Are you satisfied with your current employment situation as a nurse? - page 4
Please feel free to share your thoughts on your current employment situation as a nurse. Are you happy, if so why? Unhappy, if s why? Also, please take part in our quick survey on our homepage... Read More
Mar 28, '00Occupation: CCU RN Joined: Mar '00; Posts: 7Can't say I'm exactly thrilled with my position. I work in a cardiac hospital (all open-hearts, caths, stents, CHF exacerbations, etc.). I started on the regular telemetry floor, 12 hr. shifts, where the ratio was 1 RN to 10-11 patients, both days and nights. Day shifts got 1 nurse extender and 1 comfort care provider. Night shifts got 1/2 NE and 1/2 CCP (you shared your ancillary staff with another RN). That's the model, however, we routinely worked short of ancillary, many times with 1 CCP and 1 NE for 42 beds. We would routinely get patients transferred from other hospital's ICUs/CCUs and they would get put on our regular floors (patients considered critical at other hospitals are not considered critical at ours). We also took care of CABGs 12-18 hrs. out. The stress level and workload were quite intense. After 1 1/2 years, I transferred to CCU hoping for better staffing, however, the hospital is now routinely assigning us 3 patients as opposed to the 2:1 that they used to. It is not unusual for you to have 3 vented, unstable, total care, swanned patients per night. With no aids to help you turning and bathing patients. I am new to the CCU (only 3 months) but for the last 2 they have been assigning me 3:1 and they are complex, heavy cases. Ancillary staff is nonexistant. RN's are responsible for all care, drawing labs, etc. I personally feel that I do not have the experience level to handle 3:1 and am terrified every time I have to go to work. I am currently considering leaving the hospital setting and pursuing VNS. Are any of your experiences similar to mine? Am interested in hearing thoughts.
Mar 29, '00Occupation: Newborn ICU RN Joined: Mar '00; Posts: 14; Likes: 2Here in Minnesota in Minneapolis as a topped out nurse I make $26.71. Agency nurses and roster nurses make much more. I work in a newborn ICU and our average assignment is 1 vented patient and one non-vented patient. If we have all unvented patients we will have up to 4. If we have an health care assitant assigned to us we may have up to 6 patients. I love working with the babies and I think we really make a difference. I get fed up with nurses who are topped out like I am, have an assignment like mine and complain because they are "overworked". Maybe I'll print up some of your work loads and pay scales and take them to work.
Mar 30, '00Occupation: RN Joined: Sep '99; Posts: 125; Likes: 1Here is my suggestion:
RN's should make at least $50.00/hr
Have FULL benefits- Indeminty medical without a lifetime max, full vision and indemnity dental. Full tuition reimbursement and paid membership to health club. On site daycare....
Here in Pittsburgh Nurses max out around $20 or $21/hr. I know MANY nurses here all with at least 10 years experience various specialties who can't make more that $21/hr. I have friends that have more than 10 years as flight(helicopter nurses) and they only make $25/hr. I don't know of any nurses in this area that have a traditional Fee for Service medical plan (indemnity coverage) yet, so many of the patients I have seen do have Indemnity coverage.
Isn't it ironic that many of the patients have better insurance than the people providing the care....?
Here is another thought. The hospital where I worked last only has a cheap HMO for its nurses and other healthcare employees; However, the doctors and hospital administrators all have an indemnity plan! Talk about respect.
Another funny story? See www.upmc.edu
UPMC is a group of hospitals here in Pittsburgh. If you are a Nurse at one of their hospitals then most likely your insurance plan is "UPMC Healthcare"....UPMC not only owns all the hospitals and employs all the nurses, it also owns UPMC Healthcare. SO....The point I am making is that as nurse in Pittsburgh the pay is lame and your employer also determines what is paid for by your insurance(because the employers owns the insurance company) AND your PCP works for your employer(the HMO/Hospital)>>>> So, when you as a nurse go to your doctor/PCP just who's best interest does he have in mind? Who does he really respect? Who does he work for? Who pays his capitated fees? Who pays his bonuses for keeping utlized healthcare dollars down?(The answer is: The HMO, also known as The nurses employer.)
Nurses in Pittsburgh are at best "EXPENDABLE".
Take a look at my posting "Nursing is pathetic" under "would you recommend nursing as a career?" For more heated debate.
Why can't RN's in Pittsburgh(experienced professionals) pay their bills?
Apr 3, '00Occupation: RN Joined: Apr '00; Posts: 83; Likes: 4I can't believe that some of the nurses here believe that most nurses are well-paid for their work. That is ridiculous! When companies put out the stats on nurses pay they twist the facts. They will include Nurse Practictioners to Staff RNs in that report. Do you think that they use the mean, median, or mode when they report??!!! They're definitely not going to use the mode, which means the most frequently occurring score! SHEESH!!! Take for instance, you have 20 nurses making $14.50 pr hr, 10 nurses making $20.00 pr hr and two nurses making a $100.00 pr hr. DO THE MATH! THE AVERAGE WAGE REPORTED WILL BE $21.56 PR HR!! The average nurse in the mode is not reported. When I first starting working as an RN, in a major hospital, I started out at $12.50 pr hr. People who work at factories and the post office can make that much with a 7th grade education.
I think that most of the people that are satisfied with their jobs are the managers and CCRNs (They get super respect for being a super nurse.) The one's out in the trenches aren't getting any respect or pay (for the amount of work that they do). The managers get paid to tell us that we're WHINING!!! They get paid WELL for that!! I have worked too many days without lunch or restroom breaks to want to listen to that crap.
Oh yeah, when they report nurse's wages, they'll use all of the various states. One state could be paying their nurses $20.00 to start (I doubt it.), and another could be paying $12.00 an hour. Don't be misled. Get the facts.
Apr 3, '00Occupation: RN Joined: Apr '00; Posts: 1I've been an LPN for 5 years, and have often told my husband (a maintenance mechanic,) that he does half as much work as I do, for twice the pay! Nevertheless, I love nursing. I was 34 when I was first licensed and have been in the same place since then. Next month, I will graduate from an ADN program and go over to the hospital to work. I am somewhat anxious about it since at this point, I'm a big fish in a little pond, and that is about to change. In my job and through my clinical experiences, I've seen all the bad attitudes, apathy, poor treatment of students and new grads, etc. I always hear nurses complaining about their low pay. I don't feel that nursing is something you should do JUST for the money. Our rewards do not come to us in a pay envelope. I work hard to keep a positive attitude, establish and keep a good relationship with the physicians I come in contact with, do the very best I can for my patients and families, and to remember that I'm only as good as the team is as a whole. Bad attitudes are contagious and I don't have any desire to spend the better part of my life in a foul mood, so I do whatever I can to uplift my team and keep them focused on what we are there for.
Apr 6, '00Occupation: RN,CPAN Joined: Mar '00; Posts: 7After 22 yrs in nsg i can still say i love my job. i work in an acute care area pacu, the work is fast paced and challenging. i enjoy the high tech environment. i work nights and try to stay out of the politics. i'm maxed out at $25./hr +diff, this is considered excellent pay for the area.
Apr 6, '00Occupation: CCU RN Joined: Apr '00; Posts: 7This may be an unpopular view, but here goes. I make $27.12/hr plus an additional $2.31/hr night differential as a CCU Staff Nurse. Nurse/pt ratios at my facility in the critical care setting are 3:1. Last year I grossed $52,000 and change. This is considered a little on the low side for my geographic location. And, I would GLADLY take a cut in pay to have more manageable nurse/pt ratios (2:1) and a more manageable workload!!!! I did not get into nursing for the money, however, I also did not get into nursing to be overwhelmingly overworked to the point that it compromises patient care, safety, and my own health. Anyone else feel the same?
Apr 7, '00Occupation: RN Joined: Apr '00; Posts: 6; Likes: 20I've been a nurse 22 years and at this point in my career I can sit back and say nursing has been good to me. It's been hard, there's been days or nights when I felt like going out the back door in the middle of the shift and never looking back, but something held me there. I've been a single mom for 14 years and been able to support my children and make a nice living for myself and them. And can't we all agree that there's a certain amount of status and pride that goes with being a nurse. It's kinda cool to say "Yes I'm an RN". You, who are in certain very difficult and seeminly impossible situations, don't give up-you will get through it. The great thing about nursing is if you don't like what you are doing you can usaully find another area or another hosp. that suits you. I've done it all: ER, ICU, CCU, OB, NRSY, med-surg, OR, infection control, hospice, and now home health for the last 12 years which I love. I look at my nursing career now and can smile and even cry about some of the experiences I've had. But now it seems so rewarding to have gone through and I'm not through yet. One thing for sure you will build character! and will have hundreds of stories to tell your grandchildren. Thanks, Becky RN
Apr 8, '00Occupation: returned nurse Joined: Nov '98; Posts: 7,097; Likes: 5,234I have not worked in 3 months. Am I happy? Yes! I left nursing because my mental state was deteriorating rapidly and I was having suicidal thoughts. I tried decreasing my hours to 3 shifts a week then 2 then 1 but it did not work. I found myself walking around my unit saying silently to myself,"I wish I was dead, I wish I was dead." I feared I had developed a depression from which I would not recover and I would have to go on medication. Since completely cutting all ties with my former employer and nursing I have begun to return to life. Now I can look at a sunset or a snowflake and feel joy. I am so relieve, it was not me it was the job.
Apr 10, '00Occupation: LPN Joined: Apr '00; Posts: 1I can understand your frustration re: LPN wages and lack of opportunity growth. I too am an LPN with 16 years experience in a long term health care facility. There is a huge wage discrepancy between the RN and LPN. There is no difference in the job duties where I work, so where is the justification for the pay scale? Because of my experience, I am asked to orientate these RN's when they start employment in this facility yet the pay scale remains the same. The CNA's, depending on their experience, are able to make more than a starting LPN, yet an experienced LPN is topped out $2.00 short of a starting RN. Something is really wrong here! I don't understand why education is used for the payscale difference between LPN and 2 year RN, yet 2 year RN and 4 year RN is the same payscale. Why aren't these higher educated nurses complaining about this? ( I only say this because education is used as the determing factor where I work)Originally posted by MaxNurse:
I'm seriously thinking about going back to school and getting my RN. I've been a LPN for 6 yrs now. At first I loved it, then reality set in LOL. It's true the stress is high, we're understaffed and the pay is low. I make $10/hr. The RN's where i work start out (0-5 yrs experience) at $15.00/hr. What I'm mostly fraustrated as an LPN is the lack of opportunity to advance (without returning to school for a RN degree). Seems LPN is a dead end road. With a RN you have the opportunity for Supervisor, DON, ADON and so on. It seems not to matter if you have an associates or a bachelors degree. I was a CNA prior to being an LPN and I decided to go back to school when i felt i was at a dead end road then as well.
One thing I've noticed reading the posts, and i dont understand it, is why is there such a big pay difference in LPNs and RNs but not LPNs and CNAs. Where i work like i said a RN makes $15+, LPN $10-11 tops and the CNAs $8-9/hr. Seems the gap should be smaller between the LPN and RN. A CNA trains for 100 hours in my state, a LPN for 1 1/2 yrs and an RN for 2 years. A CNA doesn't have the responsibility of meds, IVs, other invasive procedures and so on. So why's there such a small wage difference. Also where i work the only difference in LPN and RN is a RN can hang blood. So why's there such a large pay difference? Just curious.
Also i've read in some of the posts that people didnt get into nursing for the money. That may not have been the biggest reason, but for most of us it has a big influence. Not many people work for the fun of it! Working in the medical field is a big responsiblity, we're dealing with peoples' lives and I feel we should be well compensated for it! One mistake could cost someone their life and us our license. Seems this too would cause for some kind of legislation demanding staffing in facilities to be more adequate for patient loads.
[This message has been edited by DDRoute (edited April 18, 2000).]
Apr 10, '00Occupation: Family Nurse Practitioner Specialty: 17 year(s) of experience in Hospice and Palliative Care, Family NP ; From: US ; Joined: Feb '00; Posts: 366; Likes: 60If I were you, I'd think long and hard about spending out big bucks to get your RN degree. Being an RN is more than just the pay increase, and it's more than just 'hanging blood'. An RN is responsible for everyone who works with her as well as for the patient's or residents under her care. The pay increase is not that much when you think of the responsibility and the liabitlity increase that comes with the credentials.