Laying off RNs

Wow - sorry to hear this.

It is happening all over the country. Hospital admissions are down - at unprecedented levels. Industry analysts are telling us that this is a sign that US healthcare is beginning to evolve. Access & availability of more preventative & outpatient services will continue to decrease the need for hospital care.

If they're right, this is the thin end of the wedge..... hospitals are going to shrink dramatically over the next decade.

Now, I must hope the market isn't flooded with NPs when I graduate next year. Let this DNP not be in vain!

Now, I must hope the market isn't flooded with NPs when I graduate next year. Let this DNP not be in vain!

I am SO feeling your pain! I wanted to go to CRNA school... but I just looked at a bunch of hospitals in several cities that I'd like to work in and saw less than 10 total postings for CRNAs. I imagine with as many schools as there are churning out new graduates every six months to a year it's only going to get worse and worse for advanced practice nurses in general. Looks like I'm going to have to go NP even though it isn't what I wanted just to be safe. In a few years NPs might go the same way as CRNAs, though there are a TON of postings now if you want to be a hospital NP. It is a scary world out there.

Re: schools... schools can do whatever they want; prospective students just need to wise up, do their homework, and figure out if nursing has adequate jobs before they declare their major as nursing or pre-nursing, just like any other major. It is what it is now.

reimbursements to hospitals is down so they may have to let some people go. Appears that free/cheap health insurance has a cost after all

I have heard that there will be an increase in home care jobs, palliative care, preventative care, ect - although they won't all be RN jobs.

The ACA is placing more emphasis on keeping people out of the hospital.

What do y'all think?

I have heard that there will be an increase in home care jobs, palliative care, preventative care, ect - although they won't all be RN jobs.

The ACA is placing more emphasis on keeping people out of the hospital.

What do y'all think?

Yes, I think it's coming. My last CEO (of a major hospital in my city)- notified us in one of his yearly meetings with staff- that was going to be the trend and would take place in the next several years. Hospital admissions/length of stay would be dramatically reduced, and there will be an increase in home care, preventative care, etc...

Same hospital did not give raises to staff this year.

I have heard that there will be an increase in home care jobs, palliative care, preventative care, ect - although they won't all be RN jobs.

The ACA is placing more emphasis on keeping people out of the hospital.

What do y'all think?

I think there will be nurses (RNs and LPNs) who will be in nurse-run clinics, as well as Disease management positions; there was a CEU article that is on Nurse.com that explained about thee role of RNs in disease management; it has been around for years; I can see this as a projected area of growth; as well as health systems going into Home Health-already seeing the growth in home health, nurse run clinics, disease management and hybrid units to work with complex pts with varying levels of care needed being utilized as I type.

This is exactly why im going for my bsn.

More and more providers are offering procedures that are office-based, or joining together to form outpatient care centers. Maximizes profits and convenience for them, diminishes the need to use hospitals.

Remember when you were told that the way to "guaranteed employment" was to become a nurse, and a hospital nurse never had to worry about finding a job?

Bygone days.