers were working just fine watering my car and the parking lot.
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