Wednesday, August 17, 2011
are we cogs in a wheel?
As hospitals compete for the almighty health dollar, decisions are being made to do whatever it takes to make patients happy. In our hospital, administrators do daily rounds to ask patients how things are going, if there pain is being controlled...so you have non medical people dealing with patient care.
There is a trend in ERs to get people back to rooms asap, a noble idea. Rachedy talks about it in a blog post. We are headed for a time when there will be no triage. The problem with this is that is when no one initially talks to someone, you really don't know who is the sickest. You are treating everyone the same and we all know that all ER patients are far from the same. We are also using up our rooms, could have an influx of REALLY SICK patients and then everybody is screwed.
These decisions are being made without the input of nurses, the ones who actually do the bedside care. They are made by administrators whose bottom line is money. They are being made by doctors whose bottom line is satisfaction surveys and money. They don't ask the people whose bottom line is patient care: us.
Nurses are losing control of our practice in this age of profit and satisfaction surveys. We are becoming factory workers on an assembly line of patient care. Task monkeys. Is that what we want? In the end, it is our liability that increases with these decisions. Will we allow this to go on?
Posted by girlvet at 11:16 AM