Petition to help new grads get experience - page 8

by brian Admin

11,063 Views | 101 Comments

In light of the struggles that new grads are having securing a job, this petition may be of interest to many of you. allnurses.com has nothing to do with this petition. We are not endorsing it at all. We are just sharing... Read More


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    Thanks for the info msn10...then again, what about ADNs and diploma program nurses??? What happened to skill mix??? There could be a combination of ideas that could help provide competent nursing care as well as help new nurses secure experience to evolve into a safe competent nurse. I'm all for the evolution of our practice. And most times, our education and role in healthcare is respected, even when it looks like it does not in the trenches. I also believe there is too many inflated ideas in the pot...the corporate intrusion in the healthcare business, the idea you can make tons of money and you will always have a job, etc. We have work to do-understanding our rates from CMS, and getting them raised, promoting a clinical ladder, a TRUE work life balance, prevention of huge amounts of debt due to private for profit schools that based on their rep have no way of their students obtaining competency and employment, and increasing the mobility for obtaining employment and really bridging the gap between generations to move ahead the positives of nursing. A lot of that I believe we can do that collectively. This thread can be just the start...we can PM each other, network with our local nursing association chapters, get the word out...unions may not be in fashion, but grass-roots mobilization really hasn't gone out of style either...
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    Quote from Tree5981
    When I graduated from nursing school I got an internship in oncology that was funded through a government grant. I think there should be more programs like this out there for nurses. It is a great learning environment,, and got certified in chemo. It gave me the tools I needed to be a better nurse. Obviously, our government has an enormous amount of debt, but hopefully in the future there can more internships for new nurses.
    There are government grants that are SURPLUSES and ARE NOT INCLUDED in the debt...another myth. There are a lot of programs out there that do offer opportunities, such as HRSA has a loan repayment program: http://www.hrsa.gov/loanscholarships/repayment/nursing/ (this is one of the programs I was specifying about that should give an additional grace period for new grads still struggling to find work). I hope Tree that you can share this wealth of information on this thread...this may be an option for some...
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    Quote from Tree5981
    When I graduated from nursing school I got an internship in oncology that was funded through a government grant. I think there should be more programs like this out there for nurses. It is a great learning environment,, and got certified in chemo. It gave me the tools I needed to be a better nurse. Obviously, our government has an enormous amount of debt, but hopefully in the future there can more internships for new nurses.
    How long was your internship?
  4. 1
    Quote from LadyFree28
    There is a MYTH that CMS and insurances do not pay for nursing care...they do...they set the rates for reimbursement, and it is up to the agency to pick up the rest of the tab from the budget. Our rates are dependent on a portion of insurance reimbursement and the hospitals' operating costs...some prefer to include pricing by specialty...I just work in a part of the field that was very upfront on how they calculate wages...I worked with two different HH agencies...each said they are bound by insurance and CMS rates for nursing care, HOWEVER, the other company added dollars because they VALUED nurses and want to make sure they retained the best nurses (their speil , not mine)...and wages were more if you were a trach/vent nurse. You not always see it in the bedside at a large facility, but the reimbursement is there...I don't care how many times I post this, until we as nurses get it...we get reimbursed.
    This is not correct. Medicare benefits include some provisions which directly reimburse certain agencies for nursing care including some home health, skilled nursing, and rehabilitation. You are correct that rates can vary by specialty.

    However, in the inpatient/acute care world, hospitals billing for Medicare patients receive reimbursement by DRG and/or procedure code. There are no rates that specify payment for nursing care.

    You are attempting to compare apples and oranges.
    funfunfun550 likes this.
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    Quote from canigraduate
    If you are going to school, use the school's internet.

    Use the local library's internet. Shoot, borrow a friend's laptop and use the free McDonalds/Starbucks/Panera WiFi.

    In this day and age, if you don't have internet access, it's because you don't want it and are actively avoiding it.

    When you're 17 and just starting out in college, sorry if you're not totally savvy on economics. Pardon me for once being naive. And frankly, you clearly don't understand what it's like to live in poverty. I didn't seek this job strictly so I could make money, I wanted to help people. Maybe you have never needed and never had to live in a situation where you had no electricity because your parents were laid off and you needed to work a crappy min. wage job to pay your tuition and get gas to go to classes but you're also pretty nasty and rude. And no, wifi wasn't everywhere in my rural town and I had no internet access. I didn't even have heat. And.... Lazy? Maybe I wasn't surfing the internet at my job like a lot of the more "experienced" nurses I've seen because I was working my butt off and studying like a fiend. Judge not, I see you got some C's. I think you are the one who needs a REALITY CHECK... or maybe just to be checked.
    Last edit by sirI on Jan 13, '13 : Reason: edited quoted post
    Nightingallow and AheleneLPN like this.
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    It seems like I touched a nerve. I'm sorry for offending you.

    Congratulations for starting college so early. That must have taken some effort.

    I will stand by my statement that in this day and age, internet access is readily available. If you can't get it, you're not trying.

    I didn't say anything about poverty or naiveté, so I won't address that. And thank you for bringing up my earlier failure in academics. It helps me to remain centered. I always find it amusing when other people try to throw the past up as a barrier to communication. I hope you have a good evening.
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    LadyFree28 can you comment on quote below:
    "nursing repayment programs, or the Perkins Loan forgiveness (or not eligible to)."

    Can you please elaborate on these two, I'm so inundated with debt I often have restless nights thinking about how I am going to pay it all back (tears often follow). I already ruled out kids since I want to purchase a house. I'm a career changer btw. I applied for the HRSA scholarship, they checked my credit but I ultimately didn't get an invite for the scholarship. I plan on applying for their nurse loan repayment program but I doubt I will get that as well. I have excellent credit, a good GPA but like someone referenced above the competition is fierce nowadays. I guess a 3.8 is too low for most of these scholarships, hopefully I can secure a residency, sigh.
    Last edit by itrust on Jan 13, '13
    Nightingallow likes this.
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    And just another reason people dont take nursing seriously.

    Here is a hand holding service for after you graduate. I would rather burn this petition and the entitlement crap behind it. Getting through school/passing NCLEX doesnt mean you automatically get a job.
    SoldierNurse22 and joanna73 like this.
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    While nurses should unite and come to a consensus on various issues, I still don't agree that signing a petition for new grads is appropriate. We were all new grads once, and some of us not so long ago. Yes, it is tough and unfair....but life is unfair for many others at the moment. There seems to be a certain sense of entitlement and arrogance among some new grads, which is obvious from some of the posts throughout this site. There are jobs. However, the market IS competitive, and relocation is sometimes the only answer if you expect to work immediately. It is also not the fault of the school. No one is actively forcing money out of your hands. When you make decisions, you live with the consequences. Keep applying.
  10. 1
    Quote from Altra

    This is not correct. Medicare benefits include some provisions which directly reimburse certain agencies for nursing care including some home health, skilled nursing, and rehabilitation. You are correct that rates can vary by specialty.

    However, in the inpatient/acute care world, hospitals billing for Medicare patients receive reimbursement by DRG and/or procedure code. There are no rates that specify payment for nursing care.

    You are attempting to compare apples and oranges.
    Not comparing apples to oranges...was giving one example. I can get into the DRG, but that is a total different tree as well...in chart reviewing, CMS uses a totally different set of codes for reimbursement, use of percentages of severity, etc..-talk about apples and oranges-I did chart reviews for CMS through a contractor and I reviewed charts in hospitals and Drs offices, and free standing centers in my area. I will go further in the hospital economics arena:

    To explain, most hospitals are still given a percentage based on "unit hours"...units hours are based on the trend of how much total pt care a unit has seen over a period if time, and the budget is set based on past trends. The rate is still set based on CMS, insurance, etc, plus hospital budget If you ever work somewhere where there is a skill mix, LPNs are credited as 0.5 of an RN, PCTs are 0.1, RNs are 1.0. I still stand by my statement that nurses ARE billed, regardless of HOW, it is still credited.
    Again, the bigger picture is how there is the myth of somehow we are BELOW a WORTH, seen as a number, etc, etc....When there is still a general consensus that we are STILL IN DEMAND and most people do RESPECT our profession, and we are COUNTED...again, in terms of economics, and salary levels, there are a few more variables, average cost of living, etc. I also agree that nurses salaries have remained stagnant as other costs have risen, but the trend states other wages have remained stagnant while upper management and CEOs have exploded. That is more of an issue that needs to be examined.

    As for the responses I have seen about discussing the "money"; it may be a sore spot from some posters, but it needs to be discussed. There are a number (I believe thousands) in recent graduate cycle that are in it for the money, however, that shouldn't bar the subject because there are MILLIONS of nurses out there that truly enjoy their profession and still want a work life balance without working to death. This is not the era from 1860-1950, where people work to death and make money fir the "chosen few". In my opinion, like one if my nursing instructors said "you will not get rich being a nurse, but you will be able to make a living." We do have a right to make a living, no doubt about that...In previous posts I have already explained the government's process (ACA, Jobs bill, Federal Loan Forgiveness Act) that are hotly contested, as well as have been tabled that have provisions that help nurses and healthcare, as well as grant and loan repayment programs that help nurses as well, but to clarify, I believe the petitioner did want to start dialog. The government has programs in place that ARE NOT related to the fiscal budget...that is the fiscal, day to day debt. Is if related??? If there was less deficit, then would there be more money per year to give to a larger population...I'm not sure. This is also another subject to be taken into account...again, knowing how the system works goes a long way into finding solutions as well. Again, I suggest posters to do your homework on what areas you can get into (if any)...even volunteering for certain government sponsored programs can get money knocked off of your loans. Google government repayment programs...HHS and HRSA have programs for nurses, as well as states still have nursing forgiveness programs as well...this information can be started on another thread. But the information is out there!!! It's worth a try!!!
    Nightingallow likes this.


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