The death of nursing

Nurses Activism

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I have been an ICU nurse the majority of my 30 years in nursing. I started out and am still a diploma RN. I learned "old school" but have kept up with technology and have always felt that at the bedside one did not know if I had a degree or not.

My employer has been actively at war with nursing for the past few years. Making cuts in the name of lack of medicare reimbursement. I have watched the nursing numbers dwindle, have seen ancillary staff done away with. We are now facing cuts in our hours to save the hospital on having to pay benefits. I am sad, very sad that nursing is dying.

I have always been the type of nurse that has frequently, on an almost daily basis been sincerely thanked by my patients or their families, have frequently had a patient say "you have taken such good care of me." Have frequently gotten a smile out of the sickest or most nervous patients with my "humor."

But now I am afraid. I am afraid that nursing is dying and I am afraid I will lose my job and won't get another because I lack a BSN and I am in my 50's. I am sad that I devoted so many years to a heartless hospital system that does not appreciate my years of service and the fact that I am not a bump on a log.

I am mainly sad because nursing is dying and all those "nurses" with advanced degrees are not acting as nurses and being proactive in trying to save nursing. Instead they are siding with management big wigs, ceo's with big salaries and allowing nursing to die. You are the ones that never stayed too long at the bedside and realizes there was a real, live person who was depending on you to give excellent patient care, to be an ear, to give hope to the hopeless, to crack a whip on those that were giving up, to hold the hand of the dying. I would have to think if you had stayed just a little while at the bedside you would realize the value of a nurse, the value of me and would not contribute to the death of nursing.

Specializes in ICU.

It is not false news princessbride at all. It's a fact. It's already starting to happen all over the place. It's happening where my sister is working right now. I don't know how people don't understand this. Example:

Physical therapists hourly wage $50 an hour

Medicare reimbursement for the visit $40

Physical therapist assistant hourly wage $30 an hour

The hospital is now losing $40 for this visit to treat this patient. Medicare IS getting cut drastically. Obama himself said that. So how is the hospital going to make money on this visit. They will cut the wage of the employees. That is always the first things that they look at. Cutting hours and pay. I worked in business so yes I do understand how this works. The hospital will not continue to bleed money. They can't. Has to be made up somewhere. Some hospitals will go under and others will start hiring everyone at lower wages. This is not debatable. It is what is going to happen.

All of this extra education that hospitals are now requiring isn't really going to mean a hill of beans because the pay will be so low. It's very sad that this is what is happening, but it is going to happen.

I worked in the mortgage and insurance industry before it collapsed. I could see what was happening years before it happened. I told my boss the market cannot sustain these inflated housing prices. People were refinancing every 6 mos to get more money. Then they would run up credit cards after paying them off and want another refinance. Loan officers desperate for money would hire appraisers to go out and inflate the home values. And if one appraiser didn't give them the amount on the home they were looking for, they would find one who would. So you had a $50,000 home appraised for $110,000 now. People couldn't pay the money back and these homes were not anywhere near what they were worth. The market had to fall out sometime and it did in 2008. I got out in 2004. I could tell back then what was happening. A similar thing is going to happen in health care. The bottom will fall out at some point because a business cannot be in the negative to survive. And the nurses, physical therapist assistants, Physician assistants, administrative assistants, these are the people who are going to suffer. Wages will be lowered and so will benefits.

Healthcare is transforming and is being taken over by our government like it's big brother, like, oh you know.... Education. Nurses will become part of the "system" just like teachers. We will be another segment of the population that is controlled and regulated. Maybe if we are lucky we will get the protections and pensions too ;-) Oh boy .

I know I'm getting ahead of myself but if our government is going to saturate the healthcare market with new patients and promise them affordable rates in a timely manner....the hospital, clinic, or office is going to be strapped on time and manpower. Eventually moral within the team starts to decline. Mistakes start to happen and someone gets hurt or worse. The end result is not good. Government needed to stay out of our healthcare.

Sometimes I wish we could just go back to the old days when business was conducted just between the doctor and the patient. I'll trade this for that and we are good.

Healthcare is transforming and is being taken over by our government like it's big brother, like, oh you know.... Education. Nurses will become part of the "system" just like teachers. We will be another segment of the population that is controlled and regulated. Maybe if we are lucky we will get the protections and pensions too ;-) Oh boy .

I know I'm getting ahead of myself but if our government is going to saturate the healthcare market with new patients and promise them affordable rates in a timely manner....the hospital, clinic, or office is going to be strapped on time and manpower. Eventually moral within the team starts to decline. Mistakes start to happen and someone gets hurt or worse. The end result is not good. Government needed to stay out of our healthcare.

Sometimes I wish we could just go back to the old days when business was conducted just between the doctor and the patient. I'll trade this for that and we are good.

So are you saying that healthcare which is universal in Europe, Australia, and Canada is more dangerous than in the US?

That nurses with pensions, unions and healthcare benefits are less happy than non unionized, low paid Americans?

As for the snide comment I saw about nurses not knowing the difference between Obamacare, Medicare and Medicaid....I don't think you're reading things right. I don't think your fellow nurses are as stupid as you wish they were

I never said anyone was 'stupid', whether a nurse or not. I made a general observation based on some of the misinformation I see in here, and hear about every day.

Another poster, in here, just said 'several states are expanding medicare', a comment I see often in here regarding Obamacare. Clearly, many people are confused about those two programs, whether they are nurses, or not. Whether the poster is a nurse or not really is a moot point- the confusion persists about those two programs.

As far as Medicaid, there are also many people, nurses or not, that think Medicaid has nothing to do with them- even though millions of those same people, in fact, will now qualify for Medicaid.

Also, not only did I not make any political comments about anything, to say I am a Fox News operative is laughable. In fact, during one of the few times Fox News was on in the background (not by my choice) I heard one of those women cheering those states that had decided to defy 'Obamacare' by refusing to expand their 'Medicare' program.

But your reply does serve to show just how divided this country is about Obamacare.

Specializes in LTC,Hospice/palliative care,acute care.
I myself went back to nursing school when I was 55 y.o. I am now a working, practicing LPN at age 60. I am currently enrolled in an LPN to BSN program which I will begin at the end of this month..
ROCK ON,LPN GUY! now back to topic....

Thank you for all of your years of service. I, too, am a RN and in my fifties. I don't want to go back to get a BSN either. What are some work-from-home nursing employment opportunities that one might do now? I'm not into telephone triage. Thank you.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

I think what the OP meant was more along the lines of "nursing as we knew it is dying". It's kind of a you had to be there thing.

Lest anyone get offended, I know that the trends I've observed don't apply to every single person and every single situation.

Bedside nurses of all levels were respected more. Not to say there was no tension there, but I never felt it personally working with a variety of differently educated people. Was blessedly unaware of NETY (the nurses eat their young) until I saw the terminology on this forum.

Most nurse managers had your back and stood up to people who messed with "their" nurses. They didn't see hobnobbing with corporate suits or being invited to attend meetings as a goal in and of itself.

The way mistakes are handled seems incredibly punitive now compared to before. Seems like write-ups and termination are the result more often than not now. I know one fantastic nurse who's career may very well have ended in her first year if errors were handled then as they are now.

Wages and benefits were nuch better adjusted for inflation. I think it was around the mid-80s the merger mania and cutthroat policies toward the labor force really kicked in.

So nursing can't really die. There will always be people who need our skills. It is absolutely a different landscape. I think that may be what the OP was trying to convey.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

****noticed prior posters responded already

Specializes in Chemo.

I tend to believe Obamacare is just the latest escape goat for all the wrongs in life these days, even thought it has only been in effect for less then two months. Health care is constantly changing. It use be we let people die in the streets before EMTALA act. We changed, the hospitals were forced to take care of people who had no money or insurence. Any nurse has seen what can do for those who have it compared to those who don't. We stand at a point were we can have all people insured, but still this methed is much more exspesive. We all have had a friend or a relative who got sick or hurt and did not have insurence. How much does one hate Obamacare to let a love one be harmed because he or she had no insurence???. If Obamacare is not the ansewer what is??? As a nation when are we going to sart to care for all our people. Or do we pick and choice who gets health care, do we want to be that type of society, its great for those for those who have the resourses, those who dont not so much. I see way too many people compaining about the situation and no one trying to make it better. the fact ic that the ecomomy is intertwined with in the job market, health care, business and many other factors. Blaming Obama care just does not make much sence because all these problems started before Presadent Obama came into office.

Specializes in Critical Care.

We need national healthcare and Obamacare is not anything like the President promised before he was elected. It is just letting the insurance companies raise their premiums even higher and the only people who can afford it are the poor who qualify for Medicaid or a supplement. Of course if you are on Medicaid they will take any house or income you have when you die, it is not like regular insurance. As far as regular insurance, I know many coworkers who can't afford the thousands of out of pocket costs and then when they fall behind they are denied medical care, unable to make dr appointments, get mammograms or screening colonoscopies etc because they haven't paid the bills. Apparently this is legal although it makes no sense to me how can you pay for insurance premiums, but are not able to actually use the insurance, other than to go to the ER and then they start demanding money up front. A coworker had to beg for treatment after complications from surgery, which could possibly be viewed as the hospitals fault in the first place! Another coworker with chest pain left the ER without treatment after they started demanding money upfront! It is pretty pathetic to actually pay for health insurance and then be denied care while you are caring for many people uninsured or on medicaid at work on a daily basis. But it is legal for your employer to self-insure, stick you with thousands out of pocket and then deny care when you can't pay it! Even if we as nurses could find a way to pay the thousands, is this realistic for CNA's and housekeepers!

ROCK ON,LPN GUY! now back to topic....

My post was entirely "on topic". I offered some background info on myself to help make my point. This is not directed at you ktwlpn, but IMO all of the political obamacare posts are what's off topic. Whats happening with healthcare would be happening anyway regardless. Our government isn't helping but making things worse. I forsee a time when this whole system eventually breaks down. Like I said earlier, be adaptable and don't get too settled into what you are doing.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

MODERATOR NOTE:

This thread is about the discarding of seasoned nurses for a few letters added to their name.

If you wish to discuss the ACA/Obamacare ....there are plenty of threads on this subject or you may start another thread of your own.

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