Quote from altusjg
I work cvicu and micu and have place picc lines for about 2yrs now. I have never recieved extra pay for a picc line placement. I became interested in picc line certification and placement because i wanted to advance my own skills and beef up my resume. However, I do not think it is fare that we are not payed anything extra as i am requested to place picc lines on the floor while i am in the unit with a pt load and i must rely on the charge nurse to cover my pts while i go to the floor for the hour or more that it takes to place the line and do all the paper work, wait on cxr verification, ect. associated with it. I have only recently started talking to my unit manager about compensation for picc line placement but doubt it will happen due to one or two nurses who are willing to come in on there days off or dont mind handing over there pt load for a couple hours to go to the floor to complete the insertion for no extra pay. I respect there diligence but believe that Picc line placement is an advAnced skill for an RN and therefore should be compensated as such. Until my facility agrees to start compensating me for PICC line placement, i have decided not to place them anymore and will refer the request to the nurses who dont mind practicing the advanced tech and accepting the responsibility that comes with it for NO extra pay..... Ok i guess i'll get off my soapbox now. Sorry for the rant.
That is SO typical of nurses and the nursing profession. One attains additional skills, the PTB decide they can use your advance skills free of charge, in the meantime, when you put your foot down and ask for more money, you have some, "Martyr Mary", who will come in do it free of charge, thereby undermining your attempt to make the hospital pay for your advanced skills. Which they should.
I feel the same way about my Critical Care skills. No, I did not learn to be a Critical Care Nurse in nursing school. I learned it by taking a Critical Care course, (At my expense), obtaining a job in Critical Care, and working in Critical care for over 25 years. No, med surg nurses cannot work in ICU. They do not have the education and training. Just like Cardiologists don't deliver babies, and Pediatricians don't do Open Heart Surgery.
The big difference is that Doctors have the power, clout, and $$$ to get what they want, which is more pay, and control over their work, and they BILL for their services.
I will say it again to refresh everyones' mind, because it is worth repeating:
As long as a Nurses' Professional Practice is rolled into the room rate, laundry. housekeeping, and the complimentary roll of toilet paper, we will never be seen on a patients' bill, or on the "Asset" side of the balance sheet. And the PTB want to keep it that way, to keep nursing invisible, and powerless.
JMHO and my NY $0.02.
Lindarn, RN, BSN, CCRN
Somewhere in the PACNW