Outpatient Surgery Magazine

OR Excellence Awards - September 2018 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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4. Curb incidental overtime. Lehigh looked closely at inci- dental (swiping in 2 minutes early for your shift kicks you into 0.1 hours of overtime) vs. prescheduled OT (fill- ing a Saturday vacan- cy). When it's known that Wednesday or Friday will be a lighter day, Dr. Johnson instructed her managers to have a nurse work a half shift and pick up the other half on a Saturday to avoid OT. "If everybody has 0.2 hours of OT a week and there's 150 of you, that's 75 hours of overtime," says Dr. Johnson. "That's 2 FTEs per week." Another OT idea: On low-census days, rather than furlough the per diem nurse, furlough the staff nurse to keep her under 40 hours. And Lehigh shares staff between sites. If one site needs 12 people and they only have 10 and another site has 2 extra staff because the schedule is light, send them 2 staff, says Dr. Johnson, noting that rerouted nurses only have to travel between 4 to 13 miles. Herculean effort Had Lehigh not engaged the frontline staff, they would have resisted the taboo topic of financial strain. "I can sit in an office and make all the demands I want, but it won't matter if staff are not involved and engaged," says Dr. Johnson. "Nurses hate that this is a business now, but they appreciate why we have to make these changes." OSM S E P T E M B E R 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 6 5 • ALL YOU NEED The slimmed-down urology supplies. Lehigh Valley Health Network

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