I have an idea...

On 10/7/2021 at 9:28 AM, morelostthanfound said:

 This has become the trend in the last 15-20 years.  Initially, I thought it was only the hospital that I was employed at until I became a travel nurse and witnessed the same short-sighted, management model everywhere.  Like OUxPhys, I'm not a numbers person either and it seems to be a very costly strategy for hospital systems.  What are we missing because everything in healthcare today is motivated by money?

I know this sounds rediculous, but as a DON/CNO for over 2 decades (and an ED now), I always told my staff that the higher agency costs came from a different "bucket" of money than the salaries.  As stupid as this sounds, corporate personnel always feel the higher agency salaries are "temporary" and they will not commit to "permenant" increases for dedicated staff.  It is so ignorant and, in my opinion, a major cause of lost, dedicated, good-quality, hard-working staff members!

I will throw in the PIZZA and cheap gifts. But only for DAY shift!

On 10/7/2021 at 5:55 AM, Emergent said:

I have an idea, let's treat our core staff like crap, let's put up with our laziest staff members, let's drive hard-working people away, then we can hire high-priced agency nurses, that should solve our staffing problem and teach those ingrates a lesson. 

You have a future in consulting where if you can’t be part of the solution, there’s big money to be made in prolonging the problem. 

Don’t forget to add a mega ton of red tape and useless time consuming policies to go along with it!! Only if the policies are hypocritical, nonsensical, and created by people who aren’t nurses who love to govern nurses.

On 10/13/2021 at 10:21 PM, vintagegal said:

Don’t forget to add a mega ton of red tape and useless time consuming policies to go along with it!! Only if the policies are hypocritical, nonsensical, and created by people who aren’t nurses who love to govern nurses.

And make sure you increase the mandatory number of "flowsheets" or questions that have to be asked to a patient on arrival or admission - increase them at least monthly. Bonus points if it angers the patient to where they're yelling at the nurse about why the nurse is asking dumb questions and not getting their Dilaudid and turkey sandwich.