"I've never heard that before." "We don't need to do that." "We only follow the shall, not the should." "That's low-hanging fruit."


 "I've never heard that before." "We don't need to do that." "We only follow the shall, not the should." "That's low-hanging fruit."

Some people hear a standard they don't recognize and say, "Let me look that up." Others throw out one of these lines and use it as a reason not to change. No follow-up, no research, no movement. Just a closed door. It's not just the people who've spent their entire career at one facility. It's the ones who've worked at several and still never looked beyond what they already know. Just because you've never heard it before doesn't mean it doesn't exist.
Some people are comfortable doing what they've been doing. It works for them. They've been doing it that way for so long, in ignorance, that they don't see a reason to change. And "that's low-hanging fruit" gets used as an excuse not to change, when low-hanging fruit is supposed to be the easy win. The thing you grab first. Not the thing you walk away from.
Standards are changing all the time. New evidence, new guidance, new technology. If your answer to something you haven't heard is to stay put, you're not protecting your process. You're falling behind it.
If you've never heard it before, research it. If you say we don't need to do that, prove it. If you're doing the shall, and not the should, you're choosing the floor when you should want the ceiling.
Shall is the minimum. Should is best practice. None of those phrases are best practice for your patients or your facility. How familiar are you with the updated standards?

Here's where to start: AAMI. AORN, The Joint Commission. AHRQ, CDC. FDA. SGNA, OSHA

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