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Post by Nuts&Bolts on Oct 30, 2023 12:23:03 GMT
Many (Many, Many) times over the years I've had the same conversations with the Staff to get them to do various things the correct way. Easier for me, them and safer for the patients. How do you guys get them to listen and/or care?? The latest debacle is that they keep leaving acid ports open on the wallboxes, draining the storage tanks overnight/over the weekend. This is 5 times in three weeks. How do we approach procedures that should be common sense and policy in a way that encourages compliance? Ideas!!
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Post by dave74 on Oct 30, 2023 14:07:30 GMT
Have you trying to make things more nurse/PCT proof? If your acid tanks drain because multiple people fail to close a valve, it seems to me like there is a flaw in your system.
We put key chains around certain valves in the SDS just to remind people not to turn those valves during normal operation.
Maybe you should focus on making your systems, please forgive me, idiot proof instead of forcing people to comply.
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Post by dave74 on Oct 30, 2023 17:05:22 GMT
The other thing I thought of is making each staff member responsible for specific tasks. For example, the PCT taking care of the patients in stations 1-4 is responsible for X. The PCT in stations 5-8 is responsible for Y and so on.
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Post by Chuck Weddle on Oct 30, 2023 18:50:43 GMT
Maybe you should focus on making your systems, please forgive me, idiot proof instead of forcing people to comply. My old mentor used to say...."You can make things waterproof, shockproof, and dustproof but....you can't make them nurse proof!" Unfortunately, until people can be held accountable with real consequences, many won't change.
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Post by robertb on Oct 30, 2023 19:27:27 GMT
you could invest in the wall acid connectors that have the check valve in them instead of checkless.. similar to whats on the 2008T machines
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Post by gnurk on Oct 31, 2023 12:25:03 GMT
you also could bring this up during during qai that way it is official and tell the cm that its aabout 600 bucks maybe more they are wasting i would have a checklist during closing to have them check each wallbox a pct and a nurse also when you have to come in monday am to make up acid the patients will get on later and complain louder
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Bones
New Member
Posts: 29
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Post by Bones on Nov 3, 2023 10:49:19 GMT
I feel for you regarding the staff... It is a constant battle trying to get them to do what is needed. In some clinics I get the respect because they see the work I put in day in and day out. Others... I'm "just a biomed".... Its beyond insulting and frustrating. So... This is what I do. In-service your staff, have them sign it. INCLUDE THE CM/FA. Now you have that on file with the CM/FA and you have documentation stating that you in-serviced staff. Now for one particular clinic I have, I continuously ran into the problem of them forgetting to document before they head out. I now have a book they sign of, one for openers, another for closers. When they sign that it's done, I also have another document stating they "did their job". Easier for me to point out the culprit and go more so for one on one training. The biggest thing I preach in my clinics is good habits die hard. For some stupid reason, after a month of completing that dumb book... they got into a habit. When I initially took over, we would have well over 40 missing document signatures.. Now... maybe one every other month. Its generally the new people that I have to keep a close eye on but it is what it is. I also highly agree with Gnurk. Include the information on QAI. Bring documentation stating costs so that way you know exactly how much money was spent down the drain. Most importantly... good luck.
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phillipashleyludlow
Full Member
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Posts: 148
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Post by phillipashleyludlow on Nov 21, 2023 16:15:22 GMT
Maybe you should focus on making your systems, please forgive me, idiot proof instead of forcing people to comply. My old mentor used to say...."You can make things waterproof, shockproof, and dustproof but....you can't make them nurse proof!" Unfortunately, until people can be held accountable with real consequences, many won't change. im stealing this. thanks
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Post by emoclew on Feb 25, 2024 19:48:51 GMT
One way check valves at all the wall boxes, 1K,2K,3K Bic, check valve on all the ports, problem solved, save the stress and ignore the staff, it's pointless.
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Post by neonblur on Feb 26, 2024 14:00:10 GMT
Where do you get the check valves for the wallboxes? My clinics have Mar Cor boxes.
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Post by dave74 on Feb 26, 2024 15:49:03 GMT
Where do you get the check valves for the wallboxes? My clinics have Mar Cor boxes. I think there is some confusion here. Check valves are not going to solve this problem. You need fittings with shutoffs. Flow should only come out of the fitting when there is a connector inserted. We used the female fittings from the Fresenius machine. We would have some drips but nothing major.
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Post by neonblur on Feb 26, 2024 20:45:14 GMT
Where do you get the check valves for the wallboxes? My clinics have Mar Cor boxes. I think there is some confusion here. Check valves are not going to solve this problem. You need fittings with shutoffs. Flow should only come out of the fitting when there is a connector inserted. We used the female fittings from the Fresenius machine. We would have some drips but nothing major. Ah, ok. That is what I was thinking should work, as what is in there now is just the straight through version of the ports on the machine. I imagine there would be less build up too.
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