I didn't know the shortage was THIS bad - page 3

Just visited a unit today in preparation for my students taking clinicals there. On this particular unit, ONE HALF of the nurses are travelers. The unit only houses 6 pods (4-pt module) and one pod... Read More

  1. by   Dr. Kate
    I think Nimbes is right on "the money" Treat nurses, and the rest of the employees, well and the staff will come. Escalating wages, bonuses, etc only lead the agencies to raise their rates and continue the disparity between agency and staff wages.
    There's always going to be a need for agnecy nurses. It used to be seasonal, but people still have babies, have surgery, get into accidents, etc. Per diems will only stay with a place as long as they're geting the amount of work they need and want. If they start to lose a couple shifts a payperiod and they're off to somewhere they get the shifts they need.
    What seems to be missing is what it means to treat nurses well. It's not just more money. It's far too easy to say, more money. What are the real things (notice that's plural) that make one place better than another?
    Ever notice how many people say they don't much care for the place where they work, but really like the people they work with?
  2. by   Repat
    So true, Dr. Kate! We get paid a very good permium for our 'mandatory' shifts, but it doesn't make it worth it (even though it seemed it would at the time!). Money does not equal respect.
  3. by   rebelwaclause
    Originally posted by oramar
    I went to a little restaurant near me that serves very good food. I counted the staff. Seven waitresses, one bus boy, two cooks for a place that holds 50 at max. I thought my God, they got better staffing than the average med/surg unit. One more thing, a lot of places have bad staffing for financial reason. One nurse running around passing meds on 50 patients looks good on bottom line. The shortage gives them an excuse to make money.:stone
    The resturant story a sad story Oramar. I wonder if some of the big wigs ever look at it this way?
  4. by   teeituptom
    Howdy yall
    from deep in the heat of texas

    if you want it
    here it is
    come and get it
    but you better hurry
    because it may not last.

    I love them words. And Dr Kate I enjoy reading your notes. But I will disagree. Job satisfaction does increse in proprtion to money. Thats why this is a capitalist country, and why we love it. AMEN.




    doo wah ditty
  5. by   askater11
    A travel nurse quit due to sub-standard staffing on one cardiac unit.

    It's one of two horrible units I have been pulled to. So to cover my butt I work once in a while on a cardiac unit that's better staffed. And on most days this "better" unit needs a R.N....so when it's my turn to get pulled off my "regular" unit...and they want to put me on one of the "horrible" units...I call the "better" unit and they always tell me...we need you tell staffing...and off I go to the "better" unit!!!!!!!!!!
  6. by   SmilingBluEyes
    6 figures...ok Tom, i will bite. What did you have to do to approximate 6 figures as an RN?

    Just a caveat: if it's being away from family all the time (my husband is military and does that enuf) by traveling or selling out to the highest bidder, tho, I am not interested. Want to know why? It's simple like me: I think ALL nurses should approach this figure, anyhow. If my sisters who have NO college and work where if they make a mistake, they WILL NOT KILL ANYONE on a bad day can make nearly 100K (and they do)----then----

    why can't I who *does* have college and takes such risks daily in my work????? Me, a person who is exposed to nasty diseases and temperaments both in patients and fellow staff at times, and other personal risks each shift? *Why* cannot anyone who does this daily make 6 figures????? Shoot our garbage men make more than we do. True --the job is nasty but if they blunder, they won't kill a patient doing so.

    So please, Tell me, Tom how do you do this and where do you live? I am earnest here, I want to learn.
  7. by   JailRN
    Hate to sound like a broken record, but this is exactly why I don't do hospital nursing. Full-time staff would be called to stay home because the census was down, but the travelers were paid whether they worked or not. And believe you me, they worked. The full time staff was told to be glad the part-time staff and travelers were there, because, without them, you wouldn't get any time off. But if your vacation plans included a weekend that you were supposed to work, you had to find a replacement for yourself or else, you couldn't have it off. The DON, who was already making a ton of money as Vice President of the hospital has the husband in construction who is doing the gazillion dollar addition to the hospital.(am I the only one who has a broblem with this?) But pay the nurses? Heck no, we'll get our reward in heaven.

    I say go to jail. The benefits are great, retirement is great, union if great. Staffing is great, I have off weekends and holidays,(unless I CHOOSE to work them -at time and a half and another day off) abd work only 0700-1500, not 1530, no OT unless I want it.

    How can you beat that????
  8. by   caroladybelle
    Sorry to burst your bubble -Sarahstudent - but it will take more than a few commercials and four years -to correct the shortage. People are getting into Nursing, and then bailing out within a few years. The commercials and school don't even remotely reflect what problems there are currently in Nursing and people then bail.

    It is a lovely thought, though.
  9. by   GRNYCASSIRN
    Hi y'll Greetings from Hel.... Opps, Okla. I don't know if the news has hit the national papers yet, but it's been reported in this state's papers that Oklahoma has one of the worst shortages in Ameica at this time. So, what does our hospital do ???? They decide that we may only wear white or royal blue scrubs to present "a more professional image and so pts can tell the nurses from the housekeepers, etc. Also they have forced "team nursing" on us. That way one RN is responsible for 12 to 16 pts instead of the 6 to 8 we used to have working total care. our benefits suck, we are punished if we dare to get sick on a weekend, no one asks our openion or for nurses input on any of these changes that will affect us professionally and/or financially. My first question to the unit mgr when I heard about the uniform change was "Who's dumbass idea was this? Don't guess, I'll tell you. The new DON!! Our former DON has left the ship and now works at another hosp. in the area where I work part-time. At least a half-dozen nurses have left the adjacent floor and I hear ICU and CCU have also lost several nurses. One house supervisor has also left. We have tried to point out that forcing a new dress color code on us will place upon us a financial burden that we can ill-afford. That the team nursing model as they have set it up is unsafe and unfeasable, all to no avail. Admin's word is law and the nursing staff can go jump, which a lot of us are doing. This is just a very small list of things that we have to contend with. Is it just me, or, are all hospitals run by idiots? In light of current trends, I'd say that hospitals have a lot more to worry about than the color of our scrubs. Will
    the Powers That Be ever wake up and smell the bedpan or will pigs fly first???
  10. by   llrn
    Have to agree with the reply to Sarah, the student nurse. I just recently joined the ranks of Staff RN's in a hospital setting. Have been on the floor for a year and a half now. Of my graduating class (58), I know of several who have left and others who are very unhappy and unsatisfied. I must say that I think that colleges should concentrate less on bedmaking (HA, HA) and more on reality nursing 101. I did not expect to feel like I was putting my license on the line every day. I thought that I would NEVER be a nurse who left the pump beeping for an hour, left pt laying in stool, didn't take the time to listen to my patient, the list goes on and on. BUT, sadly, reality is that you simply don't have the time to properly care for these patients like you were trained to do.

    Reality is that you hit the floor running, stay behind all day and still don't get it done. Reality is that you face a zillion interruptions, each one important. Reality is that you must prioritize and do the essentials. You will not have time for the rest. Staffing is pitiful.

    I sincerely hope that your experience is far better than mine.
    We no doubt will all need nursing care at some point in our lives. And for all of us.......I hope it gets better.
  11. by   KarafromPhilly
    When I graduated (recently), I took an informal poll of the other six students sitting in the hospital cafeteria waiting for post-conference. Of the seven of us, NONE expected to be doing bedside nursing in five years. TWO of seven expected to be at the bedside in one year. Obviously, shoving more people through nursing school is not going to work, given that they have already seen the working conditions that are out there. Very scary.
  12. by   JailRN
    Gosh, when I went into nursing (70) and was at a catholic hospital where the school of nursing was run by a 76 yr. old german nun, we had to learn a craft(crocheting, needlepoint, knitting, quilting, etc) so we could teach our pts. Whenever I think about that, I laugh out loud. We don't even have time to pee, but that's ok,I guess, because we don't have time to drink anything anyway>> That , and a bunch of other reasons are why I left hospital nursing a long time ago.
  13. by   Dplear
    Smiling, Like Tom, I also make a six sigure income from nursing here in Texas. I do not travel and I do agency only if I feel like working extra. Yes, I have sold my services to the highest bidder, and what is WRONG with that?. I demand and I recieve adequate compensation for what I do. I see no wrong in that.

    Dave

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