Completely idiotic things admin are capable of

Discussion in 'Emergency Medicine' started by TrumpetDoc, Feb 25, 2017.

  1. SDN is made possible through member donations, sponsorships, and our volunteers. Learn about SDN's nonprofit mission.
  1. Arcan57

    Arcan57 Junior Member 10+ Year Member

    2,725
    1,023
    Nov 21, 2003
    I'm convinced that drinks are the "broken windows" theory of keeping nurses in line. If you can convince your staff to ignore basic biological needs for completely arbitrary reasons then they'll follow all the other rules as well.
     
    Silmaril, njac, WheezyBaby and 4 others like this.
  2. SDN Members don't see this ad. About the ads.
  3. Spectre of Ockham

    Spectre of Ockham

    169
    143
    Jun 17, 2016
    Europe

    So make them an offer they can't refuse .

    Either come in dehydrated and collapse during shift - that should get their attention and make the staff rebellious or simply go dark side on them : leverage , if you don't have any - make it.

    Some people are sadists - you cannot reason with them and the only language they understand is a good old fashion facial ecchymosis. I know that sounds extreme but it's simply survival either they destroy your life or you destroy theirs.
     
  4. d2305

    d2305 2+ Year Member

    375
    64
    May 10, 2013
    Pensacola FL
    Bring Perrier.
     
  5. WilcoWorld

    WilcoWorld Senior Member 10+ Year Member

    2,727
    1,208
    Nov 2, 2004
    If I may summarize the above wisdom, know the game better than the other players
    Let them eat cake, eh?
     
  6. bravotwozero

    bravotwozero Chronically ambitious 10+ Year Member

    1,009
    237
    Sep 19, 2004
    Houston
    Ok so how do you go 'above admin' who is their daddy and what do they do?


    Sent from my iPhone using Tapatalk
     
  7. doctalaughs

    doctalaughs Member 10+ Year Member

    624
    437
    Jul 9, 2003
    This is the most asinine thing I've ever heard. Why don't you ask who their bosses are to complain a level up? If that doesn't work, say you are being interviewed by the local paper about why healthcare costs are out of control and you have a prime example of wasted administrator salaries whose only job is to make up non-sensical rules to make doctors' lives harder.


    Sent from my iPhone using SDN mobile
     
  8. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

    8,480
    3,911
    Aug 2, 2006
    Texas
    Physician
    Faculty
    Going to the paper is bar none career suicide. At some point it needs to be done, but only if you never want to work in that city again. Anywhere. And possibly not in the state.
    Admin runs credentials. Sure, they can't fire you for it, but they can make your life such hell that you want to quit. Or, they find a bunch of other silly things that let them start making their paper trail. I'm talking about people watching you enter every room and documenting your foam in foam out. People monitoring your computer usage at work.
    They get away with it because they can. Fight all you want, but realize that without a sympathetic admin, you're going to lose. Even if you "win".
     
  9. doctalaughs

    doctalaughs Member 10+ Year Member

    624
    437
    Jul 9, 2003
    Guess you are right. If you did it I suppose being an anonymous news source might make it harder to pin on you (if you haven't made a big fuss about it prior)


    Sent from my iPhone using SDN mobile
     
  10. bravotwozero

    bravotwozero Chronically ambitious 10+ Year Member

    1,009
    237
    Sep 19, 2004
    Houston
    ...which would cause you to lose all possibility of leverage but would totally be a nice passive aggressive move.


    Sent from my iPhone using Tapatalk
     
  11. HooliganSnail

    HooliganSnail 5+ Year Member

    641
    635
    Mar 13, 2012

    Where is it, I MUST have it....

    NVM..found it. Mwah hahahaha
     
    Last edited: Mar 1, 2017
  12. TeamZissou

    TeamZissou jaferd 7+ Year Member

    1,402
    29
    Sep 29, 2008
    MI
    Admin disliked the Physician ED medical director so fired him and created a new position of ED nursing director in an attempt to have more control over staffing in the ED.

    RN ED director's first move was to take away the nurses' stipends and limit overtime (because apparently that was costing too much money). RN director thought it would be better to hire travel nurses fill in the gaps and pay them more than our permanent nurses, some of which had been there for 10-20 years. This led to many of the good nurses leaving for higher pay elsewhere, and more travel nurses who do not know where anything is in the ED or how to use the EMR. We are now staffed with many new grad nurses and travel nurses. Admin complains about falling metrics but can't figure out why. New MD ED director can't do anything otherwise he will lose his job just like the previous.

    Oh but the hospital could afford to hire a new "Chief Experience Officer" to improve the patient experience..... facepalm
     
    K31 likes this.
  13. RustedFox

    RustedFox We're all stars now. In the GOAT RODEO. 10+ Year Member

    3,177
    1,634
    Aug 21, 2007
    Land of Eternal Summer
    Please refer to my chart above.
     
    TeamZissou likes this.
  14. edmadison

    edmadison 1K Member 10+ Year Member

    2,087
    68
    Feb 27, 2001
    Lactate > 15
    Army
    If I understand it correctly, patient satisfaction is one of the metrics for the pay-to-play, just like CLABSI, CAUTI, VTE, etc. it weighs in the CMS "penalty box". If your experience officer can do things to improve the patient satisfaction scores it could justify his/her salary several times over. Stupid? Absolutely, but it does make some financial sense.

    Ed
     
  15. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

    8,480
    3,911
    Aug 2, 2006
    Texas
    Physician
    Faculty
    You get two thumbs up.
    1, for referencing a great movie with your username (I think I've mentioned this before though)
    2, for stalking where I actually work and writing down what happens verbatim so I don't have to. It's weird. There can't be more than one place that works this way, right?
     
    DissocativFugue likes this.
  16. TeamZissou

    TeamZissou jaferd 7+ Year Member

    1,402
    29
    Sep 29, 2008
    MI
    Well thank you. Admins in Michigan and Texas must be collaborating....

    What's scary is my program underwent a VERY similar situation to the whole Summa fiasco. New CEO's first day on the job fired the MD ED Director who had been there for 15 yrs. Only difference being ~1/2 of our core faculty signed with the CMG to stay around. I did enjoy referencing the Summa fiasco to the admin as an allusion to how close they came to getting our program shut down and losing their own jobs.
     
  17. DocEspana

    DocEspana Epinephrine Salesman 7+ Year Member

    21,538
    15,788
    Mar 1, 2010
    Miami
    Physician
    New email from administration the other day lists numerous things we are no longer allowed to do as they are "distracting to the patient care environment". Included in it is...

    Playing music at your computer (I half understand this as we have some coworkers who don't even like it. But I personally love it at my desk)
    A handful of legit things, but we all do it like checking non work related websites. And....
    Loud laughter.

    Seriously. He listed loud laughter as the final thing we weren't allowed to do. He has banned overt happiness in the ED.
     
    FCMike11 likes this.
  18. TeamZissou

    TeamZissou jaferd 7+ Year Member

    1,402
    29
    Sep 29, 2008
    MI
    Good thing admin avoids the ED since it's too crazy/noisy and they can't let their suits get dirty....

    I'll die before I give up my music. It's the only way I stay sane.
     
  19. Psai

    Psai Account on Hold 2+ Year Member

    9,392
    18,401
    Jan 2, 2014
    ヽ(´ー`)ノ
    Physician
    You should send them an email telling them that they aren't allowed to send dumbass emails anymore because they are distracting to the patient care environment.
     
    evilbooyaa, BAM!, njac and 4 others like this.
  20. WilcoWorld

    WilcoWorld Senior Member 10+ Year Member

    2,727
    1,208
    Nov 2, 2004
    What's next, thought crimes?

    Laughter is absolutely essential to the practice of EM. If you can not laugh at the tragic absurdity that is daily on display in the ED, then you'll burn out in a week.

    I seriously think a laughter ban would prove demonstrably harmful to patients, if anyone could actually do the study.
     
    njac and namethatsmell like this.
  21. Spectre of Ockham

    Spectre of Ockham

    169
    143
    Jun 17, 2016
    Man I would sue that guy and network so hard I would end up owning the place. Seriously I do believe a good lawyer could make $$$ $$$ $$$ from this kind of gross stupidity.

    BTW A jury would probably love dishing out a punitive payment if your lawyer can paint the admin as the cause of patient distress. Everyone I know hates the ER waiting time and conditions.
     
  22. smq123

    smq123 Roy Lichtenstein SDN Advisor SDN Administrator 10+ Year Member

    12,994
    1,776
    Jan 9, 2006
    Physician
    I'd be willing to bet that a patient heard a staff member laughing loudly, and assumed that the staff member was laughing at them. And then the patient complained to corporate.

    That happened at my outpatient office a few years ago. A few of the MAs were laughing about a TV show that they had seen the night before, but the patient assumed that they were laughing at her, and complained. <sigh>
     
  23. Spectre of Ockham

    Spectre of Ockham

    169
    143
    Jun 17, 2016
    Are admins selected solely on their ability to fail business school ? That report should have been thrown in the trash by all measurable metrics.
     
  24. smq123

    smq123 Roy Lichtenstein SDN Advisor SDN Administrator 10+ Year Member

    12,994
    1,776
    Jan 9, 2006
    Physician
    I was a medical director for two years, and have sat in on those meetings.

    You really don't want to know what gets said.

    So, there are a few things that you need to understand about administrators.
    1) Most administrators are "middle management" - i.e, they exist solely to do the bidding of the administrator directly above them. There is little independent thought or room for creativity. There is no thought given to growth or "long term vision." If you asked them where they see the department in 5 years, you'd either get a canned answer or blank stares.

    2) Measuring a physician's productivity is easy - how many RVUs did you generate? Measuring an administrator's productivity is far more nebulous. In fact, if a department or clinic is well run, there is extremely little for an administrator to do on a day to day basis.

    So how do you make yourself feel productive if you're an administrator? You focus on minutiae. Dumb s*** that is really meaningless in the grand scheme of things, but gives you something to check off on your daily "to do" list. "Emailed physicians about detrimental laughter... CHECK!"

    If there isn't any minutiae, you find minutiae to focus on.
     
  25. RustedFox

    RustedFox We're all stars now. In the GOAT RODEO. 10+ Year Member

    3,177
    1,634
    Aug 21, 2007
    Land of Eternal Summer

    After reading this, I am even all the more frustrated by my chart above.
     
    smq123 likes this.
  26. Apollyon

    Apollyon Screw the GST Lifetime Donor 10+ Year Member

    18,066
    1,977
    Nov 24, 2002
    SCREW IT!
    Physician
    Actually, that makes it a LOT more intriguing. Ether it's eye opening, or is like car-crash interesting.
     
  27. gutonc

    gutonc No Meat, No Treat SDN Administrator 10+ Year Member

    It's car crash interesting.
     
    evilbooyaa, njac, WheezyBaby and 3 others like this.
  28. WilcoWorld

    WilcoWorld Senior Member 10+ Year Member

    2,727
    1,208
    Nov 2, 2004
    I think that you're correct, and I imagined this same situation happening as I typed my previous post. But I think the way to handle this is to apologize to the patient and to talk to the guffawing individual about situational awareness and decorum. Telling everybody not to laugh at work is the opposite of the right approach.
     
    wholeheartedly likes this.
  29. Apollyon

    Apollyon Screw the GST Lifetime Donor 10+ Year Member

    18,066
    1,977
    Nov 24, 2002
    SCREW IT!
    Physician
    And that's what makes it juicy!
     
  30. Apollyon

    Apollyon Screw the GST Lifetime Donor 10+ Year Member

    18,066
    1,977
    Nov 24, 2002
    SCREW IT!
    Physician
    And then document it on your COW.

    Oh, wait - your WOW ("workstation on wheels").
     
    Silmaril and WilcoWorld like this.
  31. smq123

    smq123 Roy Lichtenstein SDN Advisor SDN Administrator 10+ Year Member

    12,994
    1,776
    Jan 9, 2006
    Physician
    Kind of car crash interesting....except it's your car and someone else is telling you to drive straight into that pole.

    Here's an example:

    ADMIN: Dr. SMQ, one of the PAs, John, isn't getting his notes closed on time. It's taking him a lot longer to close his notes, according to Billing.

    Me: I talked to him about it. The wifi in his pod is wonky. There are several dead spots and coverage is unreliable. He frequently loses wifi, so he can't connect to the EMR. That's why his notes take him so much longer.

    ADMIN: IT says that there's no problem there.

    Me: I checked it myself. The wifi in his pod is terrible.

    ADMIN: Well, he needs to close his notes on time. Apparently, he just needs to learn how to work harder and more efficiently!

    Me: It's not a matter of efficiency, it's the fact that he loses connection to the EMR multiple times a day.

    ADMIN: Well, then he can just work on his notes at home. And if he doesn't want to do that, then he doesn't have to be employed here.

    All conversations about physicians/midlevels end with one of two phrases: "He/she just needs to learn how to work harder and more efficiently" and/or "...in that case, then he/she doesn't have to be employed here."

    Middle management is tasked to solve problems. But the solutions to those problems can't be costly, because middle management isn't allowed to spend large sums of money, usually. So the answer? "The physicians just need to work harder or more efficiently." And if they don't like that answer? "Then they don't have to work here."

    Isn't middle management GREAT?!? </sarcasm>
     
    nexus73, WheezyBaby, shoal007 and 5 others like this.
  32. Psai

    Psai Account on Hold 2+ Year Member

    9,392
    18,401
    Jan 2, 2014
    ヽ(´ー`)ノ
    Physician
    So what is their role exactly?
     
  33. RustedFox

    RustedFox We're all stars now. In the GOAT RODEO. 10+ Year Member

    3,177
    1,634
    Aug 21, 2007
    Land of Eternal Summer
    My thoughts, precisely. Its like that scene from "Office Space" where Peter says to the Bobs that he has seven bosses, that serve no function.

    Eight bosses. Corrected.

     
    Last edited: Mar 4, 2017
    TrumpetDoc likes this.
  34. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

    8,480
    3,911
    Aug 2, 2006
    Texas
    Physician
    Faculty
    <CMG liaison asshat>You know, you're privileged to work here.
    <me>Yep, and judging by the number of people beating the door down to get jobs, me leaving would leave 1.2 FTEs open every month, with you guys paying even more bonuses to have people work here.
    <asshat>Yeah, but <random hospital admin> doesn't care, so stop making them follow the rules
    <me>here's my notice
    <asshat> *stares blankly*
     
  35. smq123

    smq123 Roy Lichtenstein SDN Advisor SDN Administrator 10+ Year Member

    12,994
    1,776
    Jan 9, 2006
    Physician
    Well, if that is actually what happened, the patient probably didn't know who laughed, so the administrator wouldn't be able to address one person.

    But I disagree. The correct way to handle a situation like that is to apologize to the patient, and then do nothing. Because something like that is an honest misunderstanding. And you can't prevent or fix honest misunderstandings. Something else will happen (a nurse or a tech will drop something or stub their toe and absentmindedly say "Goddammit!" really loudly, and a patient will complain), and you can't run around spot-chasing things like that. Well, you CAN, but you shouldn't.

    Whenever there is a problem (a lot of patients complain, LOS goes up, Press Ganey scores go down, Quality Metrics are not being met, etc.), senior management's knee jerk reaction is usually to hire a supervisor or manager for that department or clinic. It makes intuitive sense if you are a manager, even if that's not how it usually works out in reality.

    The problem is, most problems are due to larger, systemic issues. The department is understaffed. Physicians/midlevels hired for that department are overwhelmed (often because they are inexperienced and/or understaffed). The equipment is poorly maintained. There are usually a myriad of reasons for why things happen.

    Now, if senior management gives the supervisor a lot of freedom to make big, sweeping changes (i.e. they don't expect results overnight, they are willing to put some money towards the problems), then that can be a good move.

    However, that is generally not the case, and the supervisor is thrown in to "fix things" with minimal guidance, frequently minimal experience, and little support and/or resources. So, to make themselves feel productive, they often end up focusing on small, nitpicky things, because, again, it is easier to focus on small things than to look at the big picture that needs to be fixed. Looking at the big picture is frequently overwhelming and tiring; being able to check off dumb chores on a to-do list is easy and makes you feel like you accomplished something.

    The problem is that the more they nitpick, the less inclined the physician is to cooperate. So eventually the physician starts becoming more stubborn until they quit. And the answer is, "Well, THOSE DOCTORS are just not very cooperative and stubborn. We'll just hire someone who is more of a team player." <sigh>

    Remember, the better organized and better run the place is, the fewer administrators you actually need. Most experienced and qualified physicians/PAs/NPs/RNs will do their jobs, well, with minimal oversight.

    Yep.

    Of course, random hospital admin truly doesn't care; they have managed to convince themselves that we're all interchangeable. In their minds, there is truly no difference between, say, an NP with 20 years experience and an NP who is fresh out of school. Any doctor who has had to supervise both will, of course, say that that is ludicrous, but what does a hospital admin care?
     
  36. WilcoWorld

    WilcoWorld Senior Member 10+ Year Member

    2,727
    1,208
    Nov 2, 2004
    If you think I'm advocating "running around spot-chasing" everything then we're talking past each other. Oh well, happens a lot around here.
     
    Last edited: Mar 5, 2017
  37. smq123

    smq123 Roy Lichtenstein SDN Advisor SDN Administrator 10+ Year Member

    12,994
    1,776
    Jan 9, 2006
    Physician
    No, not at all. It's more frustration aimed hospital administrators who, unfortunately, do tend to spot-chase.

    Apologies for any misunderstanding!
     
    WilcoWorld likes this.
  38. TeamZissou

    TeamZissou jaferd 7+ Year Member

    1,402
    29
    Sep 29, 2008
    MI
    My question as someone who in the next year will be looking for my first job out.... Is there an obvious difference between hospitals where Admin run/make the decisions versus hospitals where house staff decide on who admin are? Or is it generally the story of power corrupts/makes them stupid?
     
    racerwad likes this.
  39. Spectre of Ockham

    Spectre of Ockham

    169
    143
    Jun 17, 2016
    Why does anyone pay these morons ? I got a small IT security business that involves a lot of corporate interaction and I cannot understand why anyone pays such dimwits.
    Is this why insurance cost so much ?

    Also they sounds more like lower management. They should be trained at least as well as C-suite execs , right now by the sound of it they are 80% retarded.
     
  40. RustedFox

    RustedFox We're all stars now. In the GOAT RODEO. 10+ Year Member

    3,177
    1,634
    Aug 21, 2007
    Land of Eternal Summer
    Interesting percentage that you chose. Last article I read about healthcare costs in the US quoted a figure of 1 out of every 4 dollars spent going directly to administrative costs. Not far off of the 80-20 split that you just rifled off.

    That's right, folks. A retard wastes one out of every four dollars of your insurance premium.

    *A WINNER IS YOU* (NES humor)
     
    Spectre of Ockham likes this.
  41. Arcan57

    Arcan57 Junior Member 10+ Year Member

    2,725
    1,023
    Nov 21, 2003
    Are you working for a surgery center that's surgeon owned? If so, you'll be in a place where the house staff decide on admin. Most physicians are ridiculously bad at business and thus it's uncommon to find large scale enterprises (such as a full service hospital) that are able to sustain success with a predominantly physician-based leadership. Most hospitals will have some variation on a med exec committee that decides delineation of privileges, med staff bylaws, etc. but the CFO is the one actually running the hospital and they give ZERO f$#!s about anything that's not going to lead to black ink on the balance sheet. Just in recent memory, we've had a physician led group that built most of a hospital before abandoning the idea and a chain of FSEDs that borrowed enough money to build a bunch of FSEDs but not enough to actually open and run them.

    As a general rule of thumb, when you're interviewing at a place take a note of the demeanor of the people you meet in the ED. If they're all miserable then it's probably something about the environment that's contributing to that. If everyone's happy, it's either a good environment or they're well-disciplined liars.
     
    WilcoWorld likes this.
  42. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

    8,480
    3,911
    Aug 2, 2006
    Texas
    Physician
    Faculty
    There are physician owned hospitals that exist and predate the ACA rules. They're pretty spaced out though.
    Unfortunately, a whole bunch of people voted for a group that then went on to decide that physicians weren't smart enough to run their own hospitals without committing Stark law violations.
    So while the data shows that patient outcomes are better at "doctor's hospitals", we can't have any more, at least not without a lot of finagling.
     
  43. shookwell

    shookwell EM is the best specialty 7+ Year Member

    174
    80
    Apr 9, 2008
    Physician
    After working in multiple EDs I've made it a rule never to take a job in an ED where the person in charge does not work clinically on nights and weekends. I find that to be a good measurement of how disconnected they are.
     
    had2piknowEM, RustedFox and smq123 like this.
  44. Gastrapathy

    Gastrapathy no longer apathetic Lifetime Donor 10+ Year Member

    4,023
    2,550
    Feb 27, 2007
    Physician
    My favorite phrase when encountering an administrator with a stupid policy that I intend to ignore is "thank you for the feedback". Ends the conversation, doesn't commit to anything, and is dismissive without being so disrespectful that there's nothing they can do. You have to then go where they can't follow (i.e. a patient room)
     
  45. Venko

    Venko True to self Lifetime Donor 10+ Year Member

    734
    442
    Jan 24, 2006
    Rochester, MN
    Physician
    For what it's worth, there could easily be a thread: completely idiotic things Venk is capable of...

    Also, there are wonderful administrators in health care too, and partnering with administrators who bring logic and vision can help true magic happen in the workplace.


    Sent from my iPhone using SDN mobile
     
  46. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

    8,480
    3,911
    Aug 2, 2006
    Texas
    Physician
    Faculty
    In a democratic group with open books and fair partnership tracts and weekly unicorn barbecues.
    [​IMG]
    [​IMG]
    [​IMG]
    Then reality sets in
    [​IMG]
     
  47. Arcan57

    Arcan57 Junior Member 10+ Year Member

    2,725
    1,023
    Nov 21, 2003
    Using LEAN methodology, administrators are a non-value added process in the delivery of healthcare. The only way that can offset their negative effect on the system of healthcare delivery (their salary, etc.) is by facilitating the provider-patient relationship. The problem from the EM side is that visionary administrators (I'm talking C-suite here, not director/manager level) who use logic to make magic happen will often prioritize almost everything else before the ED. While a well-run ED will bring money into the hospital, the EMTALA mandate means that the return on investment for expanding ED capabilities isn't anywhere near expanding other highly utilized service lines. Opening up new OR or cath lab space (if there is a demand in the marketplace) is going to generate far more money than appropriately staffing an expansion of the ED. Part of the problem we face is that we've in large part become too good at covering up the deficiencies in the resources we have available. If someone that was young and previously healthy died in the ED every time our volume spiked 30% above baseline then you can bet we would be getting more resources (before or after they first purged the entire ED). In reality, a department that's staffed for 90 pts/day can see 135 pts in a day. While all the staff leaves feeling like they just got punched in the liver, the effect on patients' actual outcomes may not be detectable. If they see 135 and due to heroic D-Day style effort keep the metrics looking reasonable for that shift, that's just further proof that staffing is appropriate. In a world where "Maximum Effort" exists mostly as a catchphrase for a scarlet clad anti-hero, that's what administrators expect from the ED every day.
     
    WheezyBaby, racerwad, LibBum and 3 others like this.
  48. smq123

    smq123 Roy Lichtenstein SDN Advisor SDN Administrator 10+ Year Member

    12,994
    1,776
    Jan 9, 2006
    Physician
    This is so true. And, for some reason, the idea that maintaining such Herculean effort, day in and day out, might not be sustainable in the long run, is UNFATHOMABLE to most administrators.

    I told an administrator that Dr. Smith seemed like he was getting burned out, and if we wanted to retain him, we needed to figure out what he needed. The answer I got back was, "Well, Dr. Smith needs to understand that being a doctor is hard work. It isn't easy."

    Thanks. I'm sure he'll appreciate being told by a non-physician manager that "being a doctor is hard."
     
    WheezyBaby and nexus73 like this.
  49. Mad Jack

    Mad Jack Critically Caring Gold Donor 2+ Year Member

    31,141
    52,494
    Jul 27, 2013
    4th Dimension
    Let's remove the OR unit Secretary. The calls will answer themselves, no doubt, and the OR will magically schedule itself. Not to mention the effects on morale of both staff and contracted surgeons. They fired a person that made half of what a nurse makes and people that cost four times as much as her (unit managers, charge nurses) ended up picking up the slack by rotating time at the front desk when they could be doing better things. Penny wise, pound foolish...

    The verbal order thing is the worst though. It just throws a wrench in everything, all the time, forever.
     
    wholeheartedly likes this.
  50. Arcan57

    Arcan57 Junior Member 10+ Year Member

    2,725
    1,023
    Nov 21, 2003
    That's when you start beating on the manager or director for allowing morale on the unit to fall and tell them they need to recruit more. I mean you don't stop putting stress on a widget that's wearing out, you just make sure you have another one ordered for when it breaks.
     
    smq123 likes this.
  51. RustedFox

    RustedFox We're all stars now. In the GOAT RODEO. 10+ Year Member

    3,177
    1,634
    Aug 21, 2007
    Land of Eternal Summer
    That's what they did with our ER unit clerk/secretary. They made the charge nurse do all that work. In addition to being a charge nurse, and a floor nurse, and a tech, and a partridge in a pear tree.
     

Share This Page