St. Joseph’s General Hospital in Comox, British Columbia is having some problems with opening up a new transitional care unit. It’s evidently understaffed and poorly planned, and of course, in planning this new unit, hospital administrators neglected to consult the most important people working there, i.e. the staff. Despite a rosy picture painted by the hospital’s CEO, the nurses are having none of it. Money quote:
By way of example, [B.C. Nurses Union Rep Juanita] Munroe noted that dispensing some medications requires the signature of two nurses. There will only be two nurses on the entire TCU. When one of them is on break or otherwise occupied, how will those medications be dispersed?
Munroe said that one hospital administrator told a member of staff who asked the question to get a housekeeper to cosign.
Get a housekeeper to co-sign. I read this twice to make sure I got it right. Yes, truly. The stupid here is breath-taking. When nurses double-check medications, it’s because the drugs in question are dangerous. Would you trust a housekeeper to double-check medications? Well, unfortunately, gob-smacking asshattedness happens when administrators don’t involve nurses in planning, or worse, analyse their function in terms of what they do, not what they know.
In the event, I’d like to know what kind of hospital administrator is down with the housekeeping staff to co-sign medications. Because, after all, nothing says quality care and patient safety like getting the housekeeping staff to check meds.