I was thinking about an adaptation I had made to a standard IV tubing setup, to be used during procedures requiring conscious sedation. Ultimately, I wanted to be standing near the foot of the bed where I had a good visual on the patient, and easy access to the injection ports on the tubing. On the supply cart there was an accessory tubing with a stopcock on it and this added about 36" to the overall length of the setup. This allowed for a secure hold on any syringe that I wanted to attach, perhaps with the sedative or pain medication. Additionally, it turned out to be the ultimate accessory for agitated saline/bubble studies during the Transesophageal Echo procedures.
When I joined this crew in 2011, no one set up their kit like this. The whole setup was awkward, particulary when it came to injecting the bubbled saline.
There is a hospital system that I know of, that practices a profound rigidity in their written and approved procedures for just about every single thing. There is no allowance for deviation, and thus, no incentive for imaginative creativity on the part of the staff. In fact, it is likely that a reprimand and warning would be incurred.
Will succumb to the others that allow adaptation,
One that welcomes individuals ideas
Will always develop a better creation.
Rules and demands may promote efficiency
Yet in the long run will inhibit innovation,
A top heavy structure is an unwieldy master
Ultimately leading to a weakened foundation.
As hospital mergers create megacorporations
Innovation relies on the industry at large,
Keep an eye on what your competitors are up to
Then tell a lower Manager it's time to take charge,
One unfamiliar with the day to day workings
Down at the level where things are really done,
Blow a few million dollars on worthless widgets
Then the program will be shelved for cost overrun.
Equipment vendors love contracts with hospitals
Imagine selling ten thousand computers on wheels,
And how about Infusion pumps that fail at five years
Planned obsolescence is the best of all deals,
Now show me the employees that provided the input
To sign off on the equipment they would use next year,
There are none to be found, the top management decided
At the level of the kickbacks, it is clear.