I just came to know that because of a shortage of nurses, one 
			surgical theatre at the Regina Hospital will be closed temporarily 
			for a minimum of two weeks(1). The working conditions for nurses 
			have been atrocious for the last many years and overtime work for 
			nurses has become a major component for the routine scheduling of 
			nurses; the same type of employee scheduling we noticed for home 
			care in Saskatoon where clients would have dozens and dozens of 
			different employees(2). This is what our health administrators 
			proudly call "diversity of service."
			Most of our health administrators have no ingenuity for 
			innovation and creativity, their main asset has been to follow 
			blindly the leader of the leaders, that is Brian Rourke, also known 
			as the Supreme Asset of the Saskatchewan Association of Health 
			Organizations(3) (SAHO). To recognize a real valuable personal 
			asset(4) from a large crowd you have to weigh whatever they say. 
			Therefore, I am going to provide you with some statements Jim 
			Saunders, interim CEO for Regina Health District, has made in 
			rationalizing the closure of the surgical theatre:  
			
				"At this point in time we are continuing to pursue all of our 
				strategies related to our ability to staff the ORs adequately, 
				but the bottom line is, for a number of reasons just coming 
				together related to our ability to staff, we found we had no 
				alternative other than to close one OR.... But we are not out of 
				the woods at all, we still have a lot of work to do to increase 
				our recruitment and to ensure we give them (the nurses) a work 
				environment that they can cope with as professionals... We are 
				looking at everything across the district, as we should, in a 
				comprehensive manner to try and see if there are ways to be more 
				efficient without losing our capacity for programs and services 
				or quality. This is a different issue. Actually the whole 
				overtime issue is a budget issue because of the cost of 
				overtime, but it is the displacement of cost not the amount that 
				is the issue."  
			 
			Can you believe it? Jim Saunders addresses nurses as them and in 
			a paternalistic manner he wants to "give them a work environment 
			that they can cope with as professionals." Just tell me if this is a 
			put down statement by this incompetent health administrator. I hope 
			the nurses will revolt against this small asset of a man. I must say 
			that I am not a judgmental person, but as I read and reread the 
			above quotation I become more and more convinced that the reasons we 
			have a health care crisis is because our health care leaders are not 
			worth any asset.  
			To borrow some deep thoughts from Les MacPherson, journalist with 
			The StarPhoenix, I must say that Jim Saunders "has mastered the art 
			of speaking without saying anything" and I may add he has mastered 
			the art of putting down professional people. This is the ingenuity 
			of most of our leaders, the art of speaking without saying anything 
			and the art of putting down people. These leaders have no vision, 
			they have no heart, they have no responsibility, mind they have the 
			asset of being blindly obedient to the "Powers that Be," that same 
			power the Germans experienced with Hitler. The crisis of health care 
			is not a nursing shortage, it is a crisis of leadership, it is a 
			crisis for not being respectful to each other, it is a crisis 
			affecting all the province, it is a crisis of democracy.  
			Endnotes  
			Quote by Donella Meadows "challenging a paradigm is not a 
			part-time job. It is not sufficient to make your point once and then 
			blame the world for not getting it. The world has a vested interest 
			in, a commitment to, not getting it. The point has to be made 
			patiently and repeatedly, day after day after day" ftp://sysdyn.mit.edu/ftp/sdep/Roadmaps/RM1/D-4143-1.pdf 
			http://iisd1.iisd.ca/pcdf/meadows/default.htm  
			General reference: Articles by Mario deSantis published by North 
			Central Internet News  
			1. Operating room closed, by Anne Kyle, The Leader-Post, March 
			22, 2000, Regina, Saskatchewn  
			2. Home care patients complain of nonstop new faces, CBC 
			Saskatchewan, http://sask.cbc.ca/ Web Posted | Feb 4 2000 5:51 PM 
			EST  
			3. Saskatchewan Health Information Network-SHIN: Ignoring its 
			mandate and diverting money for the Y2K Nightmare, by Mario deSantis, 
			November 3, 1999  
			4. Intellectual Capital: The New Wealth of Organizations, by 
			Thomas A. Stewart, Doubleday, 1997  
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