I can’t help mulling over the experience even after the end of my stay at Charing Cross hospitals. I am sure that some of the overhead in paperwork and staff is caused by the desire to measure and monitor the nurses’ performance.
Based on my own observations, here are a few suggestions to measure that easily and reliably.
Measure the minutes a nurse spends in the patients’ room and divide by the minutes spent chatting in the pantry or in the hallway.
Measure the average distance and average speed walked.
Consider the case of medicine which needs dissolving in water. Distinguish nurses who place the sachet of powder on the patient’s nightstand from those who actually fetch water and dissolve the powder, and again from those who also run to get a straw for stirring such that said powder actually dissolves.
Consider the case of a day old bandage with fluids beginning to seep through. Distinguish nurses who point-blank refuse to change the dressing following a close inspection from a 4 meter distance (not until it bleeds through) from those who change when asked, and again from those who change the dressing unasked and even offer spare dressing.
I experience the full range of the scale, and find the width of the gap astounding.
Here’s a flower for those who rank at the top of the range. They would know who they are if they’d read this.