Nursing pay..Check this out! - page 5

Why is nursing pay across the board not standardized? What I am referring to is, why do nurses get paid more or less according to the cost of living across the USA and not according to skills a nurse... Read More

  1. by   Skippingtowork
    Quote from KelRN215
    I beg to differ that the quality of care doesn't differ across the country. I now work for a national home infusion company. I am on site at a hospital that attracts patients from all over the country- specifically because the care is better. I had the unfortunate experience of having to send a child home to Alabama on NG feeds earlier this year. There is no doubt in my mind, based on my communications with our staff in Alabama, that this child received far inferior care down there than he would have if he had stayed in New England.
    Was that child sent to a big city or small town. There are good centers of care in the different states, but certain levels of quality cannot be in every town. It doesn't make sense.
  2. by   turtlesRcool
    Quote from TriciaJ
    But the nurses who work next door probably still make more money than they would if they weren't next to a union shop. That hospital has to compete with the unionized hospital to retain nurses.
    Yup. In a nearby small city there are two hospitals. One is unionized and the other is not. One of my nursing professors used to work at the unionized hospital. She said it made her crazy to hear nurses from the other hospital be anti-union. She explained, "their raises always followed our raises. Our union would negotiate a raise, and the next thing would be their hospital giving them raises. And some of them never made the connection that their hospital wasn't just being nice."
  3. by   subee
    Quote from Nascar nurse
    So if we all make the same pay do we all move to small town USA in Mississippi or somewhere with a low cost of living to maximize our salary? And who's going to work in the high cost of living areas like San Fran when their pay would go so much further elsewhere?
    Me!!! Couldn't pay me (literally) to live in most places.
  4. by   KelRN215
    Quote from Skippingtowork
    Was that child sent to a big city or small town. There are good centers of care in the different states, but certain levels of quality cannot be in every town. It doesn't make sense.
    Our office that was going to be servicing the child was located just outside of a major city. It was the most uneasy discharge I ever had and it was something that should have been very straight forward. Overnight NG feeds to supplement day-time PO intake. And this is a national company that claims to have standardized processes and levels of service across the country. The people I was dealing with didn't even understand that it was their job to respond to the parents if they called with a question or problem with the feeding pump that belonged to our company.
  5. by   mmc51264
    My husband works for the government. He gets a base rate pay but then there is a differential for where we live. When we lived in Chicago, he got a much higher regional rate than what he gets here in NC. Chicago is ridiculously expensive. NC, not as much.
    Same for me when I was a teacher. Unions up north determined pay, here in NC, same thing, regional differentials. No unions.
    I know a lot people think the pay is ridiculously low here when they come from other areas, but I feel like I make a decent wage. I could not afford the home I own here in NC, if I lived in Chicago. It would cost 3 times as much and the taxes are insane. We can't all get paid the same. I just watched a show where milk is like $8 a gallon. I pay $2.50 here. I don't need as much money as someone in Alaska.
  6. by   SpankedInPittsburgh
    Yep totally agree. My son lives in San Francisco with his girl and they both make a pretty good wage. However, the cost of living is so high they live like poor folks in a rundown apartment whose expense is outrageous. Basically they could have the same standard of living here if they both had a minimum wage job in Pittsburgh
  7. by   Forest2
    Because everyone gets paid this way. If not then we'd all move to where the cost of living was very low and keep our high paying city wages. Everyone one would be living in back woods USA, increasing metropolitan nursing shortages.
  8. by   smartassmommy
    Quote from FrankRN2017
    They do not staff adequately for safety as it is.
    Very true. Especially in North central WV
  9. by   YouknowwhyImhere
    Also, this is with all job fields, not just nursing. This is why minimum wage varies from state to state too.
  10. by   nehneh14
    This has been my experience, as well. The quality of my parent's healthcare is SIGNIFICANTLY less in TN than it was when they lived in WI. Quality of care most definitely varies between regions.
  11. by   nehneh14
    Quote from KelRN215
    Our office that was going to be servicing the child was located just outside of a major city. It was the most uneasy discharge I ever had and it was something that should have been very straight forward. Overnight NG feeds to supplement day-time PO intake. And this is a national company that claims to have standardized processes and levels of service across the country. The people I was dealing with didn't even understand that it was their job to respond to the parents if they called with a question or problem with the feeding pump that belonged to our company.
    Having lived and worked in the south, midwest and northwest, I definitely found customer service and professionalism generally lacking in the south as compared to the other regions with which I have experience. Your anecdote does not surprise me. They just seem to operate on a slower speed there, with God as their co-pilot. When I worked at Vanderbilt, the best clinicians were usually transplants.
  12. by   Newbie39
    The only problem with this is that we as a military family have had to move several times and have noticed that for example it is just as expensive to love in Florida as Washington state, or any other state we've lived in but I make $11 less/hr for my nursing job currently than where I came from. It is only slightly cheaper if you purchase a home, but renting to include all other utilities, gas and groceries are identical and at times even more in my less paying state.
  13. by   Silver_Rik
    Quote from FrankRN2017
    Take a look at this article

    Nurses stretched to 'breaking point' over pay, finds RCN survey | News | Nursing Times

    We are not paid enough is my beef here, ma'am's and sir's.
    Not paid enough isn't the same thing as saying a nurse in Cheyenne, Wy should be paid the same as a nurse in San Francisco.

    Also it's not just cost-of-living. Sometimes professionals have to be paid more to come work in low cost of living areas because they are not considered as desirable places to live. It might actually take higher pay and bonuses to get someone to work in the middle of Wyoming or in remote Appalachia.

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