Tuesday, August 21, 2012

living in the hospital fantasy world

I work in the land of make believe. Its a place where everybody pretends things are different than they really are. There are beings here who run this land of make believe. They are the ones who make the rules. Lets call them the rulers.

The rulers like to get together and think up new rules and change the rules they already made. That's what they get paid to do. They send the rules and changes they have thought of down to another group of people who deliver the rules, make sure the rules are followed. Lets call them the enforcers.

The people who receive the rules and changes and have to live by them are at the bottom of the pyramid of make believe land. They are the people who actually try to follow the rules as they do the work. Lets call them the nurses.

Here's the thing. The rules that the rulers make, and the enforcers enforce are rules that nobody can ever follow. There are too many rules, they keep changing. The nurses can't possibly follow the rules. There are too many. Its impossible to keep up with them. The changes are too numerous and often make things more complicated.

So the nurse eventually give up. They tell each other, forget it. I'm not even going to try and follow the rules. There is no point. I can't keep up. I'm just going to follow the rules I can and screw the rest.

Moral of the story: If you keep changing policies, increasing charting requirements, making things more complicated, the nurses will just do what they can and you won't get what you want. And when the rulers of the rulers, the kings and queens of make believe JCAHO) appear, everybody will be screwed.


Mark p.s.2 said...

That is going to go on your permanent record!
You won't get into that school you wanted to go to.

EDNurseasauras said...

Oh, yes, the land of make believe. We are neighbors, as I live in the adjacent state of Stupid Shit. Here, we have People in Charge of Stupid Shit who apparently make up the same idiotic rules. The are enforced by the malevolent Suits, or Clip Board Nurses. NONE of them can do the jobs for which they make up the rules.

Cerna Health Care said...
This comment has been removed by a blog administrator.
Anonymous said...


Anonymous said...

Totally agree!!

Ally said...

Isn't it funny how many rules you suddenly become aware of when Joint Commission is about to come? All the sudden you're getting 204832 e-mails from the Enforcers telling you that every damn thing in the room is supposed to be dated and timed and initialed and labeled and no flushes unlocked anywhere and no backpacks on the floor in the break room and holy shiz these are for real?!

Nothing more annoying than totally unrealistic expectations heaped on you by the boatload. Ugh.