Kakka

Structure in every aspect of each department. Communication wise. More staff; MHT’s, therapists and nurses. More computer stations. Assessing the patients that are inpatient due to staff safety.

Educate satff

1. Staffing, it's not the staff who shows up’s problem if people call off!!! It’s LBH job to staff appropriately!!!2. Compensation! Annual reviews should include more than pennies for staff that’s doing a good job!3. Employee retention! If LBH is serious about keeping employees, please see #1 & #2!!!!!

It seems like we are always short on supplies, socks, hygiene bins(75% of patients are using a brown paper bag for their hygiene kits because there is consistently not enough stock of those and that seems very unprofessional and unacceptable), medicine cups, hygiene cups, Vaseline, I’m not sure if it is the “purchaser” or “stocker” that is not delivering enough adequate supplies efficiently in a timely manner or if we are simply not ordering enough to keep up with the need- but it has consistently been an issue.It would be wonderful if housekeeping could have the discharge list of patients that are leaving for the day- or if they could prioritize it more, because I feel as if we are often waiting for housekeeping to clean rooms before we can transfer patients to other units or new admissions are waiting for rooms to be cleaned before they can go in them after another patient has left the room or discharged.We need something to help with the smell on units sometimes- if you work on the floor you know it is a very relevant issue that patients neglect hygiene and are often malodorous. Some even pee on the floor or smear fecal matter in their state of psychosis- vomit, you name it- there are many reasons why the units do not smell pleasant- and if we could get a supply for MHT’s/nurses to use of- not even like febreeze or perfume, but like odor eliminating spray would be helpful? Something to help with the odor because it is BAD especially on acute units.Staffing has continued to be an issue- there are days when sometimes we don’t even have enough staff to break each other for lunches- especially with the policy that there is supposed to be an “RN” on every unit at all times, and a “LPN” would not be able to be left alone or break another nurse for instance on a “B” or “C” unit, but even without the LPN circumstances, on a regular basis we have nurses working “A” units with a ratio of 1:24… one nurse, to 24 patients, which is insane, highly dangerous and unacceptable. This is a very frequent occurrence, it is not just sometimes once in a blue moon, it is frequent that on restoration especially there will be, from the very beginning of the day- without even including any call offs, that there would only be one nurse scheduled on a unit that has 20-24 patients….

The techs never get to come to a lot of the events. Never coverage on the floors. How can we enjoy what LBH offers? This is the same for staff meetings. We don’t go to them anymore because we can’t trust our CNO at all. Is the information he telling us correct?

Can we do more department area celebrations? Outpatient is always left out on a lot of things.

There is so much that LBH can improve on but not worth my time talking about it.

With the amount of mangers in the building, there should be an event amount of event participation for all staff on each shift. This was mentioned on the last survey that I done and nothing has changed. Please fix this, there are other staff in the building than just the ones on day shift.

Dan is rude