US demand for Filipino nurses declining - educator - page 5

us demand for filipino nurses declining - educator change in work attitude... i wonder if this is related to the nurses who got "fast track" bsns, all in less than 6 months. cgfns &... Read More

  1. Visit  pinoy_guy profile page
    0
    Quote from crossbow
    1:4 ratio!! man i'd die for a 1:4 ratio!!! my med/surg tele unit has 1:7 or 1:8 ratio. (pinoy guy, the nurse to patient ratio is the reality of us health care. 1:6 ratio isnt exploitation for me...its a blessing!!)
    california nurses association ratio basics

    er trauma 1:1

    or 1:1

    pacu 1:2

    icu 1:2

    er 1:4

    sdu 1:3

    telemetry 1:4

    med/surg 1:5
    these ratios are for california, and will be fully implemented by 2008.

    they cut costs by firing the cnas, so i've been doing vital signs and i&os, and cleaning up and bathing patients.
  2. Visit  crossbow profile page
    0
    Quote from pinoy_guy
    california nurses association ratio basics



    these ratios are for california, and will be fully implemented by 2008.

    they cut costs by firing the cnas, so i've been doing vital signs and i&os, and cleaning up and bathing patients.
    i work nights so...no bathing. i havent sponged a patient since phc.

    work without cnas is a crazy notion!! is this althroughout california?
    i used to work as a cna in socal before getting my license and moving to ny.

    our cnas are invaluable. some draw blood and do ekgs. very helpful if you have 4 rule-outs that need troponin draws and ekg in the next 30 minutes. vitals and i&os i also do. vitals at start of shift so i know how my patient is doing and whether the report i get from my colleague is true or not. i&os because the surgery guys are anal about it.
    'm really curious about the gap in nursing practice between california and new york.

    a friend had been persuading me to go to nyc, because he said the work was easy.

    he has 3 jobs, and he still has time for outside activities.

    i asked him how he could do that, when i'm really exhausted after a duty, especially if one of my patients was on kayexelate.

    we don't have cnas, so i clean up the patient.

    he told me that the only time he handles stool is when there's a stool specimen to be labelled and sent to the lab.

    i don't know if he was joking. but he does have 3 jobs at this time.
    nyc is different from long island ny(where i am). nyc has all the help they can get. higher wages and one can get around anywhere they can in the city. (sort of like manila except we use trains) but the downside is that everything is expensive over in the city. and the living spaces are small and yet expensive. (which is probably why your friend has three jobs)

    (hey, conditions in manila are the same - expensive rent, expensive food, easy accessibility, anything you want is available at 3am)

    actually you only have to read some posts online, from rns still in the philippines.
    well i hope i dont have to work with them. if i do.....

    if they come to my unit i will make sure they realize what working here is really all about.
  3. Visit  pinoy_guy profile page
    0
    Quote from crossbow
    i work nights so...no bathing. i havent sponged a patient since phc.
    the baths are usually at night here, because mds are passing by during the daytime, so it's harder to do your job if you're in the middle of bathing a patient.

    if the patient poops though, you'll be forced to give a bath. especially the confused patients who smear stuff all over the bed.

    restraints are not indicated for such patients.


    Quote from crossbow
    work without cnas is a crazy notion!! is this althroughout california?
    i don't know if it's throughout california, but it's in central california.


    Quote from crossbow
    our cnas are invaluable. some draw blood and do ekgs.
    blood draws are done by lab techs, except in icu.

    ekgs by unit secretaries.

    cnas are rare where i'm working.


    Quote from crossbow
    very helpful if you have 4 rule-outs that need troponin draws and ekg in the next 30 minutes.
    cardiac enzymes are done q6h x 3.

    i think icu rns have to do the blood draws themselves, so the 1:2 ratio works against them.


    Quote from crossbow
    vitals and i&os i also do. vitals at start of shift so i know how my patient is doing and whether the report i get from my colleague is true or not. i&os because the surgery guys are anal about it.
    vitals q4h.

    i&os...i like doing them myself, because when i go to med or surg floor with cnas (1 cna for 12 patients), i usually get indecipherable writing with inaccurate figures.

    current practice though is you'll have to serve the meals and take out the trays--additional jobs in an overburdened role.


    Quote from crossbow
    nyc is different from long island ny(where i am). nyc has all the help they can get. higher wages and one can get around anywhere they can in the city. (sort of like manila except we use trains) but the downside is that everything is expensive over in the city. and the living spaces are small and yet expensive. (which is probably why your friend has three jobs)
    so that's why he can do 3 jobs.

    my friend seems to be enjoying life in nyc.

    i'm afraid to visit nyc, because i might feel bad when i get back to work after seeing the work situation in nyc.



    Quote from crossbow
    (hey, conditions in manila are the same - expensive rent, expensive food, easy accessibility, anything you want is available at 3am)
    well.

    manila is kinda similar...but the scale is disproportionate.

    minimum daily wage in manila is $7/day...and a big mac meal is $2, almost 1/3 of your daily wage--leaving you with $5.

    minimum hourly wage is $30 in nyc, and a big mac meal is $6...so assuming you work 8 hours a day, that's $240 daily wage, leaving you with $234 after your big mac meal.


    Quote from crossbow
    well i hope i dont have to work with them. if i do.....

    if they come to my unit i will make sure they realize what working here is really all about.
    you know, i see such people more and more.

    they are the ones sitting at the nurse's station either eating or chatting...and are eager and ready to go home before time. we wonder how they do their jobs when we rarely see them go into the patient's rooms.

    they are usually the ones who pretend to work when the supervisor or manager is on the floor. i think they are called "brown nosers."

    bad for the morale.

    i don't think we need more of them.
  4. Visit  Rajiv profile page
    1
    I do not agree to this statement because if it's the case now why are recruiters here in the Philippines still hiring Filipino nurses. I personally believe that this is just an opinion of someone who doesn't know the real score, commenting on an issue that is isolated and does not represent the general working ethics of the Filipino nurses in majority.
    SilverSurfer likes this.
  5. Visit  SilverSurfer profile page
    0
    Quote from Rajiv
    I do not agree to this statement because if it's the case now why are recruiters here in the Philippines still hiring Filipino nurses. I personally believe that this is just an opinion of someone who doesn't know the real score, commenting on an issue that is isolated and does not represent the general working ethics of the Filipino nurses in majority.
  6. Visit  caloy profile page
    4
    I don't think anyone meant that hospitals are not recruiting filipinos anymore. It's just that more and more hospitals would rather not want to because of nurses not fulfilling their contracts. Previous posters have shared their own experiences regarding that.
    crossbow, suzanne4, Silverdragon102, and 1 other like this.
  7. Visit  lawrence01 profile page
    1
    Quote from caloy
    I don't think anyone meant that hospitals are not recruiting filipinos anymore. It's just that more and more hospitals would rather not want to because of nurses not fulfilling their contracts. Previous posters have shared their own experiences regarding that.
    Other countries has noticed this as well. Some may not know but Spain actually has a Memorandum of Agreement w/ PH to hire workers (see POEA website for reference), such as nurses and it was stressed out that the reason why it is only a MOA and just a pilot program at that is that they know about thet non-fulfillment of contracts being practiced by some nurses in the US. The Spanish Gov't stressed out that if the employers complain about any news of 'jumping ship' that they would cancel everything and those jumping ships will have their permits canceled and be deported back. This news came out more than a year ago; it just didn't made much media hype.
    Last edit by lawrence01 on Sep 11, '07
    suzanne4 likes this.
  8. Visit  suzanne4 profile page
    1
    Quote from Rajiv
    I do not agree to this statement because if it's the case now why are recruiters here in the Philippines still hiring Filipino nurses. I personally believe that this is just an opinion of someone who doesn't know the real score, commenting on an issue that is isolated and does not represent the general working ethics of the Filipino nurses in majority.
    Sorry, but even though there are recruiters, most are not recruiting for hospitals, and there are also no visas available, and we do not expect them for sometime. Recruiters have been making promises there for years and many have been unable to live up to what has been promised. Many are also recruiting there illegally.

    And the better part is that the above posters are actually from the Philippines, and are actually in the US working in the RN role and have been doing so for sometime. They are quite factual in what they are posting.

    I understand that you are new here, but you need to be aware of what is actually going on, not the rosy picture that some of these recruiters are boasting about.

    Example, I am sure that the ones from the border towns in Texas, where they do not have the ratio laws have not told you that you will have 12 to 15 patients that you are responsible for and this is in a hospital and not a long term care facility. You must always check out everything before signing.

    And there are many other threads here where specifics as to what is going on in PI is actually discussed on this foum. Please have a read.
    pinoy_guy likes this.
  9. Visit  lenjoy03 profile page
    0
    I do not agree to this statement because if it's the case now why are recruiters here in the Philippines still hiring Filipino nurses.
    Simple! Because of money! Some agencies still recruits nurses illegaly. PArt of the contract may not be explained properly. Like for example the Sentosa case.. Although it was not proven due to lack of evidence. Try to read some thread... It might enlighten you....

    I personally believe that this is just an opinion of someone who doesn't know the real score, commenting on an issue that is isolated and does not represent the general working ethics of the Filipino nurses in majority
    Mind you.. I might be not an expert with this matters but they're right. I don't question the Filipino ethics and I'm not generalizing either, but there are some unethical Filipino. Looking for greener pasture by breaching contracts and some are are out of the line! We experience it here in the Philippines, and definitely they experience it in other countries...
  10. Visit  crossbow profile page
    0
    Quote from caloy
    I don't think anyone meant that hospitals are not recruiting filipinos anymore. It's just that more and more hospitals would rather not want to because of nurses not fulfilling their contracts. Previous posters have shared their own experiences regarding that.
  11. Visit  crossbow profile page
    0
    Quote from suzanne4
    sorry, but even though there are recruiters, most are not recruiting for hospitals, and there are also no visas available, and we do not expect them for sometime. recruiters have been making promises there for years and many have been unable to live up to what has been promised. many are also recruiting there illegally.

    and the better part is that the above posters are actually from the philippines, and are actually in the us working in the rn role and have been doing so for sometime. they are quite factual in what they are posting.

    i understand that you are new here, but you need to be aware of what is actually going on, not the rosy picture that some of these recruiters are boasting about.


    example, i am sure that the ones from the border towns in texas, where they do not have the ratio laws have not told you that you will have 12 to 15 patients that you are responsible for and this is in a hospital and not a long term care facility. you must always check out everything before signing.

    and there are many other threads here where specifics as to what is going on in pi is actually discussed on this foum. please have a read.
  12. Visit  crossbow profile page
    0
    Quote from pinoy_guy



    cardiac enzymes are done q6h x 3.
    here its q4 x 3

    Quote from pinoy_guy
    manila is kinda similar...but the scale is disproportionate.

    minimum daily wage in manila is $7/day...and a big mac meal is $2, almost 1/3 of your daily wage--leaving you with $5.

    minimum hourly wage is $30 in nyc, and a big mac meal is $6...so assuming you work 8 hours a day, that's $240 daily wage, leaving you with $234 after your big mac meal.
    yes but we try not to equate dollar to pesos.
    you earn in dollars you spend in dollars........

    generally

    living in the city, one spends more dollars for an item than if living in a suburb or township, right?

    just like in manila and the provinces.
    spend more pesos for an item than buying it in the town or province.

    so save and live outside a city ha ha ha
  13. Visit  pinoy_guy profile page
    0
    Quote from crossbow
    yes but we try not to equate dollar to pesos.
    you earn in dollars you spend in dollars........
    using big macs as a reference point was not my idea. i think a female economist was the main proponent of this idea, and it's called big mac economics.

    you don't have to convert to pesos. you convert your salary to the number of big macs, and it will give you an idea of the purchasing power of your money.


    Quote from crossbow
    generally

    living in the city, one spends more dollars for an item than if living in a suburb or township, right?

    just like in manila and the provinces.
    spend more pesos for an item than buying it in the town or province.

    so save and live outside a city ha ha ha
    i don't have that much money to spend yet, so i can't really say at this point.

    however, i can say that buying online is much cheaper than buying from the stores.

    and the products arrive in pristine condition.


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