This one goes out to the late, great Andy Rooney. I’m just old enough to remember Rooney for who he was in his final years on television: a curmudgeon who commandeered the last segment of “60 Minutes” every Sunday night, generally belly aching about something new in the world that he didn’t “get,” didn’t like, or both.
Explore This IssueACEP News: Vol 32 – No 07 – July 2013
The basic thrust of each of his commentaries was, “I’m old, I’m set in my ways, and I’d like to talk to you about some new phenomenon that I have unilaterally decided is stupid.” And this was consistently great.
So, if it helps, please read the following in the voice of Andy Rooney.
Today, I’d like to talk to you about the rise of silly signs I keep seeing on the walls of our hospitals all over this fair country. The signs to which I refer are the friendly reminders to employees about ideal conduct, cheerful reminders of our duties, helpful safety tips, and the celebration of an awareness month of some sort (this month we are “celebrating” trauma awareness month, an entity I had not realized inspired or required celebration).
These signs are well-meaning and are supposedly harmless, if not even a little helpful, so the rationale goes. But are they? Take the following signs I saw recently. The first is about being friendly and professional and generally doing your job conscientiously. “O.N.E. Open – smile and say hello, say your name; Narrate (your care) – explain, review, share what you are doing; End – close, say goodbye, inform them of next step; ask, ‘Is there anything else I can do?’ ”
Here’s a sign about handing off patient care to another provider. “DRAW: Diagnosis and current condition of the patient; Recent changes in condition or treatment; Anticipated changes in treatment of conditions; What to watch out for in the next interval of care.”
This next one is mainly for nursing. “Monitoring 4Ps: Pain, Potty, Positioning, Personal Items.” I just have to chuckle at the word potty, glaring at me in 72-point font. I guess I’m not quite as mature as I thought.
Then there are more essential signs. For fires, there are two signs formatted onto one poster, one for fire safety and one for fire extinguishing. The first, for safety, reads: “RACE: Rescue; Alarm; Confine; Extinguish.” Of course when you get to that last line you had better keep reading the sequel sign for more information on fire extinguisher operation. “PASS: Pull; Aim; Squeeze; Sweep.” If your vision isn’t good enough, you might see only the large acronym letters on the sign and deduce that in the event of a fire you should “RACE PASS,” which I guess means get out of there as quickly as possible, because putting out a fire is not in your job description! You’ve got lives to save. Elsewhere.