To: All Hospital Staff
From: Administration/Groundskeeping
Subject: New Cost Cutting Measures

Effective immediately, this hospital will no longer provide security. Each charge nurse will be issued a .38 caliber revolver and 12 rounds of ammunition. An additional 12 rounds will be stored in pharmacy.

In addition to routine nursing duties, charge nurses will rotate the patrolling of the hospital grounds. A bicycle and helmet will be provided for patrolling the parking areas. In light of the similarity of monitoring equipment, ICU will now take over the security surveillance duties. The ward clerk will be responsible for watching cardiac monitors and security monitors as well as regular duties.

Food service will be discontinued. Patients wishing to be fed will need to let their families know to bring something or may make arrangements with Subway or Pizza Hut to deliver. Coin operated telephones will be available in patient rooms for this purpose as well as for other calls the patient may wish to make.

Housekeeping and Physical Therapy will be combined. Mops will be issued to those patients who are ambulatory, thus providing range of motion exercises as well as a clean environment. Families and ambulatory patients may also sign up to clean the rooms of non- ambulatory patients for special discounts on their final bill. Time cards will be provided.

As you can see on the "from" line above, hospital administration is assuming the grounds keeping duties. If an administrator cannot be reached by calling his/her office, it is suggested that you walk outside and listen for the sound of a lawnmower, weed-whacker, etc.

Maintenance is being eliminated. The hospital has subscribed to the Time-Life "How to..." series of maintenance books. These can be checked out from administration, and a toolbox will be standard equipment on all nursing units. We will be receiving the series at a rate of one volume every other month. We already have the volume on "Basic Wiring", but if a non-electrical problem occurs, please try to handle it as best you can until the appropriate volume arrives.

Cutbacks in phlebotomy staff will be accommodated by only performing blood-related tests on patients who are already bleeding.

Physicians will be informed that they may order no more than two X- rays per patient stay. This is due to the turn-around time required by Photomat. Two prints will be provided for the price of one, and physicians are being advised to clip coupons from the Sunday paper if they want extra sets.

Photomat will also honor competitors coupons for one-hour processing in emergency situations so if you come across any extra coupons please clip out and send these to ER.

In view of the hot summer temperatures, the Utilities Dept. has been asked to install individual meters in each patient room, office, etc., so that electrical consumption can be monitored and appropriately billed. Fans will be available for sale or lease in the hospital gift shop.

In addition to the current recycling programs, a bin for collection of unused fruit and bread will soon be provided on each floor. Families, patients, and the few remaining employees are asked to contribute discarded produce. Pharmacy will utilize this for antibiotic production. These will be available for purchase and, coincidentally, will soon be the only antibiotics on our HMO's formulary.