- Joined
- Nov 21, 2003
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In the before times, setting up unrealistic policies was a good way for admin to deflect blame from their fiscal decisions, as illustrated below:I guess I'm the only one not outraged that a hospital was held accountable for useless administrators coming up with nonsense policies and then failing to actually staff in a way that makes them feasible. This wasn't some subtle presentation that got missed. And it's not like there was some unavoidable delay in care, it's the same garbage staffing and culture to maximize profits that we see everywhere.
And is this really the same hospital that sent the Ebola patient home after he presented with fever and a history of travel to an area with an active Ebola outbreak?
1) Hospital A cuts staffing to the point where RNs and LPNs can't turn all their patients often enough to prevent bed sores.
2) Hospital A starts getting dinged for a spike in "never" events due to these pressure ulcers.
3) CNO writes policy requiring skin risk assessment every shift, with a 6 item Braden score that must be entered into the chart.
4) Patients with very lengthy hospital stays tend to be the ones that get pressure ulcers.
5) Patients with very lengthy hospital stays tend to have at least one missing Braden score during their 3-6 months inpatient stays.
6) Nurse that missed documenting a Braden score is now responsible for the "never" event, and receives corrective counseling.
7) CNO remains blameless and continues looking for further places to cut ... I mean LEAN out their staffing so they can make the jump to a system-level position.