Wednesday, April 01, 2015

the land of make believe

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.


Anonymous said...

Once again you have stated the situation so well. Oh sooth sayer of the craziness.

Anonymous said...

Reminds me of being a special ed teacher. I suppose my second career choice of nursing isn't a "different" choice at all.