freki 2,448 Views
Joined Dec 8, '09.
Posts: 45 (22% Liked)
I work for St. Luke's Health System and I hear mixed feelings on working for St. Luke's vs Saint Al's. I have friends who got hired on with Saint Alphonsaus in Nampa at $26/hr as a new grad RN. I know the starting wage at St. Luke's is $21.50/hr for a new grad (at least at Magic Valley, which Boise repeatedly tells us is the same as in Boise).
Personally, I feel under-appreciated with St. Luke's. They are very patient-centered and provide great care, but sometimes it's at the expense of the employees. I've always heard great things about working for Saint Alphonsaus. By the way, these are both religious, private, not-for-profit hospitals. St. Luke's does not emphasize the religious aspect much at all; Saint Alphonsaus is a Catholic hospital and it is pretty evident when you walk down the halls.
West Valley Medical Center in Caldwell is owned by HCA (Hospital Corporation of America), if you've ever heard of them. This is the largest hospital network in the US. I worked for a hospital they own in Idaho Falls and loved, but I hear a lot of mixed feelings there too.
All in all, if you have experience I wouldn't settle for less than $25/hr in the Boise area. Boise is a beautiful area with a lot of big-city features and a small town feel. Just be aware that you are basically locked into either St. Luke's Health System or the Trinity Health System (Saint Alphonsaus). Good luck!
The abuse from drug seekers is unacceptable. In Washington there is a law about disrupting a hospital that includes yelling and shouting or otherwise threatening nurses or physicians. I am pretty firm with the people who put on a show and point to that law...and then they usually walk out.
I have been advocating more and more the opioid-free ED (Home). This guy has studies and information about treating common painful conditions with alternatives to narcotics. He has run trials of "shifts in the ED without opioids" successfully. I think part of the problem is that numbing people to their pain with narcotics is the easiest way to deal with patients in a busy environment. Physicians and nurses need to take time and utilize their knowledge and evidence to address pain more deeply, rather than spraying everyone with happy juice. Then those with true pain get the relief they deserve and the abusers come out of the framework.
The only problem I have with your story is whether the family or patient consented first to the transfer. If they were against it and you talked them into, I would say good for you; however if they were against it and you called anyway then you have disregarded a fundamental patient right to choose.
As for the all the ED nurses saying that blood pressure doesn't concern them at all...I think you need to take a step back. I'm an ED nurse, and while I may not be terribly worried about her stroking out, it would at least raise an eyebrow. Especially in a patient who is (I'm assuming) on pain medication and without any complaints of pain or anxiety. She also stated the BP is typically in the 130/70 range...that's a significant difference. Sure, we wouldn't treat that BP alone, but I wouldn't ignore it either. To do so I think would just be negligent. I also want to add that if she is in fact on a bunch of pain medication for her recent femur fracture, then symptomatic pain could have been masked.
I try not to give our ALFs and SNFs a hard time when they send someone in. I may secretly be thinking all sorts of nasty things, but I'm also not in their shoes. And for all the times I've gotten a patient that should have come in days or weeks earlier, I try and appreciate when someone has taken the time to see something in a patient and get ahead of what's going on.
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