Greg Brown

Greg Brown

Greg Brown is an Assistant Nurse Manager at Providence. He has a passion for transforming emergency medicine and enhancing quality outcomes for patients.

Recent posts by Greg Brown

5 min read

Night Shift: Streamlining Communication for Off-Hours Patient Events

By Greg Brown on Nov 13, 2020

Emergencies don't slow down for nights and weekends. What can we do to improve outcomes for patients admitted during off hours? 

If you’ve ever done long shift work in the hospital setting, you know how taxing it can be. Being on for a long stretch is both mentally and physically exhausting. When that work falls on off hours, those stressors are magnified. Working nights and weekends adds an immense layer of complexity to already high-risk situations. Emergencies don’t slow down after hours. STEMIs, traumas, and codes all arrive during the night, just the same as during the day; but with less staff present and fewer resources, you also have to deal with calling in all the necessary members of the care team. 

Topics: Technology Time Sensitive Emergencies Connected Teams Off Hours Care
4 min read

Embracing Rapid Change in Medicine

By Greg Brown on Jul 10, 2020

It is obvious to those in our industry that healthcare is preparing for a seismic shift in the way we deliver, access, and treat our patients. Unfortunately, it took a global viral emergency for that to happen. 

Periods of great stress can be a catalyst for periods of fantastic innovation. Just like a lump of coal, the tremendous pressure that healthcare has faced during COVID-19 will transform our delivery model into a diamond. Traditional pipeline methods of care delivery, communication, and treatment will undergo rapid changes and iterations of process improvement. With this incoming wave of change, it’s time to let our hair down a bit. I urge all clinicians not to limit yourself on what you think can and cannot be done. 

Topics: Communication Technology Innovation
3 min read

How to Reclaim Your Clinical Dead Space

By Greg Brown on Jan 13, 2020

The biggest pain point I encountered when working nights in the ED was communication — mainly, waiting. Call lists, pagers, and phone trees were our reality when we needed to act fast. But think about it: do we communicate this way in any other aspects of our lives? Why can I order a ride to the airport from a complete stranger with a few taps on my smartphone, but I need to use a pager to connect with providers I know personally? In medicine, when time is of the utmost importance, we still communicate like it’s 1985.

Topics: Stroke Systems of Care
2 min read

Patients, Patience, and Positivity: Navigating Change in the ED

By Greg Brown on Jul 17, 2018

The longer I've worked in medicine, the more I'm convinced that ED staff, in all areas of function, feel stretched thin. Every day we seem to run short, or have a bursting waiting room, or maybe ancillary staff is out sick. Whatever the root cause, the feeling of constantly having to overcome an issue can burn out even the most grizzled veteran of the ED Thunder-Dome.

But it's tough to change or refine our processes for more efficient ones, because the stress of adapting to chaos on the fly is always present. This reality can make implementing change a very tough proposition for hospital leadership.

2 min read

Rocks in my Shoes, 3 Obstacles ED Charge Nurses Face [Part 3 of 3]

By Greg Brown on Jul 03, 2018

Over the last week, I've been discussing the importance of charge nurses being able to maintain a calm face and a positive attitude when things go wrong at work -- after all, their outlooks can affect the entire rest of the team who looks to them for guidance. 

But, this is sometimes easier said than done when things get challenging. So, I wanted to bring to light three of the most common obstacles I face in my role as a charge nurse, and my best strategies for working through them efficiently and in a way that encourages my team. 

Check out Obstacle #1: Lack of Staffing Resources in the ED


Obstacle #2: Barriers to Facilitating Flow for ED Patients

Finally, here's obstacle #3, which is something I know is not unique charge nurses, but rather is a pain felt throughout the entire care team. 

2 min read

Rocks in My Shoes: 3 Obstacles Charge Nurses Face [Part 2 of 3]

By Greg Brown on Jun 29, 2018

Last week, I introduced the first of three main obstacles I've identified in my time as a Charge Nurse: Lack of staffing resources in the ED. If you missed that post, you should really check it out here to get some context. 

In this series, I'm discussing not only the challenges Charge Nurses face in our roles, but also the importance of maintaining a positive outlook in efforts to best keep up the morale of the rest of our teams. This next issue can be particularly difficult to tackle with a calm face, especially since it's all about the wellbeing of our patients. But, taking a second to breathe can help maintain relationships and ensure better outcomes for everyone involved. 

Topics: Healthcare Communication
2 min read

Rocks in My Shoes: 3 Obstacles ED Charge Nurses Face [PART 1 of 3]

By Greg Brown on Jun 27, 2018

It’s no secret that Emergency Department nurses wear many hats, but as Charge Nurses we have additional demands beyond those of our colleagues. When walking into the charge role, we are gifted not only with the responsibility, but also the privilege to lead a staff for the next 12 hours.

No matter what happens over those 12 hours, there are always two outcomes: The shift will get better, or it will end. I, for one, relish the challenge of being a charge nurse in a busy ED. I get to flex my problem solving, prioritizing, and critical thinking skills in a broader scope that affects my organization as a whole entity.

That being said, when things start to go sideways, the challenge can become overwhelming and exhausting, and the only thing we can do is to make the best decisions we can at that moment. Sometimes we win, and sometimes we fall on our faces. But that is the beauty of leading an ED. We are surrounded by allies, who all rally behind each other and pick each other up. Our successes and failures are shared, and as a Charge we get to lead, well … the charge!

Topics: Healthcare Technology nursing