What’s going on at Henry Mayo Newhall Memorial Hospital?
It would appear that the California Nurses Association (C.N.A.) has set its “sights” on Henry Mayo Newhall Memorial Hospital. Now by setting their “sights” on Henry Mayo Newhall, I don’t mean that they’re planning to try and unionize the hospital, because the C.N.A. already represents the RNs at Henry Mayo Newhall. What I mean is that I think they’re laying the groundwork for some serious arm-twisting in advance of the next contract negations. What? Pray tell would lead me to think such a thing. Simply put, an article that I believe the C.N.A. had planted in The Signal, the area’s local paper this past March.
The article was entitled “Nurses challenge staffing” laid out for all to read that the C.N.A.-represented nurses were accusing the hospital for failing to meet our state mandate nurse-patient ratio and this action as reported in the paper “poses a danger to patients”. Oh my! I find it interesting that nursing unions always seem to be quick to cry “poses a danger to patients” whenever they want to get in the paper or on TV and this cry makes sense because everyone’s ears perks up when they hear that something or someone “poses a danger to patients”.
As I read the paper I began to suspect a more choreographed press release rather than an article for several reasons.
- The first being that the reporter incorrectly reported that RN’s receive a college degree in Registered Nursing, and when I reported this error to the paper’s editor there appeared no attempt to correct the error, didn’t publish my letter to the editor dealing with the error and the reporter (for whom I left several messages) never responded to my phone call.
- The second, and perhaps most interesting, was the statement that the RNs came to The Signal to discuss what they “saw as the dangers of team nursing” on the condition on anonymity but brought along their C.N.A. representative to vouch for their credentials. Why did they need the C.N.A. representative to vouch for their credentials, since all they needed to produce was their valid California RN license and their Henry Mayo Newhall identification, and if necessary proof they were C.N.A. members. I think that the C.N.A. representative was there to ensure that the nurses stuck to the script, and The Signal fell for it hook, line, and sinker.
All in all, the article painted a grim picture of brave and overworked nurses struggling to do their job and provide appropriate care for their patients. However as a nurse with almost four decades of experience under my belt I found it hard to buy some of their “poor me” stories. Such as the one “Helen” tells of “I don’t know any of the meds my patient got today. Because all the thousands of medications we give to patients each day.” Really? Thousands of medications each day – how many patients does she have each day? 100? I’m a NICU/PCIU nurse and in some cases I’ve had to deliver complicated medication regimes and in my entire career I’ve never had to administer thousands of medications to my patients every day – come on! And even if a nurse did have to deliver thousands of medications to their patients every day no one would expect them to remember, but they would be expected to be able to report from the patient’s medical records what had been administered during their shift. This is why we record our actions in the patient’s medical chart, and in some of the more technologically up to date hospitals we simply scan the medication barcode and the patient’s id barcode and the computer updates the record.
In all likelihood there are underlying nursing management issues at Henry Mayo Newhall, especially when I learned that Mr. Larry Kidd, RN was the Chief Nursing Officer (CNO) and Vice-President for Patient Care Services. He was brought in by the Camden Group as their CNO in their failed attempt to help the Los Angeles County Department of Health Services to turn around and save King/Drew Medical Center (KDMC) – and we all know how that story ended. So I wouldn’t be surprised if competent and experienced nurses had issues with his management of the nursing department. Even I had issues with his management of the nursing department during the failed turn-around of KDMC, so no surprise there. I can also empathize with their dislike of team nursing, because I’ve never been a fan of team nursing. I’ve always found that team-nursing without clear lines of communication and strong management often devolved into chaos with no nurse stepping up to take leadership responsibility and everyone pointing to the other with the explanation that I thought it was their job?
You can find a copy of The Signal article and my response LTE TS Henry Mayo
Sarah Palin an example of a self-actualized person?
Unless you’ve been living under a rock these past several years you’ve probably heard the name Sarah Palin. Palin burst onto the national scene and into our national consciousness as John McCain’s choice as a running mate in his bid for office of the president in the 2010 Presidential election. Almost immediately people seemed to either like her or dislike her, with few expression of a neutral opinion about this polarizing figure.
During the 2010 Presidential election pundits, commentators, reporters, opinion makers, actors, pretty much everyone under the sun had an opinion on or about Palin. The more vociferous or negative opinions were sought out and giving leave to voice these opinions on any network or print media outlet that would have them. The same was done for those who held a positive viewpoint, but their opinions and voice seemed drowned out by the negative cacophony being broadcasted.
One would have thought that with President Obama’s election victory “Palin-haters” would have moved on to other “tastier” targets, but that was not the case. Nearly a day doesn’t go by that Palin’s name isn’t mentioned in print or over the airwaves. Negativity, which seems to have reached a crescendo this summer when Palin launched her “One Nation Tour” and with the subsequent release of more than 24,000 pages of her emails during her time as Governor of Alaska.
As I sat, read, and listen to the pundits chatter about Palin, insulting her intelligence, knowledge and even her child-rearing techniques I began to ponder where the roots of this almost pathological hatred emanated from? As a student of sociology it struck me that so much of the anger seemed – well visceral. People that I asked to explain the rationale for such a dislike often seemed at a loss for a substantial rationalization for their dislike of Palin, instead choosing to fall back on such reasons as she has no real world experience, she went to multiple colleges, and one of my favorites “she was a beauty pageant contestant after all” and so forth. But these were but shallow excuses used to describe a “je ne c’est quoi”. However, I think I may have finally begun to put my finger, sort of to speak, on the real issue why so many feel this undefined and unreasonable hate or love for Sarah Palin. In short, I think she evokes such passion and dispassion because Sarah Palin has reached the pinnacle of Maslow Hierarchy of Needs and has become what so many of us hope to but rarely attain – becoming fully self-actualized.
Maslow described self-actualization as "what a man can be, he must be. This need we may call self-actualization…It refers to the desire for self-fulfillment, namely, to the tendency for him to become actualized in what he is potentially. This tendency might be phrased as the desire to become more and more what one is, to become everything that one is capable of becoming." He went on to identify what he believed to be some key characteristics of the self-actualized individual. They are:
- Acceptance and Realism: Self-actualized people have realistic perceptions of themselves, others and the world around them.
- Problem-centering: Self-actualized individuals are concerned with solving problems outside of themselves, including helping others and finding solutions to problems in the external world. These people are often motivated by a sense of personal responsibility and ethics.
- Spontaneity: Self-actualized people are spontaneous in their internal thoughts and outward behavior. While they can conform to rules and social expectations, they also tend to be open and unconventional.
- Autonomy and Solitude: Another characteristics of self-actualized people is the need for independence and privacy. While they enjoy the company of others, these individuals need time to focus on developing their own individual potential.
- Continued Freshness of Appreciation: Self-actualized people tend to view the world with a continual sense of appreciation, wonder and awe. Even simple experiences continue to be a source of inspiration and pleasure.
- Peak Experiences: Individuals who are self-actualized often have what Maslow termed peak experiences, or moments of intense joy, wonder, awe and ecstasy. After these experiences, people feel inspired, strengthened, renewed or transformed.
I think that it’s this perception that Palin is self-actualized and thus not subject to the capricious whims of public opinion that evokes such unrestrained anger from her detractors and passion from her supporters. The public recognizes this self-actualization at an unconscious level and responds to it. Her supporters respond with unrestrained enthusiasm, while her detractors stew over how someone so plebeian can evoke such passion. Self-actualization is not conferred on an individual through the education as our wonderful country is filled with many well-educated individuals that have yet to attain self-actualization. Self-actualization is not the sole domain of the intelligent; one need not be a member of Mensa to be self-actualized. And as the saying goes money can’t buy you self-actualization either, because it shows no particular preference for rich or poor, beauty queen or not.
In an average person’s lifetime they may be lucky to encounter a handful of individuals that have reached the pinnacle of Maslow Hierarchy of Needs, these self-actualized individuals indeed make an impact on our lives. One need only look at Palin to see what emotions and passions a fully self-actualized person can evoke in others. All the slings and arrows her detractors may throw at Palin will do little to disabuse her passions and goals because a self-actualized person doesn’t seek nor need approval from external forces. Hopefully, her more rabid detractors will simply be seen as individuals on some self-fueled vendetta, harpies screeching from their perches at a force they cannot possible comprehend because they’ve yet to attain full self-actualization themselves.