New JCAHO policies dealing with disruptive behavior

[jwk]

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http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_40.htm

Very interesting in light of the other thread JPP started about cocky surgeons.

 

[Leverage]

The worst part of my day is dealing with lazy nures... If I did some of the crap they did my PD would send me packing in 2 sec flat.

JCAHO could have a field day with some of this idots. I pretty much have to assume my orders will not be carried out and follow up on them every hour. Heaven forbid I have to admit a patient to the MICU 30min before shift change. These nurses pretty much got me trainned, if something needs done, I just do it, I wouldnt want to mess up their snack break. Speaking of snacks, anyone have any theories way so may nurses tip the scales?

2 more weeks at this county hospital and then I won't see it agian till April, thank God.

 

[Noyac]

We have been writing a "disruptive physician policy" for the last year. Just writing the policy has made things a lot better throughout the hospital (it's not just for surgeons). This topic has been a hot item from joint comm for quite sometime. Nice to see them put something in print.

 

[SleepIsGood]

yah...but as the article states, things in medicine will always be hush hush...it's just the culture.

 

[ecCA1]

You can be written up for "condescending tones" and "aggressive acts like not returning a phone call or answering questions.

Sounds like there's a lot of leeway for people to file baseless complaints.

Enjoy being an intern/resident, guys.

 

[Tenesma]

do you realize that rolling your eyeballs is considered "workplace violence"...

 

[stewiegriffinFG]

Speaking of snacks, anyone have any theories way so may nurses tip the scales?

I think nurses hate themselves and try to make up for their depression by eating their way into a set of XXL scrubs. The inferiority complex can have huge emotional ramifications, and is probably responsible for the CRNAs' social problems.

 

[Josh L.Ac.]

Nurses also tend to eat the cafeteria food, which is obviously assembled in such a manner to encourage patients to return to the hospital at a later date.


Seriously though, the docs I work with are lucky enough to have nurses (such as myself) that enjoy...nay, fact encourage smack talk. But if one of the nurses was in a pissy mood, they could easily feign upset at one of the physician's comments and push to have them written up.


It's sad, really.

 

[granolabar2]

I'm sitting here at the Cleveland Clinic (not my program, just here with a family member who is a patient), and they seem to be doing something right in terms of fostering a culture of politeness. Every staff member I've interacted with is really, really nice and helpful.
Whatever it is they are doing on an institutional level to create this kind of culture, everyone should be copying.

 

[coprolalia]

Hey, I'm all for being polite - especially with the patients (and, more importantly, in front of the patients).

But, who the f**k is JCAHO, who already wields FAR too much power, to stick their grubby hands into this business? I mean, for cripe sake! When are people going to finally stand-up to this fascist, private, non-governmental organization and say enough is enough! I seriously wish someone would refuse them entry into a hospital when they show-up unexpectedly, and then sue them and any payer who refuses to pay when subsequent coverage is denied.

JCAHO doesn't protect anyone. It's all smoke and mirrors. All they've been truly succesful at is adding a great deal of additional cost to an already burdened healthcare system.

http://ernursey.blogspot.com/2008/03/more-jcaho-madness.html

"When you try to make something idiot proof, they build a better idiot."
-Murphy's Law

"The Death of Common Sense" by Phillip K. Howard should be required reading in medical school.

-copro

 

[coprolalia]

More stories of JCAHO stupidity...

http://scalpelorsword.blogspot.com/2007/11/more-jcaho-nonsense.html

http://www.emergiblog.com/2007/04/oh-hell-no.html

http://allbleedingstops.blogspot.com/2007/03/more-jacho-fun.html

http://proprietornation.blogspot.com/2007/12/jcoha-threatens-to-shut-down-grady.html

http://blogs.healthcare.com/mdodblogger/2008/04/09/we-dont-want-you-to-get-hurt/

THE PROBLEM WITH JCAHO IS EXACTLY WHAT THE FOUNDING FATHERS OF THIS COUNTRY WORKED SO HARD TO AVOID IN OUR GOVERNMENT - THERE ARE NO CHECKS AND BALANCES!

-copro

 

[coprolalia]

And, I loved this from the last article I linked...

... what we do after a bad patient outcome or with problems in how we deliver excellent care in the ER? We ask each other and do research and go to conferences and see what the pointy-headed academics are doing. We never say, “Hmm, why not ask JCAHO or Press-Gainey about this?”

JCAHO and Press-Gainey are parasites. They are solutions in search of a problem.

Perfectly sums it up.

-copro

 

[Faebinder]

And, I loved this from the last article I linked...



Perfectly sums it up.

-copro

Agreed, that was beautifully said.