The practice of nursing is guided by certain state education laws, rules, regulations, and the code of ethics. According to these, nurses are morally bound to care for and treat all patients regardless of disease entities, socio-economic status, cultural views, religion and sexual orientation, and so forth. Nurses are to care for all people. My nursing school motto was, “Amicus Humani Generis” which translated to be, “ Lover of the Human Race.” Wouldn’t it be ironic to go against the core of this statement?
The patient experience is an area of healthcare that can no longer be overlooked. Patients are routinely questioned about the care they receive through HCHAPS surveys. The results of these surveys can have an impact of the level of Medicare reimbursement a hospital receives. According HCAHPS to December 2014 summaries, 21% of patients did not feel like nurses always communicated well, 36% did not feel they were always provided information about their medications, and 32% did not feel the hospital staff were always responsive.
If I had an opportunity to sit face-to-face with each and every nurse manager in the world I would tell them that eliminating paper and using computerized automated processes is the one great way they can improve patient care across the continuum. One area in particular where this can really make a difference is in tracking clinical competencies. Because if you want to make sure patients receive the best care possible the first thing that needs to be done is ensuring that nurses are well trained and competent to care for those patients.
I had never really questioned this method of caring for mothers and newborns until the I learned about units where all the care was combined. However, there is an increasing trend in changing this model to a mother-baby setting, in which the baby stays with the mother. The only time the baby would leave the bedside is during the assessment, procedure, or if they were sick and required special medical and nursing attention. This would increase the amount of time the infant spent with the mother while she was still in the hospital.
An article discussing the CEO salaries of Midwest hospitals was interesting to me for several reasons. In the article Nonprofit hospital CEO salaries in the Midwest: Who’s on top?. Randall O’Donnell who is the CEO at Children’s Mercy Hospital and Clinics; Kansas City, Missouri, makes a cool $6 million a year.
That’s a $6 million salary at an organization that is nonprofit. The organization may be called a nonprofit, but the CEO certainly ain’t going hungry.
The intention was to return to work on Tuesday following my appointment on Monday. I was supposed to go in and get a release, but instead I got admitted to the hospital.. again… So that makes for 3 admissions for this particular ailment. Then again, I guess a brain tumor isn’t just a routine illness.
Considering the fact that I had been sleeping 16 hours a day, all day, staying up all night, having absolutely no energy, and drinking nearly my weight in water every day, it probably was the most appropriate choice. Needless to say, I was a bit upset about it at the time. I really just want to get my life back in order,and frequent hospital admissions aren’t exactly the routine in my life.
That’s what nursing informatiics is like. Or at least, in my humble opinion, that’s how nurse informaticists should practice. We can’t fix immediate problems and ignore the big picture. By all means, we must fix the immediate issues, but we need to explore and dig deeper to see what really caused the problem and how we can not only fix this problem, but improve the entire process.