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Volume 1, Issue 1




 

 

 

 

Participate In PIN

Do you have an idea or an article that you would like to see published in PIN that would help others? If so, we would love to hear from you!

Please send to:

Kathi Stringer

kathistringer@earthlink.net

 
 
 
 
 
 
 
 
 
 
 
 

“For instance, let’s say a patient is getting agitated and a staffer sees this as an opportunity to use his training, as a challenge to deescalate the situation, rather than being ‘put-out.’”

 

 

6—You Will Comply! cont

Yet, the auditors will have no way of knowing this is going on because by the time they see the paperwork, the information is there. Because of this type of compliance model, the resources were spent on useless paperwork rather then performance improvement toward consumer satisfaction.

The above example has demonstrated that it is more important ‘how we do things’ than ‘what is done’ when striving for performance improvement. With training, support and encouragement, we can change how things are done. With effective management, we can increase the energy and team motivation with recognition and mutual support. This attitude, willingness and training, will decrease the need for more and more oversight documentation that gobble up service delivery.

7—Consider This Analogy
 
Suppose we ask an individual with little or no training to drive a car across town. We ask that after every turn, every stop, every signal, the driver describe and initial the events as he is driving. On the other hand, suppose we ask a second driver with expert training to drive the same route without the heavy documentation. Which driver would be more likely to out-perform the other? The driver with the training, of course. Further, lets suppose the first driver made mistakes due to the heavy focus on documentation and ended up in a car accident. What would make more sense for corrective action, train the driver, or increase the documentation? Train the driver. We see this same sort of problem when staff are documenting as the patient is spiraling down toward a crash.

The staff are distracted and not aware.

This is not to imply that we do not need documentation. We do. And the documentation needs to be objective, factual and accurate. However, like everything universally effective, there must be ‘balance.’ We must balance the documentation with the training. Either of these variables out of balance will decrease performance.

8—Team Alliance and Performance
 
Why training is so important for team alliance and performance.

Group training that incorporates exchanging recent inpatient experiences and role-play for critical examination and feedback will promote interest. For instance, lets say a patient

 is getting agitated and a staffer sees this as an  opportunity to use his training, as a challenge to deescalate the situation, rather than being ‘put-out.’ The staffer employs skills and tools reviewed in training, and a fellow staffer notices. “Hey, you handled that great! The client is actually beginning to respond in a positive way. High five!” Or “Hey, I checked out how you handled that.  I’m impressed! How did you do that exactly?” In cases like these, the work has become more stimulating now and techniques are observed and refined for performance improvement. The work has moved into a sense of accomplishment through knowledge.

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