How to Destroy a Great ER: A Step by Step Guide

8. Create an environment where it is impossible for your clinical staff to succeed, then blame them for the failure. The clinical staff is blowing smoke when they come up with a litany of excuses (increasing volume, acuity, staffing holes, absurd amounts of required charting, meaningless tasks, and increasing pressure to perform better) for why the scores are low and wait times are high. The fact is they are lazy and don’t want to do a better job. Let them leave: Why should you even try to retain employees like that?

I hope this list helps. If your goal is instead to provide an environment where your emergency clinicians feel valued, respected, and supported, then just take the suggestions listed above and do the opposite. They will dazzle you with what they already know how to do all by themselves. Happy administrating!

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