1) FIRST****...I would improve the technology to have live patient vitals fed to into uptodate hand-held devices and make it available to ALL health care staff.
2) Provide smart decises with biometric technology that interact with each other, and make it available to ALL health care provers (nurses, physicians, respiratory technicians, risk management, quality control, PHARMACY, LAB): iphones for nurses, interactive IV-pumps (so that fluid administration is transferred over to patient profile for intake monitoring), ipads for physicians and charge nurses, live telemetry feed to patient profiles, interactive live feed of MAR with patient profiles, interactive live feed of medication orders + pixys + pharmacy + labs + microbiology + ventilators + telemetry + vitals + IV pumps + Intake & Output + ETCO2 continuous for ventilated patients + dialysis machines + CRRT machines.
3) Change culture to focus on patient safety rather than charting all the information listed on #1 & #2
4) ENSURE appropriate availability of medications for all patients as prescribed by physicians
5) Reduce the nurse to patient ratio of IMCU from 1:6 to 1:4
6) Provide telemetry live feed to patient profiles
7) Increase lab staff to cover STAT orders
8) Implement a Rapid response team designated to respond to RAPID ALERTS and CODE BLUE alerts only
9) Implement a closed ICU... "pulmonologist" immediate unavailability is unsafe for critical patients
10) Post expected behavior of guests all around the hospital
11) Ensure availability of necessary equipment and supplies for patient care
12) Prohibit use of personal cell phones (unless in the break room) by all staff
13) Prohibit transfer of critical care patients during shift change (1800-1900 & 0600-0700) for patient safety
14) Require use of hemodynamic monitoring for patients on vasopressor drips.
15) Prohibit the use/management/access of arterial and central lines by staff other than registered nurses
16) Implement a nurse + physician driven quality control auditing system/team for physician's actions/inactions/effectiveness of care with authoritative power
17) Hire management staff and directors with quality experience in the unit in which they are hired to manage/direct (as in >3 years of management-not charge nurse- work experience) with appropriate education of Masters degree in nursing PLUS certifications associated with the unit they're supposed to manage/direct.
18) Increase tec support at all units (for patient turning, and hygiene)
19) Limit guests at ICU waiting room (it's constantly overcrowded with children and people blocking hallways)
20) Require physician rounding for ICU patients at multidisciplinary-rounding time DAILY (as in ALL physicians involved in the case, NOT JUST ICU PHYSICIAN)
Pay raise,cheaper insurance and cafeteria open to night shift employees.Find away to bridge the gap between night shift and day.
Answered - Unit Secretary (Current Employee) - Pasadena, TX
I would use my management and leadership skills to improve team effort while rewarding or making the place a comfortable work area for everybody
Answered - Perioperative Nurse (Current Employee) - Pasadena, TX