What makes a behavior code effective?
ORs have been reviewing their codes of conduct and behavior policies in view of new requirements in the Joint Commission's Leadership Standards, which took effect Jan 1, 2009 (related article, p 17). The University of Wisconsin (UW) Hospital & Clinics in Madison has an 8-year track record for its policy.…
A 'civility and respect' policy for surgery
When an orthopedic surgeon threw a pair of scissors in the OR last summer at North Shore Medical Center's Salem Hospital, a policy was in place to address the incident. Introducing a "civility and respect" policy was one of the first things Marc Rubin, MD, did when becoming chief of…
Process for addressing disruptive behavior must be in place by Jan 1
A surgeon blows up at the staff because an instrument is missing from a set. A new nurse is in tears after a senior RN snaps at her for asking how to set up a piece of equipment. A resident won't respond when a nurse asks about a medication order.…
A positive direction for employee behavior
In a busy OR, one employee who's consistently late or always wants to take off early can wreak havoc on scheduling and performance. Seemingly small conduct problems are frustrating for managers: Is it worth starting the recruitment and orientation process over again just to replace a person whose small infractions…
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