Issue link: https://digital.copcomm.com/i/1111624
Q & A STILL WAITING cont'd. Top: Quanna Batiste-Brown Center: Jean Giggers Bottom: Robert Mayberry 32 Working Nurse l WorkingNurse.com Quanna Batiste-Brown RN, DNP, HCSCM, FABC, NEA-BC Chief Nursing Officer, Ambulatory Care UCLA Health Today, there is an environ- ment that emphasizes per- sonal respect and safety in a way we've never seen before. Health organizations are becoming even more sensi- tive to the needs of patients when it comes to privacy and related issues. However, surprisingly, there are no national laws that mandate a second care- giver in an exam room. Seven states do have such laws, but California isn't one of them. While we may not be required to have a patient-protection system in place, UCLA Health believes it's the right thing to offer patients – male and female – to strengthen their confi- dence in us. Jean Giggers RN, MSN, RNC-OB, CCM Director of Nurse Utilization Management L.A. Care Health Plan In an age of new payment models, I expected that nurs- ing schools would have a more robust curriculum around the business of healthcare, especially resource utilization and dis- charge planning. Bedside nurses today are tasked with more than caring for patients; they also are expected to actively partici- pate in the discharge plan starting on admission. The entire care team is also charged with appropriate use of facility resources. I've found that our bedside colleagues still don't have a clear understanding of why it's important to facilitate a safe but timely discharge for the good of both the patient and the organization. Robert Mayberry RN, MPH, CFRN, EMT-P Director of Clinical Standards PHI Air Medical A true and complete culture of high reliability still seems to elude us. When I look at where we're at in health- care, I do not see the same attentiveness to vulnerabili- ties or commitment to evi- dence-based operational principles as other high-risk industries like nuclear power and aviation. Healthcare has to set high standards, clearly articulate responsibility and aggres- sively probe for potential failure points. Cultivating an ethos of high reliability will require the personal attention of nursing leadership along with CEOs. The necessary empha- sis on soft skills, communica- tion, human factor and a just culture will be difficult to achieve, but this change must come if healthcare is to reach its full potential. Celebrating National Nurses Week April 29–June 10, 2019