Planning our future and outsourcing - page 4
First it was manufacturing, then IT jobs and next it may be us, and so this post is my attempt to make us think about our futures and brainstorm and maybe think outside the box to come up with new... Read More
Oct 19, '06Ok...let me get this straight. The field of nursing now is in jeopardy? It's not the high-paying job that we all strived to get after all? I mean, after all aint we all in it for the money?? I hate to be sarcastic here, but come now. The picture isn't as bleak as all are making it out to look like....!
Oct 19, '06Quote from WuzabethI am. .so at the age of 37, almost 38, should one bother going to Nursing School????
Why not? You've still got a LOT of years to work.
Oct 19, '06If you decide to go to nursing school, don't stop at the LPN/LVN or the ADN. Go for at least the BSN and preferably the MSN.
Healthcare as we know it is going to change. Exactly what that change is, we will only know when we get there as no one can see into the future for sure. However, you can look around at what is happening right now before our eyes and start putting part of the puzzle together.
People can go anywhere in the world and get great healthcare. The US is no longer THE place to get good healthcare.
Healthcare is not only great in other places of the world, it is a lot cheaper. Open heart in the US $60K Open heart in India with airfare $10K.
Insurance companies are moving towards Health Savings Accounts with high deductables and catastrophic coverage only. As more and more Americans have to pay the majority of the bill, they will look at ways to save money. Just like we started shopping at Walmart, we will start shopping for healthcare and won't care if we take a vacation to do it.
Social Security and Medicare will be revamped. We don't know what that revamping will look like, but with 77 million baby boomers hitting retirement, it won't be what it is today. 85% of all hospital revenue comes from Medicare and medicaid. If those funds are reduced or cut, many hospitals will not survive. That means fewer nurses working in hospitals.
Already, Congress has changed the rules on payment for nursing homes. A person must now liquidate all their estate and use that money before medicare will start paying. People can no longer put assets into their kid's names to avoid this. I see the kids taking care of mom and dad to keep the assets.
Now, 23 states allow nurse practitioners to work independently without a doctor over their practice. I see more and more states going to this in order to save on healthcare costs. In the future, you will see a nurse practitioner who will then refer you to a primary physician who will refer you to a specialist if necessary.
Baby Boomers will work till they drop dead. Much of the "Nursing Shortage" is hypothetical in that it assumes most of the nurses in the 45-60 age group now working, will soon retire. They won't.
So, if you have a huge influx of elderly requiring care with no insurance or limited benefits through medicare. If nurses who would normally retire continue working. If people start refusing to stay in this country for healthcare when they can go somewhere else cheaper and get better care, where does that leave 2.5 million RN's, 800,000 LPN's and 150,000 nurse practitioners? Imagine if the 41,000 applicants to nursing school that did NOT get in DID get in.
More and more, I see short term contract jobs available for nurses. Will we eventually all work for an agency and move around from hospital to hospital or nursing home on an "as needed" basis? How about our benefits? None? Are we to become contract labor?
Things, they are a changing, and the purpose of this thread was to get you thinking about how you are not going to be one of the nurses that can't find a job.
Oct 19, '06Quote from MudwomanFor all the reasons in your post, this is why I've ruled out the ADN/BSN programs. I've decided to pursue only a Masters. If I don't get in, so be it. Anything less is asking for trouble in the near future. It happened in IT, I won't let it happen again.If you decide to go to nursing school, don't stop at the LPN/LVN or the ADN. Go for at least the BSN and preferably the MSN.
Oct 21, '06Education is the key. You can never have too much and the more you have the more marketable you will become. Noone I know has ever been turned down for a nursing job because they have too many degrees.
Oct 21, '06Quote from nerdtonurse?Guess what my friend, we are already headed in that direction and I don't mean maybe. Sorry to be the one to break the news to you.Like some of the other posters, I'm coming from an IT background. IT used to be a fun, challenging field, and I've been trying to determine why that changed. When it was still fun, nerds like me were managed by other nerds, and we had, if not respect, at least the attention of mangement. When we told them what would work, they would take that into account. They might say no, but they'd treat us like we knew what we were talking about...
Then the MBAs came....
I have sat in meetings where we've done 3 solid months of testing to determine the best way to accomplish something, down to software, hardware, telcom, everything, only to have an MBA who can't spell IT say, "well, I was reading in an article that you could do it THIS way...." And yup, we'd be trying to implement something that we knew from the start would never work because the database physically couldn't pass the instructions as fast as the requirements called for, or we couldn't get a 10BaseT nic to handle the thruput of a GBnic card....:trout:
I'm just really, really hoping that the day to day supervision of nurses stays in the hands of other nurses. If they change the rules so that LPNs, RNs, etc. can report to MBAs, then that's it, and nursing is doomed....
Oct 23, '06One of the nurses at our facility is going to work for an agency. This agency supplies nurses for 2 large nursing homes/rehab centers. The nursing homes/rehab centers do not employ nurses direct. This agency is hiring like crazy and you let them know what you can work. Schedule is made out for 2 weeks at a time and you commit to working your scheduled days once the schedule is made out. Any nurse can work up to 48 hours and as little as 0 hours. NO BENEFITS. Pay is $18 per hour for LPN's and $25-$28 for RN's in an area that pays on average $13.50 hour/$20 hour.
This is the next wave of the future. Look for Hospitals and Doctor's offices to create separate "companies" that will handle the employment end. Then those "companies" will be sold or merged. You will work for an agency and basically be float pool.
Oct 23, '06...or you'll have to incorporate yourself and hire your "company" out...yea, this working world is getting crazy. Maybe this is how you'll differentiate yourself to your employers...another layer of risk management instead of skill level.
Oct 26, '06WOW is all I can say as a new nurse.--- I think it's unfair that jobs are outsourced (I think a certain percentage should have to stay in the USA) Ok- it may cost less to get procedures done in India but I know the cost of living is a lotttt cheaper. I would be fine with making $10 an hour as a nurse if a loaf of bread was 5 cents, gas was 20 cents a gallon and I could get a decent 2 bedroom apartment for less than $1,400 a month. I don't think it's merely greed on our parts as much as it is wanting to live a decent quality of life. I do believe; however, that our government is extremely corrupt & that the rich are getting richer and the middle class are getting poorer....... Our country is headed for destruction and it's starting with the HEAD and it is trickling down.
Oct 26, '06Agreed, but what to DO about it? I feel we are mostly powerless. It's easy for people NOT in this country to say "Use your right to vote!" Yeah, but vote what? I've got choice A or B, I don't like either, so what am I to do? Pick the least corrupt one, correct?
If this country wasn't so disjointed and "every-man-for-himself", we could work together to fix this. But we can't, since we are all so disjointed.
You know, if no one bought gas because it was too expensive, guess what? Gas would be cheaper. But we, as a country, cannot manage that. "I don't care what you do, I HAVE TO GET TO WORK IN MY GAS GUZZLING CAR!!!!"
I think the responsibility falls on the common people to work together to fix this.
Oct 27, '06Quote from mvanz9999Hmmm...well, if they start requiring MSN, I am sure there will be a lot less people going into nursing, and I my friend, unless someone else is willing to pay for it, will become a cop. If one is going to put so much money/time into school in order to practice as a nurse, why not just become an MD? I have nothing against education, but it does cost a lot of money and time. I think if under-educated nurses are the problem, then the government should start paying for us to go back to school.For all the reasons in your post, this is why I've ruled out the ADN/BSN programs. I've decided to pursue only a Masters. If I don't get in, so be it. Anything less is asking for trouble in the near future. It happened in IT, I won't let it happen again.
Also...Things such as a 20% matenal mortality rate...is this due to medical errors, or other things such as pre-eclampsia? One of the reasons I think healthcare is so expensive has something to do with how poorly we as Americans take care of ourselves. Look at places such as India, or China. Are two-thirds of their population obese as well? I dont think so. Americans are lazy and too quick to put chips in their mouths than go for a run. Americans are fat and lazy. More sick, fat people with clogged arteries requires more money required by ins companies which equals higher insurance costs.
Nov 11, '06Quote from mvanz9999So my biggest concern is repeating this mess. Right now nursing is the hot job. But what happens in 10 or 15 years when this mass of baby boomers starts dying? When the boom is gone? Where are all the nurses going to go?
maybe im in the wrong area but i dont see trouble ahead with all the new grads coming in because as fast as they come in mmost leave as quick as they came. they arent aallowed to get experience and they fall on trouble and get fired or get frustrated and leave. as well i see many many experienced nurses getting out due to the crap - leaving a lot of new grads without the experienced nurse to help them.