HomeMy WebLinkAboutThe Huron Expositor, 1990-12-19, Page 44 it HUHU.% EAPOSITOii. DECEMIER ls, 11O
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IMPROVEMENT ASSOCIATION
Hospital reports surplus, despite wage increases
BY SUSAN OXFORD
At the Sc4eartn Community
Hospital Burd ut GoMernurs
arsetio., December 11, Chili
Executive Office& Doe Snuck.
introduced Seatunh's newest doc-
tor, Dr. Mart Woldalk, to the
Board Dr. Woidnik said be Med
the new &cilium m the hcwpitd.
especially tie new nx n
I. Woidauk will be spec en
obstetrics at the hospital.
In the property
opurt
Darwin 51111111=11111 committee edical
gas installation is completed.
Renovations to accommodate
radiology are complete and the new
x-ray equipment is ready to be
ulsta1bd The tart date for the
fust 'picwre' is mud -January.
Mr. Bannerman told the Board the
hospital is near to closing a deal to
purchase more computa equipment.
The hospital has $198,0120 to work
with - $40.000 from a grant from
the Ministry of Health and a
Federal Salo Tax rebate of
558,000. which is $8,000 more than
originally anucipated from the
rebate.
The finance committee reported a
HONORED FOR SERVICE - Frances Teatero, centre, was made
a Provincial Life member of the Seaforth Hospital Auxiliary
recently. She has served on the Auxiliary tor 21 years, and
worked with the Hospital's Junior Volunteer program for 10 years
Mrs. Teatero pins the ranks of other Seaforth women with their
provincial life membership, including, Back, Elsie Dinsmore, Janet
Cliff, Alice Reid and Marion Turnbull, and front, Dorothy Hays
and Pat Bennett Robing Photo
S16.5.096 surplus. Even though ui
October the operating budget
showed a deficit due to pay
mcrearres, the�tal does have a
flus The Warbler's Campan-
aatsoa Board has awarded the
hospital with a 52,400 credit.
W hue yuesttoacd asvu as an-
bussier needed by the hoaptu l Dun
Saudi [ghat u was needed to
aim simaistnsuon to issue
care showing both the uki
ttt3% OHIP numbers. Tt uat w W
allow the hospital to cross diet k
thlp numbers until the new OHI'
Health Card is fully implemented in
January. For patients amving at the
hospital without a new Health Card
there we forms available to be
filled out at the front desk.
Hospital Atxihiary manba Fran-
cis Teatero was awarded a Provin-
cial Hospital Auxiliary Lifetime
Membership in a presentation at the
Royal Yak Hotel, Toronto. Mrs.
Teatero has served with the
Auxiliary for 21 years at the
Seaforth Community Hospital and
has worked with the Junior Volun-
teers for 10 years.
Hospitals of future would keep patient informed
BY SUSAN OXFORD
In the future patients will be
responsible for the outcome of their
choices, according to Yvonne
Kitchen, Chief Nursin: Officer at
Seaforth Community • . ital. At
the Board of Governors meeting,
December 11, Mrs. Kitchen
familiarized the Board with the
operations of her department with a
presentation. She spoke on new
health care trends and her vision for
nurses at the hospital.
Mrs. Kitchen gave a brief iden-
tification of trends she sees in
health care today and spoke about
the need of both advanced tech-
nology, or 'high tech', and 'high
touch.' Studies conducted with
terminally ill patients show the
positive effects of 'high touch',
which involves closer working
relationships between all health care
disciplines. Laser and fibre optics
are examples of technology that has
helped reduce the length of stay in
hospitals for patients. This brings in
ethical issues and skills needed by
nurses to perform both roles.
There is a shift from hospital
based care to community based care
and the expansion of the role of
RNAs. Mrs. Kitchen said the time
has arrived for changes in all health
care discipline roles to collaborate
with community workers. More
access to home care is needed to
reduce hospital stay.
The doctor's role as gate keeper
is being challenged, said Mrs.
Kitchen, and all health care dis-
ciplines must work together to
devise a plan of care for patients. A
Toronto hospital has created a care
map compiled by various health
professionals. This contributes to
the disciplinary team approach and
makes followup easier.
"The public are more informed
and therefore should be informed
what should be provided," said Mrs.
Kitchen. "Health care workers must
come to a decision together as to
who should provide the care and
how. it's the patient's choice to
have what type of treatment, but the
patient must also accept respon-
sibility for outcomes of their
choices."
The historical view of nursing
was born in the church and trained
in the army, Mrs. Kitchen said.
Nursing in Ontario has changed
from carrying out a dependent role
served. If it is observed, for
example, the patient has problems
with meal cooking, a community
group who provides meals must be
provided to help that person meet
the self care deficit to enable them
to stay in their home. This
contributes to maximize the
functional competence of
patient. The patient's family and the
patient's role in it is also observed
in this evaluation model.
...incorporates theory
of self care deficit...
to being independent in the last 15
years, and now the trend is for
nurses to become interdependent
with all other health care dis-
ciplines. To accomplish this inter-
dependence the uniqueness of each
other must be recognized and used
when delegating health care tasks.
Patients are no longer looked at as
just individuals but also as members
of families and the community.
In the past health care was ad-
ministered in hospitals with the
patient being released back to the
home and then returning finally to
the hospital. The trend has gone full
circle and now patients are released
back into the community more
quickly. Once back in the com-
munity patients are helped by
various community and home care
groups.
In the new way of administering
health care Mrs. Kitchen cited an
adaptation method that incorporates
the theory of self care deficit. This
model looks at the ability of a
patient to care for themself and
determines where a weakness is.
For example, the areas of a
patient's personal hygiene, nutrition,
mobility, observations and
measurements, medications, treat-
ments, and psychosocial are ob-
Needs of nurses are also being
considered. Hospitals, Mrs. Kitchen
said, are open 24 hours a day, 365
days a year and the wort related
stress can be high, thereby causing
stress at home. A trend toward
more nurses working part time, or
in the community with other health
care providers such as home care, is
growing. Nurses who live in a
double income family may be
interested in working part time to
free them to be with their families,
and Mrs. Kitchen said the time may
come when staffing will be done to
part time needs.
Nerses will be evaluated on their
knowledge, decision making techni-
ques, ethical behaviour and com-
munication skills.
"If people are not happy with
what they're doing," said Mrs.
Kitchen "then the patients will not
be happy. In the evenings and
nights a supervisor is on staff and
could cope with the needs of part
time nurses easily. Another benefit
of more part time staffing could be
the help with single parent families
by allowing more hours when
needed. Everyone needs wages and
salaries, and the hospital should
provide enough work, but not over-
burden."
Among our many blessings, is the privilege of
having good friends and neighbours like you.
Currently at Seaforth Community
Hospital there is a ratio of one full
time RN to one part time RN. The
ratio for RNAs is one full time
RNA to three RNAs. These ratios
have been retained for many years
at the hospital. The RNs at Seaforth
Community Hospital do not have a
union and agreements and wage set-
tlements granted nurses with the
Ontario Nurses Association are
attempted to be met by the Seaforth
Community Hospital. The RNAs
are unionized under CUPE and in
October they received a wage set-
tlement outlined by the union.
With the move toward community
based health care, hospitals will
continue to be centres for acute
emergency care, but more so. This
will free doctors to do more
medical work. Mrs. Kitchen said
hospitals could also become
specialized centres for acute and
emergency care and co-ordinating
centres for community based ser-
vices.
Resources are becoming limited
and this will lead to the selecting of
team members best suited for the
job and nurses will become a
patient's primary care givers, said
Mrs. Kitchen.
"The outcome of all this will be
that nurses will be asked to provide
valuable information to the decision
making process," Mrs. Kitchen said.
"The future role of Seaforth Com-
munity Hospital will be ap-
propriately based on the needs not
only for residents of this com-
munity, but Huron County as well.
."Hospices and in-home care will
provide more opportunity for nurses
to work in the home environment.
People feel better in their own
environment. More community
based care will reduce the develop-
ment of infection caused by
hospitalization."
JOYOUS
NOEL
Hope your
Christmas is sparkling!
Thank You For Your Patronage
From
of The Staff at
rs
May you bask in the warmth
of His Eternal Love
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Sat., Dec. 22 to Wed., Jan. 2
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AFTER CHRISTMAS:
SALE
starts
THURS.. DEC. 27
In the true holiday tradition may
the old, but ever new spirit of
Christmas bless you and yours
with happiness.
The Staff and Management
VziearitiBta
.
And
TO All A Great
Christmas!
Hart's hoping the season
bolds lots of good things
in story. Thanks for your
bat her and support.
ELLIGSEN
PLUMBING & HEATING
Terry, Marianne
Stott
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