Mike P.

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Real life like hollywood.

Mike P. posted an article on - Nov 4, 2009, 10:31 am
Yesterday before heading into the ER for work I was watching the movie Outbreak. The story line deals with an outbreak of the dreaded Motaba virus that has infected an entire town in the US and is qu...
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H1N1 for Cuba detainees.

Mike P. posted an article on - Nov 3, 2009, 1:46 pm
One of the many stories being broadcast by CNN this afternoon discussed the ethics surrounding the issue of providing the H1N1 vaccine to the "detainees" in Cuba. The vaccine will not be given to eve...
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The dichotomy of right and desire.

Mike P. posted an article on - Nov 2, 2009, 8:10 am
With age comes responsibility, and for most of us this isn't a problem. We accept the things that life throws at us both good and bad and we deal with them to the best of our own abilities. But ...
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Is perception reality?

Mike P. posted an article on - Oct 29, 2009, 8:49 am
Perception is reality. How many times have we all heard this, likely countless times. In business perception plays a pivotal role in customer relations, both internal and external. Health care bein...
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It isn't always first come first serve.

Mike P. posted an article on - Oct 28, 2009, 8:45 am
Gaining access to care in a local emergency department is unlike any other service provider that customers encounter. As with traditional forms of service there is the front door which most of us use...
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Vaccine demand high, supplies, low, now the finger pointing.

Mike P. posted an article on - Oct 27, 2009, 6:51 pm
A nice short synopsis of the trials and tribulations of our (US) current H1N1 vaccine deficits by the Wall Street Journal. Clearly manufacturing technologies have been available for some time that wo...
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So what is the real issue here?

Mike P. posted an article on - Oct 25, 2009, 11:46 am
Listening to some podcasts this morning I come across a piece about patients that have asthma that is difficult to treat. A new study in the Journal of Respiratory and Critical Care Medicine reports ...
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Do it right the first time.

Mike P. posted an article on - Oct 25, 2009, 8:45 am
I've often wondered why people start out to complete a task or undertake a job of some sort and then at some point they take short cuts to either cut costs or more likely to finish up what ever th...
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More on Swine Flu.

Mike P. posted an article on - Oct 24, 2009, 11:10 am

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Health care division of labor.

Mike P. posted an article on - Oct 23, 2009, 5:48 am
Sad but true it is interesting to see or perhaps disappointing to see how the division of labor is segregated within hospitals. Specifically who is responsible for what job or jobs and who is not. T...
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Understanding the care continuum.

Mike P. posted an article on - Oct 21, 2009, 12:16 am
Health care is a twenty-four hour a day three hundred and sixty-five days a year job. Providers and other employees of any health care system or organization are continually arriving at work and then ...
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Being on stage.

Mike P. posted an article on - Oct 20, 2009, 8:44 am
In the work place be it health care facilities with high public visibility such as an emergency department or a cubical on the tenth floor of an office building, those work place settings that we all ...
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Choosing.

Mike P. posted an article on - Oct 19, 2009, 6:00 am
When patients are looking for health care services they typically will ask friends, family, and in some cases complete strangers who is the best doctor? Which is the better hospital to go to? What pha...
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Social media access from work. It's where patients and customers spend their time.

Mike P. posted an article on - Oct 18, 2009, 5:31 am
Social media application access continues to be a polarizing issue for health care organizations in which employees want to be able to access such platforms as Twitter, Facebook, and blogs during the ...
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Mike P. has updated the About Me section

Healthcare and high school.

Mike P. posted an article on - Oct 17, 2009, 10:55 am
Browsing through some of my favorite blogs yesterday I read a post that compared several industries to high school. The post was on Seth Godin's blog which is an eclectic collection of thoughts t...
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Defensive medicine.

Mike P. posted an article on - Oct 16, 2009, 9:05 am
Picture for a moment if you will a physician's office with a big desk, several well framed diplomas on the wall and a couple of chairs in front of the desk for patients to sit in. More or less a ...
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Mike P. is following the blog Seth Godin's Blog

Service excellence

Mike P. posted an article on - Oct 15, 2009, 12:02 am
Today I did some grocery shopping before work and I went to the self checkout line where you scan and bag your own items under the watchful eyes of a store employee. On this day I was having trouble ...
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Mike P. has updated the About Me section

Human mechanics wanted.

Mike P. posted an article on - Oct 13, 2009, 12:25 pm
Our current health care system is so overwhelmed. Emergency departments are frequently inundated with patients with non-acute problems. Primary care physicians are working at breakneck speeds to try ...
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Anybody got a phone?

Mike P. posted an article on - Oct 12, 2009, 10:00 am
Isn't it amazing how many health care providers carry and use cellular phones at work; in the very spaces where they tell patients not use them? Last evening the ER was unusually quiet, likely due...
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Toughing it out to avoid expenses.

Mike P. posted an article on - Oct 11, 2009, 12:05 pm
A young patient goes to the hospital because they have a persistent illness. Once at the hospital the patient’s symptoms are treated conservatively with a small amount of medication and some IV flu...
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Leaning forward.

Mike P. posted an article on - Oct 10, 2009, 8:24 pm
Anticipating the needs of patients goes a long way toward improving organizational feedback. When patients come into a health care facility staff should be routinely leaning forward to meet the upco...
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Influenza is not the plague.

Mike P. posted an article on - Oct 9, 2009, 10:34 pm
With the flu season essentially upon us there has been wide spread publication about the seasonal flu and the dreaded H1N1 or Swine Flu virus. Earlier this summer the media exploded with countless hea...
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ER Violence, a few thoughts of my own.

Mike P. posted an article on - Oct 8, 2009, 6:02 pm
A day off from work today, I found myself sipping a beer in the driveway, sitting in a rocking chair with my feet up on the bumper of my jeep wrangler and I am reading the newest president's messa...
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Who goes to the ER?

Mike P. posted an article on - Oct 8, 2009, 10:09 am
Last night I was asked by a non-medical person why so many people come to the emergency department. What a loaded question I thought. Clearly there are dozens of reasons for ER visits. Several are w...
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About Me

I am a nurse with over twenty years in health care. My background includes management, ER and ICU. I am masters prepared and will starting my PhD in the fall of 2010.

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