It's all about the Money

I agee that hospitals are all about money instead of quality of care. I know hospitals need money to stay in business. When the economy went south back in 2008 I witness the closure of our sister hospital so I understand that as much as with care about the patient its still a business and needs money to stay afloat. With that being said what ****** me off is these administrators have no pride in the business they run. They don't staff according to acuity just by numbers (ratio) There are days when basic pts needs can't be met cause no matter how hard I try I can't be in 2 places at once. The facility I work at has paid out numerous lawsuits,violatating federal labor laws,hippa violations,etc that if they had pride in how their business was run they could have avoided. Our union has a meeting this week with management and most of the stuff that we are complaining about could be dealt with at a regular staff meeting instead of having our union there but the problem is that everytime we suggest something of how to help run the floor more efficently it is ignored and viewed as a complaint. It gets tiring.

I totally agree, we are not union however.

wonder if you really have all the facts or does it just seem this way to you. Remember, they might not need you if they can transfer directly out of ER without patient being stable first.

How can they admit if it's not an appropriate admission? OMG, we get reamed, as do the MD's, if they admit somebody that could have been worked up out patient or observation status. It's a huge deal. We have had hours upon hours of education on what constitues an inpatient stay. If the supervisor is uncertain they call this phone number that for 300.00 can tell you if it's appropriate. Considering the average daily stay is 3900.00, that would be lost if inappropriate, the 300 is a drop in the bucket!