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Showing page 5 of 6 (54 total posts)
  • Why Make Patients Wait?

    We recently consolidated laboratory workstations, creating a second order entry station in the process. This opens the possibility of bypassing the normal patient queue of order entry before collecting samples and drawing some patients as soon as they walk in. Will this work, I wonder? Let's say a patient arrives at the door with a requisition in ...
    Posted to Stepwise Success (Weblog) on February 11, 2009
  • I Got My Answer From the Nurse

    A hospital receptionist concerned about a lab report on her son came into the lab asking what a ''bicarb'' level meant. I printed a page from Lab Tests Online, a resource I often use for patients. When I walked it down the hall to her desk, she was putting down a telephone. ''That's OK,'' she said. ''I just ...
    Posted to Stepwise Success (Weblog) on January 28, 2009
  • Communication

    Communication is everyone's panacea for everything. - Tom Peters, author of In Search of Excellence Ain't that the truth. But communication is also blamed for much failure. Management with tsk, ''If only we had had more meetings, more blurbs in the newsletter, more emails...'' We didn't communicate enough! And that's not all. Line ...
    Posted to Stepwise Success (Weblog) on January 22, 2009
  • The Purpose of Discipline

    ''The purpose of discipline,'' a nurse once told me, ''is to correct behavior.'' According to one article in HR Magazine, the purpose of discipline is ''to create and maintain a productive, responsive workforce'' to ''rehabilitate'' employees. And one human resources expert on About.com insists it isn't about punishment, but about helping the ...
    Posted to Stepwise Success (Weblog) on December 16, 2008
  • Millennials and Perennials

    According to a Wikipedia article about them, 97 percent own a computer, 94 percent own a cell phone and 76 percent use instant messaging. Morley Safer described them on 60 Minutes as arriving at work around noon in flip-flops, expecting a manager to talk to them like a TV therapist instead of a boss. They are educated, ambitious and ...
    Posted to Stepwise Success (Weblog) on November 20, 2008
  • Big Brother Has Mail

    I recently heard a remarkable confession. A staff member told me, ''I just assume you're reading all my e-mails.'' Her husband, a mid-level manager in a nearby city, routinely reads employee e-mails as company policy. But another person said ''THEY'' are always reading e-mails. ''Everything we do is being watched now,'' she complained. ''We're ...
    Posted to Stepwise Success (Weblog) on October 6, 2008
  • Get Support

    A few winters ago, I attended management training in Portland. It was a snowy, blustery day that turned to sleet and freezing rain by nightfall. I'll never forget that long drive home. But it stands out for another reason. A new manager at the meeting asked, ''What do you do if administration doesn't support you? I can't get new staff - they ...
    Posted to Stepwise Success (Weblog) on October 2, 2008
  • Meeting Fatigue

    The other day at work, I joked we needed to form a committee to appoint a sub-committee to develop an agenda for yet a third committee that would, in time, determine the definition of 2 p.m. We all waste time in non-productive meetings when we could be taking care of patients. How many meetings are a droning list of procedure reminders, ...
    Posted to Stepwise Success (Weblog) on September 15, 2008
  • Taboo Chatter

    Our hospital has a new policy of ''no politics'' at work. Apparently, it's offensive to openly display party affiliations or candidate propaganda (think lapel pins). Chatter about politics is taboo. No buttons or banners makes sense, but talking seems harmless. Doesn't it? See how you react to these statements: ''I've been excited ...
    Posted to Stepwise Success (Weblog) on September 8, 2008
  • Closed Door Policy

    As I walked to my car one afternoon after work, another manager at the hospital appeared beside me, interrupting my thoughts. ''Do you ever close your office door?'' he asked. ''What, after I leave for the day?'' ''No,'' he said seriously. ''While you're working.'' Distractions are a given--confusing, exciting or frustrating. This is ...
    Posted to Stepwise Success (Weblog) on July 9, 2008