Improving life for nurses - and patients

  • Article by: MAURA LERNER , Star Tribune
  • Updated: July 11, 2010 - 10:12 PM

Minnesota hospitals join a project aimed at trading "wasted" time for more patient time.

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lahdedJul. 12, 1012:44 AM

"I love how people who do not and cannot do my job tell me how to do my job more efficiently." Ever heard of the phrase "Boiled Frog"? If one were to try and put a live frog in boiling water, it will jump out. Now, if they put the frog in room temp water and then turned on the heat, the frog wouldn't necessarily jump out because it's body would acclimate to the water until he dies. This is the same as the mentality the quoted person has. "Don't tell me what I don't know." 'If there was something wrong, I would see it.' This program isn't telling them how to be better nurses, the intent is to help them be better nurses by helping to eliminate the things that keep them from actually doing their job. After all, sometimes "outside eyes" is just what is needed to fix those "boiled frog" problems.

rasta6629Jul. 12, 10 1:08 AM

by the MNA. I wonder which will win, patient care through efficiency or nurse ratios. I bet I know which one the MNA bosses want...

jackthemackJul. 12, 10 2:31 AM

This is one of the most time-consuming and frustrating sites that I visit. It's going to be very difficult to monitize a site like this. I spend more time waiting for stories to load than I spend reading them. When I happen upon a paper version of the Strib, I feel like reading the news has gotten easy again. It's time for a major redesign-there is no excuse for the length of time it takes to get some text on a page with this website.

bottomlineJul. 12, 10 5:15 AM

Well, the reason is obvious. Nurses get paid an inordinately high dollar-per-hour. Because of that, every time one patient is finished, a "chess timer" is punched to tick-tick-tick the time counting down on the next patient.

Am I saying that nurses are getting paid "too much"?? ...NO ...but we NEED to understand, what happens as-a-result-of-what.

mhandel1Jul. 12, 10 6:41 AM

The author of the article failed to mention that MNA tried to get the patient ratios in the contract but was met with so much resistance from the money hungry hospitals! They retreated to regroup but I have a feeling this issue is going to resurface in some way. I only hope that patient don't have to suffer more days of unacceptable delays in care due to the hospital CEO's getting a huge bonus!

swhansberryJul. 12, 10 6:46 AM

giving up their plush offices to provide space for centralized storage? Are they sending all of their extra pens and pencils down to the units so nurses don't ever have to hunt for office supplies? Are they going to actually start caring about people, and stop looking at physical solutions to people problems? Probably not. Until then, patient care will continue to suffer. I don't want a white board in my room; I want a hospital CEO who gives a s..t about me.

tqbradyJul. 12, 10 7:13 AM

It's good to see a solution-oriented follow-up to all the recent reporting about the contentious MNA-NNU "patient safety" negotiating ploy. The cited Transforming Care at the Bedside program is a good example of efforts made in virtually all hospitals to improve their operations and patient care. At their core, they all share a common philosophy aimed at reducing rework and redundancy, eliminating waste and increasing reliability and performance. It is very significant that the MNA had "no comment" on this project. Empowered nurses in enlightened hospitals are extremely threatening to the MNA. It is, after all, a labor union and it thrives on conflict between nurses and management even to the point of fomenting it over the past three months. Of course, it won't comment on efforts that show the result of nursing-management collaboration. MNA is not part of the solution; it is part of the problem.

bottomlineJul. 12, 10 7:16 AM

Do the math and you will find that you are asking "when are hospitals 'finally' gonna operate-at-a-loss".

Unfortunately, that's something that you're simply gonna have to not take my word for, grab a calculator, and figure out for yourself.

wildblueJul. 12, 10 7:37 AM

The MNA site has been pounding away at what they call "Toyota Lean." While the system was create in a mfg environment, there certainly are many other applications for it. With all programs like this, look at what parts work and use them. Those that don't, ignore. There are some excellent principles embedded in the approach, as illustrated in the article.

amazingmanJul. 12, 10 7:46 AM

DOCTORS have patients. Nurses work for the Doctors.


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