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    Wanted: Advice on working in a hospital

    May 24th, 2006

    I've always wanted to work in a hospital. Now I am getting my chance. Starting June 12, I will be working at Evanston Northwestern Healthcare as their new Director of Business Development. In this role, I'll be finding great ideas to enhance/expand the health system's services, evaluate them from a business perspective, and then implement them into reality.

    I'm asking all of you healthcare folks out there who read and blog - what advice would you have for me as a mid-level person working in a hospital for the first time? I've already received some advice from some friends and fellow bloggers - take the time to build trust and credibility with physicians; get to know the clinical areas more than you think you'll need; shadow a doc or nurse once a quarter; understand that difference of opinions is sometimes because difference of incentive.

    But what would you say? What advice would you give a family member or friend who was going into hospital management as a newbie?

    Specifically:
    - What are some best practices or pitfalls in working with physicians and other clinical staff?
    - How do I make constructive changes in a constructive way?
    - Are there any "Sacred cows" in hospitals that can not be touched or talked about?
    - What type of person stays the long haul in hospital management, enjoying it every step of the way?
    - What do you *really* think of hospital management folks?

    a little help, please!?

    confused

    UPDATE: make sure you check out this hilarious/disturbing bit of "advice" I received from someone.

    Comments, Pingbacks:

    Comment from: Rita Schwab [Visitor] · http://msspnexus.blogs.com
    There's just something about working in a hospital that's is different from any other setting in healthcare.

    We all handle paperwork, meetings, and budgets, but somehow being in a hospital brings the "why" home in a very direct way. The hospital setting brings us face to face with the human side of the equation, and helps keep us in touch with the importance of the work we do.

    Best wishes on your new job!

    Rita
    Permalink 05/25/06 @ 08:27
    Comment from: hospitaltony [Member]
    thanks Rita! and thanks to Andrew who posted very similar advice over at healthcare tomorrow
    Permalink 05/25/06 @ 10:04
    Comment from: frank [Visitor]
    when you're in the hospital, don't forget to wash your hands. a lot.
    Permalink 05/25/06 @ 10:05
    Comment from: Michael [Visitor]
    It may sound corny, but if you are going to really make a difference in a hospital you have to have a "calling" to it. It's much more then just a job, you are not just putting a bolt on a widget, you are dealing with peoples lives "up front and personal" as they say. What you do makes a difference in peoples lives every day no matter if you are a doctor, nurse or housekeeper. If you don't live it every day then find something else to do that doesn't impact people as much.
    Permalink 05/26/06 @ 21:36
    Comment from: Kim [Visitor] · http://www.emergiblog.com
    First of all congratulations on the new job!!!

    I think the main thing to remember if you need to interact with the nurses or doctors as they are working is that they are working!

    A visit from someone from the business end of the hospital world can be viewed as an just another thing to deal with on an already busy shift.

    Sometimes the sense is that management sits in their nice dresses and suits in their nice offices and then come around and try to tell us (the clinical folk) how to do our job. In other words, we do the dirty work and they get bonuses.

    (Now remember, I'm speaking from the vantage point of someone who has never been in hospital management and wouldn't know how to any job in that arena...)

    It helps to listen. If changes must be implemented, expect griping to high heaven. But eventually the folks will come around. No one likes change, but they'll do it eventually.

    And I love the "shadow" idea - learn what a nurse does, what an ER doc goes through, the ins-and-outs (literally) of the admission process. You'll be able to see the "world" of the hospital so that when you have to make decisions, sometimes hard decisions, you will get an idea of how it will affect everyone involved.

    And the one rule you should ALWAYS remember: if you are visiting a nurses' station......bring food! : D



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    Safety Tip

    Hospital facilities built today do not include asbestos, but many older buildings still have asbestos components in them. Steam pipes, boilers and furnace ducts were often insulated with an asbestos blanket or asbestos paper tape because of their fireproof and insulating properties. Resilient floor tiles were made from vinyl asbestos. Asbestos cement was employed in roofing, shingles and siding materials. The hazard of this carcinogen increases when the fibers become airborne, and untrained contractors can inadvertently increase risks by cutting, tearing, sawing, scraping, or sanding asbestos materials. Elevated asbestos levels can occur in hospitals where old materials are damaged or disturbed. It is best to leave undamaged asbestos material alone if it is not likely to be disturbed. Inhaling asbestos fibers is known to cause mesothelioma and other diseases. Be sure to use an experienced asbestos removal contractor when you need to get rid of old materials that might contain asbestos.