Friday, February 5, 2016

Critical Follow-up on Nursing Triage Problem from 01/29/2016

The Assignment if you are willing to accept it.














Basic Mission: 
Perceive people’s needs; by standing in their shoes!
Think outside the business box of Return on Investment!
No preconditions allowed (time, money, personnel, etc.).
Return 4 Individuals R4I ($ is the Upper Case # 4); Both the VA and the Veteran.
It should be with the realistic and rational expectations!
Example: Bees Nest.
There are the nests, queen bees, bees, and honey (ROI & R4I). I am here to beat the nest to get more honey for the hard working self-less VA employees, the VA, and Veterans.
Asking What?
Triage nurse line (Tomah Medical Center, Regional Medical Center, and National VA).
Asking Why?
I had arm pain and did not want to spend money, I do not have, to go to the emergency room and was seeking nurses, physician assistants, or doctor’s opinion.
I received no return calls!
Asking the How to plan to fix it with What, Why, How, When Questions!
Phone system; just 1 number…
1.   All calls will be routed electronically with time stamps and who received it. Only Direct contacts are when person is given the direct phone number and email. All contact routing will be done by zip code (i.e. 54476-2919) first then by branch, then by agency, etc.
2.   Prompted with questions per medical system numbers.
a.    Veteran’s information (SSN? Or Initial and Last 4)
b.    Pain Level
c.    Pain Area (Arm, leg, head,…)
d.   Additional simple questions as necessary
e.    Priority assigned (Critical…)
f.     Routing to Triage, etc. for Action and follow-up process.
3.   Change electronic and other systems.
Move forward creating action plans on when?
1.   Start using staff that are not doing crisis medical treatment. Use staff that can focus attention on this one critical task! Objective saving lives and proper holistic medical approach for veterans.
2.   Daily (maybe ½ hour at a local medical center) 24 hour triage review by triage team and action of asking what, why, how, when!
3.   One week – Fix computer, phone, and paging applications and test.
4.   One Month - Start roll out to one medical center…
5.   6 months – National roll out.
Readjusting!

More to come to try and help from a veterans perceptions and perspective. Freely given!!!

Note: Will be changing fourfreedoms.us to become more of a veterans and citizen's concern and triage resource.

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