We don't need your kind here - page 2

by jadelpn 7,144 Views | 15 Comments Guide

Then in comes the Management team. They tear apart the way that is better for the patient's peace of mind, instead, to have a nurse become more efficient. Everything based on a number, a graph. A de-personalization to the point... Read More


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    I continually hear hospital executives use the phrase "quality care", while doing things behind the scenes to ensure that it is almost impossible for the staff to deliver it. The "more is better" mentality is behind a lot of what is going on in health care. Hire only BSNs because they have more education - never mind that the ADN you laid off to hire one has years of experience, is at least equally smart and can work rings around most of them. As long as you can say in your ads that all your RNs are bachelors-prepared, the public will believe that they are better. Perception, not reality. And you can't just be XX Hospital anymore. You have to be XX Hospital Medical Center. You have to be both, not one or the other. The more words in your name, the better the facility is. It's about image, not results.
    Labrynth and jadelpn like this.
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    Alas for your theory, those BSN nurses will have the time-in-grade and gain the attendant experience eventually-- and they aren't all new grads, anyway-- but the ones without the BSN will not gain the education as the years roll by.
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    Quote from GrnTea
    Alas for your theory, those BSN nurses will have the time-in-grade and gain the attendant experience eventually-- and they aren't all new grads, anyway-- but the ones without the BSN will not gain the education as the years roll by.
    And choices made are choices made. There is no more investment in a BSN prepared nurse than an ADN or Diploma nurse. All about numbers and graphs.

    Effective nurses come with various degress. But to hire BSN just for the sake of a star on the chart of facility-dom is not the answer. If the facility wants the nurses that are under their employment to be of a higher degree, then they need to make that a feasible option. In this day and age, with other obligations and money stressors, this is not always do-able otherwise.

    I don't have $30,000 for a bridge program. I enjoy being an LPN. I am old. I have a kid in college already that I am assisting in tuition payments. Does that make me any less effective in what I do? Not by a long shot. But myself and some ADN/diploma nurses are being made to feel non-effective and moved about due to "needing BSN's to hit those numbers". Indeed. HCAPS in the toilet, blind leading the blind, no one knows what is going on---new grads, new to the unit nurses, and managers that went directly to MSN's without any floor experience. That's ok though, as long as you stick to a script, humor the patient, and get them the heck outta the unit. Pronto.
    vamedic4 and Orca like this.
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    Ahhh...such great ideas coming from all of this. I think I could sum it all up by simply stating the facts..."This is (all of what has been said more or less) what happens when you turn healthcare into a retail business!!!" Let us not forget that we live in a capitalist society...the "true" reality to all of those that we call "managers" "bosses" or the real joke-"job creators" is that the individual human being has no worth when we are talking money...that's what we have "created" in this society!
    vamedic4, jadelpn, and Orca like this.
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    The problem is not the hospitals. Dont gasp, let me finish. It is the government being the major source of payment for the hospitals. Anytime our government gets their claws into something it goes bad. Look at mandatory school testing. I have no idea how that test I took in every grade that robbed me of valuable learning time impacted my education but it sure as heck impacted the teachers and budgets. Medicare and medicaid have crippled the medical industry. I am all for people getting help with healthcare but we have to be honest about the class/demographic of the patients, how proactive they are in their own care, abuse of the system by the patients, doctors, over pricing, over billing, fraud and the system in general. I in no way intend for my comments to sound racist, sexist or insult any class of human or profession being but until we get people on private insurance and return society to self reliance and reduce government subsistence we are screwed. Society as a whole is responsible for this disaster. We allowed it to happen by not being involved in the processes that led us all here. Private insurance has flaws but they have the over site to reduce waste and fraud as they are all smaller entities than the federal government.
    jadelpn likes this.
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    I do not disagree, however, one voice can sometimes make a difference, however, the vote one makes is not necessarily the vote they take....
    Meaning, popular vote on a national level is somewhat of a joke. The decisons made are not in the hand of voters...
    Mandatory school testing is all about the teachers and the effectiveness of teaching, but to the cost of the students who are not great test takers and can't pass it--so don't get a valid diploma.

    So school are as big of a business as hospitals....


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