I'm scheduled to start in a private ED hospital next month. I started at a VA on a PCU unit as a new grad, but I feel like I'm depriving myself of the experience I desire.
As I consider transitioning from a highly political, but stable federal hospital (VA) to a private hospital in order to gain the ED experience that I desire (a broader pt population-not just older vets in for pain med refills and jock itch), I ask myself how the ACA has affected your employer (hospital, school, prison, etc.). Have budgets been cut? Have layoffs taken place (specifically nurses being laid off)? Are you called off less or more? Have PRN positions been eliminated or increased? Is agency/travel used more? Have your benefits been affected? Have your employers anticipated any forthcoming changes?
There is no form of automatic enrollment into any type of plan on the exchanges, you chose your plan from those offered just like before. If your patient went from a HMO plan to a PPO plan due to the exchanges it's because they chose a PPO plan.
She wasn't automatically enrolled. She ALREADY had insurance. Did you read the letter she was sent? I'm not going to take my patient to task and accuse her of lying. I know for a FACT she's had insurance for years because we treated her husband for a different cancer two years ago.
In response to the above conversation regarding whether the ACO changed patient's insurance - The insurance company changed its plan, probably in response to the ACO regs on Insurance Companies, so they could keep some or most of their profit margin.
Specializes in LTC, CPR instructor, First aid instructor..
Most patients only stay 3 days in our local medical center. I have seen many have to be rehospitalized in worse condition. An example: A friend of mine had a mild AMI. She was discharged after the 3 day stay. two weeks later, she had a CVA. While in the hospital, she had a second one. Her son then had her moved into a rehab hospital to stay until he was able to move her out and in with him.
Most patients only stay 3 days in our local medical center. I have seen many have to be rehospitalized in worse condition. An example: A friend of mine had a mild AMI. She was discharged after the 3 day stay. two weeks later, she had a CVA. While in the hospital, she had a second one. Her son then had her moved into a rehab hospital to stay until he was able to move her out and in with him.
I'm not sure how you think that relates to Obamacare, but each reason for admission and clinical course has a typical length of stay associated with it. For a mild AMI a three day stay is actually a bit longer than the norm (even prior to Obamacare). Are you suggesting if she had stay another day or two she wouldn't have had a CVA two weeks later?
We have had some budget cuts. Some med surg rooms were blocked off because nurses were displaced. We never used agency. We have our own float pool, so nothing has changed then. PRN positions are the same as well.
Our health benefits are a little more expensive, but still very cheap compared to other jobs in the area.
Overall it isn't too bad. I'm hoping that we can hire some more nurses and open up the blocked beds soon. That was mostly due to a drop in admissions, which may or may not be related to the affordable healthcare act.
Specializes in LTC, CPR instructor, First aid instructor..
I'm not sure how you think that relates to Obamacare, but each reason for admission and clinical course has a typical length of stay associated with it. For a mild AMI a three day stay is actually a bit longer than the norm (even prior to Obamacare). Are you suggesting if she had stay another day or two she wouldn't have had a CVA two weeks later?
Yes. This person is elderly, and has never ever had a CVA.
I have 2 children 3 and 7. My husband makes $40,000 a year, and because I am in nursing school, I do not work as much as I did. Our deductible is $10,000.
She wasn't hypertensive to my knowledge, and she ate an excellent diet. So what else could cause a CVA so close to her MI?
I'm sorry about your friend, but Obamacare and her length of stay in the hospital had nothing to do with her CVA. In fact, a longer stay might have put her at greater risk for a CVA.
Schwanny
13 Posts
Obviously not.