$400 million Mercy growth plan... along with other Sacramento facilities
Catholic Healthcare West plans to spend some $400 million on construction and renovation at its Mercy Healthcare Sacramento hospitals as part of a $2.4 billion systemwide program.
Sacramento Bee, Dec. 5, 2002
Dec 9, '02
"Imagine as California hospitals begin trying to meet mandated nurse ratios, and there aren't enough RNs to go around"
But worldwide, there ARE enough nurses willing to work in today's hospital conditions.
Much as the computer industry put pressure (successfully) on Congress to increase the number of available working visas for computer engineers in the 1990s, hospitals will use this increased "need" to make the same argument.
Or, then again, I may be wrong and US hospitals will "see the light" with all these vacant beds, and take major steps toward making their environments sufficiently patient- and nurse-friendly that the 500,000 of us who are RNs and NOT working in the field will be delighted to return.
Of course, pigs may fly.
Last edit by sjoe on Dec 9, '02
Dec 9, '02
ok..... new replacements for old dangerous buildings I can understand --- you just move the staff over to the new address - but to ADD new buildings with more beds while resisting doing anything to attract the professional staff you will need for those additional pts (and even actively driving them away) just doesnt make sense. Unless thats the goal to begin with.
Great business strategy -- increase business and revenue by bringing in more pts, at the same time you cut overhead costs by replacing RNs with other less expensive personnel. A decade ago, this attempt met with public outrage. But hospitals have been looking for a way to do that ever since. . Now they have the perfect excuse to convince the public that replacing RNs with other personnel is necessary for their health. Like its either that or nobody to care for them in the hospital. Get states to pass laws allowing it and the bedside RN shortage becomes irrelevant.... get the federal govt to pass the bill they currently have there that will allow for an UNLIMITED number of foreign recruits & will lower the standard of their credentialling & we can all just whistle Dixie before theyll pay any attention to us again.
Heres a scenario:
Once they have all those new beds built & filled while deliberately doing nothing to make the workplace improvements that RNs need to come back to the bedside, it will be that many more pts they wont be able to "find" nurses for (albeit they arent really trying all that hard if they forcing them out on strike over recruitment/retention incentives and pt safety issues as we speak). But the "lack" of bedside RNs will be a "crisis" and the public/legislators will be told something MUST be done to provide care without more RNs or units & ERs will close because "there just arent any RNs to be had". Then there will be a big push get the state to expand the scope of less costly UAPs. Just as they are already pushing hard now to get the state to allow them to fill the new nurse staffing ratios with less costly LPNs instead of all RNs -- so they can save money (while reporting record-breaking profits for their investors).
They have the perfect excuse - "the nursing shortage". The public will accept having more UAPs & others doing more because they are hearing "there are no RNs" - and not "there are no RNs who will work for what we want to throw at them". Legislators will accept replacing an RN with other personnel because they will be told "floors will close" &" pts wont get the care they need" if they dont do so. Hell, they are already being told that right now in California to justify why LPNs should be allowed to replace RNs in the states mandated staffing ratios - "There are not enough RNs to fill the ratios" so we must use less expensive LPNs. (God forbid we spend some money to fix the things that are keeping the RNs away). Actually, there are enough RNs- but nobody wants to do anything that might make them come back to work 'cause then theyd have to pay them their higher salary.
It just happened in Nevada - the hospitals refused to hire available ER RNs because they didnt want to spend the money & then went to the state & convinced them they needed to create a new category of less costly ER UAP to fill in the gap because they "didnt have enough" ER RNs. Despite the fact that the Nevada Nurses Assoc proved there WERE more than enough ER RNs available to work - the hospitals just were refusing to hire them & then claiming they had a "shortage" of ER RNs! Instead of telling the hospitals to prioritize & pay for what they needed (RNs), the state allowed them to turn RNs away & create the inexpensive ER UAP to take their place. In Tennesse, they just passed a law allowing school secretaries to do accuchecks on school children and ADMINISTER INSULIN & glucagon to kids because "there are no RNs" - except that the Tennesse Nurses Association showed there were PLENTY of RNs who wanted school nurse jobs - the school districts just didnt want to hire & pay them. There was no shortage of RNs who wanted to be school nurses. There was only a shortage of school districts who wanted to give jobs to RNs. But they used the excuse of the "nursing shortage" to get a law passed that will hand off an RN function to unlicensed office personnel & allow the schools to not have to hire and pay for RNs at all.
None of their agenda in any of this has a thing to do with patients or pt care or any nurse "shortage" --- its all about big business seeing an opportunity to serve itself, & hand over fist profit margins.
Last edit by -jt on Dec 9, '02
Dec 9, '02
jt--It sounds as though you and I are getting very jaded, doesn't it?
Unfortunately, this stuff is all too common and far too likely to continue into the future. I've not been able to come up with any useful solutions (except being the health care czar with unlimited power), nor with any healthcare environment that I can stand to work in. I don't seem to be alone.
Last edit by sjoe on Dec 9, '02