Life is changing fast.Â One out of two hospitals is laying off this year.Â Hospitals are cash short on hand and it is not going to improve this year or next.Â IV Teams are being disbanded again.Â You need to protect yourself this year and this is what you need to think about
Stop doing peripheral IV's as they will not save your job.Â Anyone can place one of these.Â Look to Minnesota that has gone to technicians
Get into the ICU.Â ICU is not laying off and is in fact hiring staff.Â Rapid Response teams are growing, and census in this unit is climbing or holding steady.Â Start placing lines there, do dressing changes there.Â Be part of the infection reduction team.Â No one lays off those supporting the ICU!!!
Start monitoring your infection rate yourselves.Â Do not let your infection rate be combined with anyone else.Â Why do you want your rate lumped with MD's rates.Â How do I as the CEO know what you do for me and why I want to keep you
Write a summary plan of how much money you haveÂ saved the hospital by not sending lines to IR and your low infection rates.Â Â Include how many hours you have opened up the IR suites
Start staff competency programs with check-off for dressing changes, declotting, drawing blood safely friom a lline, care and maintenance of line.Â Make web based courses with competency questions and certificates.Â Get moving on this.Â You are the experts in your facilities
Start monitoring your outcomes and start writing them up and presenting them to your hospital commitees
Add technicians to your team to do PIV's or assist in PICC line insertion to save money and speed insertions.
Thiink about going to 24/7.Â Yes hate me.Â Providing service 24/7 keeps you employed
PICC lines are an emergency and so are their placemnt so get over it.Â You need to implement an early assessment program and monitor this program for improvement
This is a very dangerous time.Â Independent contractors can do what you do and possibly at a lower cost if we are just talking sticking.Â Technicians can place PIV's and at a way lower cost.Â Technicians cannot do early assessment and PICC line insertion (at least the low cost type)Â You need to make a plan.Â
Don't tell me you do not have the time for this.Â I don't care if you have to do it on personal time.Â You will have plenty of time when you have no job.Â My brother is putting in twelve hours a day six days a week on a fixed salary as aÂ computer programmer.Â He has three kids under eight and a stay at home wife.Â He has a Job!!!Â Jobs are tight!!
You have now gotten the outline of my AVA talk 2009.Â I do not have the luxury of waiting for Sept as this is getting worse by the day.Â You need to start now.Â 2010 is predicted to be way worse than 2009 for healthcare.
Kathy Kokotis RN BS MBA
Bard Access Systems and yesÂ this is a full disclosure of my employment and I am biasedÂ