"Amazed" adds the following:
I love the banter surrounding this blog. It promotes thought and entertainment. I think it also promotes a healthy dose of truth....
I do not totally disagree with the "semi regular reader"...
I think that you should look in the mirror everyday. You should reflect on the prior day. You should commit to doing your best the current day. You should want to play nice with your co-workers. You should want your patients to fair well. You should want to do the job you chose. It's true that mental misery serves no positive purpose. I think the patients would definitely agree. The problem is that should everyone in the "trench" that think things are going from bad to worse and have experienced a decline in their job satisfaction were to bail... there would be a lot of echoing in the halls sure to be left empty. If this advise is supported by administration and management, y'all better find some scrubs and kiss your 8-5 jobs goodbye. For that matter, I do not think that this reflection should only be advise for those in the "trench." I think that those in administration and management should partake in this daily recommend allowance of reflection, as well. Assuming, of course, their preoccupation with self promotion will permit time to do so.
I think doctors and nurses are interested in promoting positive patient outcomes and patient satisfaction. I think they would love to sit around and talk with the patients about their visit satisfaction. The problem is that they do not have the time. That is about to get a lot worse. The ER staff is being slashed. The tech positions are now cut in half. The people the nurses relied so heavily on to run patients around to xray, to take specimens to the lab, to enter orders into the computer, to file charts, answer the phones, give those ever important pillows to the patients will be gone. This role will now also be the job of nursing. Nurses didn't already have enough to do. So "semi regular" If you have any ideas how to accomplish all of this and promote positive patient experiences, I'm sure the staff in the ER would love to hear it. You don't have to shout it, either. Despite what you seem to think. There are no "high horses" to be seen. I agree that those in the "trench" lend to the patient's perception of their care. Absolutely, positively. Should it not be obvious, then to those in administration and management that patient satisfaction may benefit from a positive work environment???? HMMMMM....
No. Instead, add it the role of the nurse... They apparently do it not have anything to do... Hardly. Milling about is not a privilege of those in the "trench." It is absolutely only for management and administration. In those roles, most spend the entire day rushing from one "important" meeting to the other, looking exhausted as they wander from 1 East to administration. Poor things. Poll that audience and see how many miss a meal or a break or go 12 hours without the luxury of a bathroom break. Ask them how many have a soda or a cup of coffee at their desk. They are exempt from the conditions suffered by those in the "trench."
I also agree with "Forest." These managers and administrators would benefit highly from a class on therapeutic communication with educated adults. Most educated adults do not respond to intimidation tactics. They do not respond to an environment where "tattle telling" is encouraged. They certainly do not respond to an environment where you may find your performance and professionalism called into question based on these "tattles" I was raised professionally in a place where people work together. They sort out their differences when they occur. Problems did not fester. They were addressed immediately. You moved on. Sometimes you agree to disagree. But because you are an educated adult, you can still work together. This is apparently unacceptable in the new er. Tell boss hog who the problems are... Are we adults or have we all landed in some crazy playground and are now giant first graders? Hasn't he heard of team building? Ye Gads!
I absolutely, positively disagree that those who are staying are doing it because they "like it." I am inclined to believe that it may be more because Cleveland and Greenwood are a little too far to drive everyday. Most of the "trench" workers have families at home and dread the thought of adding a long commute to the 12 hour shift mix. Instead, most of them come to work, hopeful that things will get a little better. Hopeful that nobody will make the work environment worse by "telling" some ridiculous story to the boss. Hopeful that people have grown up a little from the day before. Hopeful that they have looked in the mirror and made a commitment to be a little nicer to everyone. As impossible as it may seem, It is my sincere hope that they do move in that direction.
Of course "semi regular" may also be right. Those in the "trench" may love things the way they are. They may adore "chewing hay and spitting stubble." I think that it more likely that they are either hopeful for a better tomorrow, or have decided to suck it up. Of course behind door number three are those destined for promotion at DRMC. Not by virtue of their educational background. Not by their talents in the arena of team building. Not even because of the pay they'll accept. Definitely not because they have positive reviews from the "trench workers." Certainly not because they are capable of making a cocktail of the four, most likely it is because they have acquired a tolerance to and a talent in the performance of "analingus". It seems that is more of what it takes.
I have to agree with "Amazed" that if you are looking for the "fat" at DRMC... it ain't in the trenches! Most hospitals are run quite effectively with only three levels of employees: Administration, Managers and Staff. DRMC has created so many levels of management, they are in danger of running out of titles.
If they took one-third of the nurses from behind desks and put them on the floor to care for patients, they wouldn't even have a nursing shortage. Instead, they abuse the few remaining nurses who have been loyal throughout the acquisition nightmare, while paying exorbitant wages to travel nurses who couldn't care less about DRMC or its patients.
So, what have we gained from the merger of our two hospitals... fewer jobs, fewer physicians, fewer patients and fewer choices in health care.
Ray has given the exact same speech to every civic group who will listen, touting growth, development and the great things he has done for DRMC, and yet... we see nothing but a deteriorating health care system with a bleak future. When will we wake up?
While we continue to "snooze", I have a suggestion for Ray which might help him offset some of DRMC's growing fiscal woes:
In the spring of 2008, rent three buses. Load and escort all of your management "team" to your 240 acre "field of dreams" in south Greenville; give them all a "golden shovel" and LEAD them... in planting corn.