is yelling acceptable?? ever??

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On Wed, 31 Dec 2008 06:32:25 -0500, "Bjorn, Pret" <pbjorn at emh.org> wrote:
> 
> Let's close this stinking thread and be rid of it.

We wish...

Pret also gave us his usual astute take:

>  If there are no hospital or medical staff policies for disruptive /
abusive behaviors, it falls to the responsibility and discretion of
supervisors -- which should in itself inspire the prompt development of
reasonable and enforceable policies.

Now take a look at
http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_40.htm
for a "sentinel event alert"

If you're JCAHO accredited:

Effective January 1, 2009 for all accreditation programs, The Joint
Commission has a new Leadership standard (LD.03.01.01)* that addresses
disruptive and inappropriate behaviors in two of its elements of
performance:

    EP 4:  The hospital/organization has a code of conduct that defines
acceptable and disruptive and inappropriate behaviors.

    EP 5:  Leaders create and implement a process for managing disruptive
and inappropriate behaviors.

In addition, standards in the Medical Staff chapter have been organized to
follow six core competencies (see the introduction to MS.4) to be addressed
in the credentialing process, including interpersonal skills and
professionalism. 

___

The potential effect of this gives one pause.  It does give latitude to the
individual organization struggling to come up with such a policy or "code
of conduct", but its scope is potentially quite sweeping.  

Jim Carroll, CRNA

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