So, the higher ups have decided to implement new changes in our department to make us more “efficient”.
Are the changes going to work?
I say no, not because I am against change. I embrace change and fully believe medicine is an ever changing field.
I say no because the changes are rigid.
Our department is very fluid. We may not have a single patient one minute, and the next minute 6 outpatients are here and there is an vented ICU patient on the way down and a patient waiting to go back to their room. Our patient flow changes throughout the day and unfortunately the decision makers don’t recognize that. They see numbers. They see productivity. Pie charts and bar graphs.
Patient care just doesn’t work like that.
However, we are going to implement the changes. We will go along with what management wants. We will grumble and groan as we see how poorly the changes work. We aren’t afraid to speak up. The speaking has been done. At this point, we are going along so we can watch the changes fail and create more problems. We are doing this so that they can see how inefficient their decisions are.
Sometimes the only way to get through to someone is to stop talking.