The Core of the Hospital Many nurses wonder what goes on behind those closed doors, where decisions and changes are made. The core/heart of the hospital consists of a group of people generally referred to as the board. The board does not make all of the decisions regarding the hospital, but they make a lot, and often have to approve decisions made by others. A Typical Board Meeting A little coffee and juice, and few doughnuts and bagels, and they are off, ready to hear what is going on in the hospital. -
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First order of agenda is that the head of Radiology is requesting an open MRI. Because of the significant cost, most members voice their disapproval. At this point the head of Radiology is summoned, and pleads her case. She agrees, the cost is an important factor, however she estimates the cost will be recouped in 2 years. She explains that in the last ninety days, they have turned away 11 patients due to size, and 46 patients due to being claustrophobic. The patients went to another facility that offered an open MRI. One board member was then on board, however others wanted more studies done over the next 30 days prior to making a decision. This is left for discussion at the next meeting. Second order was an award ceremony for nurses. This has been an annual tradition for 11 years; however, some nurses feel it is becoming stale. The question is put out to consider other options for recognizing outstanding nurses. Third order was holiday dÊcor. One staff member brought up the fact that he felt the Christmas decorations were inappropriate. A vote was taken, and it was unanimous, the decorations remain. Fourth agenda was discipline procedures. A doctor on staff was told he could not continue to treat a patient that was already admitted. The patient was diabetic, and had multiple complications. The insurer felt they could be cared for at home, and up to this point the hospital director agreed. The attending physician, who had hand on contact with the patient, was convinced this would cause a significant downward turn in the patient’s care. The board now voted to postpone a decision on this matter, as the vote was divided. Related:
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These are fairly typical agendas for a hospital board to discuss, and in most cases, they are in agreement, provided it’s a good decision for patient care, and good for the hospital. Hospital Administrator Every hospital has one person that is essentially in charge of everything. Imagine the responsibility associated with running an entire hospital. While the hospital administrator has a very big responsibility, they must be excellent at delegating, and trusting in their team members. The hospital administrator counts on the chain of command, and every person within that chain of command to be responsible and take their job serious, otherwise there is a breakdown, and that can be devastating for a medical facility, and for the patients. The administrator of the hospital may be part of the core; however without the staff all working together and doing their jobs, the administrator could not be successful. Trust and faith are placed in all the staff of the hospital, with the assumption that they will do a good job. While there is one person in charge of a hospital, and a group, such as the board members that make decisions for the hospital, the staff is physically running things. Most of, the staff within the hospital are nurses, and there is a big responsibility placed on nurses every day. Many hospitals off great incentives to their nursing staff to ensure they are satisfied, and have everything they need to do their job. The top management of the hospital is the board members and the hospital administrator; however most are very quick to acknowledge with a staff of great nurses, they would be lost. Related: International Nurses Association Please follow us on Facebook, Linkedin, Pinterest and Twitter
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