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Encourage staff to work and play together

Nurses of different generations are bound to hold different values, beliefs, and interests. For effective communication in and outside your unit, you must increase staffs' understanding of these differences. Here are some suggestions to get staff talking and bonding: 

Encourage staff to talk about their differences in a fun way: Get a multigenerational group together and start talking about the defining moments in their lives. Stimulate the discussion by asking questions such as:

  • What was all the rage in fashion?
  • What music and movies did you like growing up?
  • Who were your role models?
  • What is important for your generation?
  • What are your core values?

Hold roundtable discussions: Every few months schedule a roundtable discussion and encourage each staff member to say to the group, "These are the talents, knowledge, skills, and experience I bring to the team. This is an area in which I would like to improve my performance this next quarter. I need support/help/mentoring so that I can improve. How can I get this from the group?"

Identifying what each person can bring to a group project is helpful. Acknowledge some of the communication barriers that each group has, and reiterate each generation's strengths. Encourage and foster group discussion in order to help them find common ground and understanding.

What are some other ways we can encourage staff collaboration in and outside of work?

Improve nursing culture amid an economic crisis

by Denise Danna, DNS, RN, NEA-BC, FACHE

There are no quick fixes for cutting costs within a facility. System issues and problems often exist that, if resolved, could improve the overall budget. These system improvements take a great deal of time to implement for successful change, however there are some key points for developing a culture of accountability and engaging staff when facing economic perils:

  • Involve staff whenever possible if making cuts to your hospital budget. They are often the source of good ideas and management needs staff buy-in on the decisions that are made. Acquire staff feedback by holding routine staff meetings, town hall meetings, and/or one-on-one meetings.
  • Conduct focus groups with staff to elicit feedback and obtain critical information about the operations of your unit or facility.
  • Make routine rounds on the units. Again, you will gain pertinent information that will assist you in making difficult decisions regarding cost-cutting your facility's budget.
  • Conduct surveys to garner information from staff and proactively involve them in important issues affecting them.
  • Provide a suggestion box to solicit staffs' thoughts, ideas, and suggestions, which can be valuable when making changes at your facility.

What are some other ways we can improve our work environments when cutting costs?

Time mastery for the nurse manager

by Debra Nussdorfer, MS, RN, PMHCNS-BC

Do you feel like everyone and everything is vying for your attention? Is your to-do list growing, calendar bulging, and are your deadlines looming? Regardless of the overload of responsibilities that await you, you can increase the energy and mental performance you put into each and every day. Here are some of my best tips to help you manage your time:

1. Be opportunistic. Build a network of colleagues to share best practices. Consider how many people attend a management meeting. Take turns writing the [department] newsletter with the management team for all units. Do walking meetings. Being aware of overall goals allows one to seize an opportunity when it presents itself.

2. Be proactive. Use language like "I need 10 minutes within the next week to ..." or "I have five minutes. Can we accomplish ...?" to set time boundaries and negotiate time extensions.

3. Reduce information overload. Choose journals and e-mail subscriptions judiciously.

4. Differentiate the urgent from important from nonessential. Some "requirements" may be revised or disappear.

5. High emotional arousal decreases cognition. Anger, ruminating, helplessness, blaming, and complaining steal time. Choose an attitude and expect the same of others. This fundamental choice allows a look for meaning in what is done and generates positive emotions and energy.

6. Reenergize. Make an agreement with colleagues to share and celebrate self care. Stop celebrating "I am so busy" and start celebrating "I went for a walk."

How do you manage your time effectively? Share your ideas here.

Robots accelerate hospital's med delivery process

Four robots are working overtime at Sinai Hospital in Baltimore, MD, and their hard work is speeding up medication deliveries.

They don't complain, get tired, or need a break no matter how many hours they work. The mobile TUG robots—dubbed Rigby, Herbie the love TUG, Jake, and Elwood—simply coast the facility's hallways 24 hours a day, seven days a week, delivering medications to the nursing stations. Thanks to all their hard work, staff who previously delivered medication have been able to spend more time on patient care and less on pushing carts.

The hospital brought Aethon's TUG system on board in September which delivers medications to the nursing stations about every 45 minutes. 

"[Previously] we were using staff who were doing hourly deliveries," says Lisa Polinsky, pharmacy operations manager at Sinai. "Our goal with the TUGs was 30-minute deliveries. We have not reached it yet, but we are getting closer."

The robots' rounds start in Sinai's pharmacy. Polinsky says here staff receive physicians' medication orders, prepare the medications, and load them into drawers built into the TUGs. Using a touch screen, staff then program the TUGs to send them on their way to the units. The robots alert staff each time it makes a stop.

On the units, nurses punch in a code to open the TUG's drawer and retrieve the medication. The TUGs then navigate back to the pharmacy where they dock themselves back on their bases to charge.

As efficient as they are at the facility, Polinsky says the TUGs took some getting used to. (A short video posted on Aethon's Web site lets you see one in action.)

"Initially patients didn't quite know what to do with them. Some were afraid of them and some people tried to talk to them," says Polinsky.

To incorporate them into the hospital system, Sinai held a naming contest.

"We've kind of personalized them, making them more human-like," Polinsky says. "Jake and Elwood were named after the Blues Brothers."

Aside from never calling in sick, a big perk of the robots is that they are more cost effective than having staff delivering medications. According to the company that makes them, one TUG working just two shifts seven days a week works the equivalent of 2.8 full-time workers and costs only one-fourth as much.

How would you feel if technological advancements like this "worked" at your facility?