Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Geriatric Nurses and LTC Nursing /

Department heads yippeeee!



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,692 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 2 1 2 >

Nov 23, 2007 10:41 PM

Department heads yippeeee!

by BRWRN

Money is the biggest problem with LTC. So tired of administration trying to make a buck and screw the patients. Anyway on to other topics. That is all. Feel free to discuss.


Share

Search Tags
None
Top

1 Reader Gave Kudos

 
Advertisement
Sponsored Links
 
Page 1 of 2 1 2 >
Reply
12 Comments
No. 1
from oramar
Old Nov 24, 2007, 08:47 AM

Default Re: Department heads yippeeee!
If I talk about this subject I will get overly emotional and my blood pressure will go up.
Top
 
No. 2
Old Nov 24, 2007, 12:55 PM

Default Re: Department heads yippeeee!
Originally Posted by BRWRN View Post
Money is the biggest problem with LTC. So tired of administration trying to make a buck and screw the patients. Anyway on to other topics. That is all. Feel free to discuss.
I wonder if there are any forums out there where administrators discuss how no one understands just how hard they have it and why everyone thinks they are so greedy and disgusting?

Another thought...Couldn't you just hear this in an interview for an admin position: So, do you think there is any shame in our business trying to make a profit? After all, isn't that the main objective of all businesses?

I guess I just wonder sometimes how these people sleep at night. Do they just go into some sort of denial mode after accepting such positions? Guess you'll like never hear someone say, "I'm damn proud to be an administrator."
Top

1 Reader Gave Kudos
 
No. 3
from abooker
Old Nov 24, 2007, 03:50 PM

Default Re: Department heads yippeeee!
I work for a non-profit LTC. I hope our residents and their families don't feel abused or neglected.

We lose about $30 per day on our Medicaid patients, but their care is as good as private payers, sometimes better. A resident who is getting a chest x-ray for free tends not to hesitate, while one with out-of-pocket expenses might delay treatment by waiting to see if that pesky wet cough goes away on its own.

From my perspective, a huge problem with Long Term Care isn't that we're dealing with limited resources (and who in health care isn't?) but that LTC has this nasty reputation. Residents and families come in and scrutinize us, looking hard for evidence that administration is "trying to make a buck and screw the patients."

LTC is the most highly regulated industry in my state. If things really are bad in the industry, I'd like to hear some suggestions (other than more regulation) for improving things. I think most homes do a darned good job - otherwise I wouldn't be working in this area.
Top

1 Reader Gave Kudos
 
No. 4
Old Nov 24, 2007, 05:26 PM

Default Re: Department heads yippeeee!
Originally Posted by abooker View Post
I work for a non-profit LTC. I hope our residents and their families don't feel abused or neglected.

We lose about $30 per day on our Medicaid patients, but their care is as good as private payers, sometimes better. A resident who is getting a chest x-ray for free tends not to hesitate, while one with out-of-pocket expenses might delay treatment by waiting to see if that pesky wet cough goes away on its own.

From my perspective, a huge problem with Long Term Care isn't that we're dealing with limited resources (and who in health care isn't?) but that LTC has this nasty reputation. Residents and families come in and scrutinize us, looking hard for evidence that administration is "trying to make a buck and screw the patients."

LTC is the most highly regulated industry in my state. If things really are bad in the industry, I'd like to hear some suggestions (other than more regulation) for improving things. I think most homes do a darned good job - otherwise I wouldn't be working in this area.
Frankly, I was speaking more from the hospital point of view. Moreover, I was really thinking more about the perspective of nurses/working conditions. Sorry, got a little off from the original topic (screwing the patients directly). I guess I was thinking more along the lines of patients getting screwed when they have a stressed out nurse who is spread too thinly. Thus, I suppose I just enjoy chiming in anytime there is a vent about administration (in general).
Top
 
No. 5
from abooker
Old Nov 24, 2007, 06:21 PM

Default Re: Department heads yippeeee!
A stressed-out nurse who is spread too thinly can't be good for patients/residents in any context, LTC or Hospital or anywhere, really. My own administrator toilets residents and answers call lights as needed, so I'm a bit protective of *my* administrator, but I'm with you in not understanding how some folks sleep at night.

I don't know what can be done.

Can't join unions:
http://allnurses.com/forums/f100/spl...html#post37157

Can't engage in whistle blowing:
http://www.nursinglaw.com/Nov07PageOne.pdf

It's not even a USA thing:
http://www.freedomtocare.org/page73.htm

Are there any differences in for-profit and non-profit hospitals? I think there might be, in LTC.

IMHO there's a myth that administrators (in general) can "trim the fat" from their budgets by "reducing staffing costs". One problem I've seen is managers listening to consultants or colleagues more than to their own employees. If an employee voices an actual concern, he or she risks being branded as "resistant to change" or "not a team player" and bad things can happen.

I cringe at the "us vs. them" language, like "Nurses vs. Administration", but there are real problems ...
Top
 
No. 6
Old Nov 24, 2007, 06:45 PM

Default Re: Department heads yippeeee!
Originally Posted by abooker View Post
My own administrator toilets residents and answers call lights as needed ..
Now THAT is quite unusual. Given the state of affairs these days, I guess I would feel a bit protective too.
Top
 
No. 7
from ingelein
Old Nov 24, 2007, 09:19 PM

Default Re: Department heads yippeeee!
Originally Posted by abooker View Post
I work for a non-profit LTC. I hope our residents and their families don't feel abused or neglected.

We lose about $30 per day on our Medicaid patients, but their care is as good as private payers, sometimes better. A resident who is getting a chest x-ray for free tends not to hesitate, while one with out-of-pocket expenses might delay treatment by waiting to see if that pesky wet cough goes away on its own.

From my perspective, a huge problem with Long Term Care isn't that we're dealing with limited resources (and who in health care isn't?) but that LTC has this nasty reputation. Residents and families come in and scrutinize us, looking hard for evidence that administration is "trying to make a buck and screw the patients."

LTC is the most highly regulated industry in my state. If things really are bad in the industry, I'd like to hear some suggestions (other than more regulation) for improving things. I think most homes do a darned good job - otherwise I wouldn't be working in this area.
You have one year of experience, I hope that you are able to keep this positive attitude after 30 years in LTC.
Top
 
No. 8
from ingelein
Old Nov 24, 2007, 09:35 PM
Updated Nov 24, 2007 at 09:40 PM by ingelein

Default Re: Department heads yippeeee!
Originally Posted by abooker View Post

Are there any differences in for-profit and non-profit hospitals? I think there might be, in LTC.
In my almost 30 years in LTC I have worked in both for profit and in non profits, there is not much difference, even in non profits the CEO is given bonuses for keeping costs down and staffing is the first to suffer.I have also seen principled nurses retaliated against by non profit LTC management. LTC's cannot operate in a manner that is conducive to both the nurse and the resident until nurse patient staffing ratios and stronger retaliation protection laws are mandated. I know you dont want to see more regulation, but in REALITY, doing the right thing for the resident and the employee will not happen if we expect the owners and management to do it. Profit IS the bottom line and dont buy the "we are losing money" baloney. The LTC industry is still a multi billion dollar a year industry and wont get any sympathy from me.
Top
 
No. 9
from sharlynn
Old Nov 24, 2007, 11:39 PM

Default Re: Department heads yippeeee!
Originally Posted by NurseCherlove View Post
Now THAT is quite unusual. Given the state of affairs these days, I guess I would feel a bit protective too.
In the facility I worked at last, the administrator and the DON toileted, answered lights and gave baths when necessary!
Top
 
Page 1 of 2 1 2 >
Reply




Thread Tools


Who's Online
89 members
1,225 guests
1,314

42

lawsuit - But don't most RN's work through breaks/lunch...

0

Patient Evaluation of Retail Clinic Care

5

The hard to reach on-call doctor, and its effects on...

9

Woman charged with passing off prescription drug as...

22

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

13

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

14

Really interesting article on Indian open hearts

12

High-Tech Pump Does What Her Heart Can't



43

Dear preceptor

1

Society Needs Care Too

13

Why am I doing this, anyway?

2

Nurse Heal Thyself

10

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

42

What Do Operating Room Nurses Do?

14

My Little Old Jedi

21

I love this job......

23

"I hear voices"

20

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: