LA Times Many nursing jobs but only the strong need apply

  1. Filling open nursing positions is no easy task for hospital administrators these days, and there's every chance the job will get tougher.

    This country has a serious nursing shortage: The American Health Care Assn.'s most recent estimates from July 2008 show 116,000 open hospital nursing positions and more than 19,000 vacancies in long-term care settings.

    http://www.latimes.com/features/heal...,7189516.story
    Last edit by brian on Apr 27, '09
  2. Visit tothepointeLVN profile page

    About tothepointeLVN

    Joined: Apr '08; Posts: 2,331; Likes: 2,183
    LVN; from US
    Specialty: 3 year(s) of experience in Hospice / Ambulatory Clinic

    37 Comments

  3. by   CapeCodMermaid
    5 patients and 4 of them can walk??? Try working in long term care on a sub acute unit where you have 30 patients, too many regulations and mostly LPNs.
  4. by   johnst10
    Quote from capecodmermaid
    5 patients and 4 of them can walk??? try working in long term care on a sub acute unit where you have 30 patients, too many regulations and mostly lpns.
    "fifteen years ago, with a six- or seven-patient assignment, probably four of them could get up and about. a typical patient [today] has totally restricted movement, so we have to keep turning them as much as possible [to prevent] blood clots.

    "at the same time, this person can require iv medications every six hours and can be taking three different antibiotics every two to three hours and pain medicine every two hours. we are monitoring all of their lab results, making sure any tests that have been ordered have been followed through, and prepping patients for tests."

    i don't think mary bailey was talking about today when she said "5 patients and 4 of them can walk". as i have said before i salute the ltc nurses who can work under the conditions presented. i also know how difficult it can be to handle 5 pts who are mostly total care. i just thank god for the cnas!
  5. by   znov11
    This is why I don't understand why countries like the United States refuse to lift the recession of foreign nurses when in fact, they need all the help they can get. Many experienced and competent foreign nurses pass their NCLEX-RN with flying colors, and are waiting for the US to open their arms once again for such applications. Some, if not most are left with no other choice but to flee to other more welcoming countries like the UK, Canada,Australia, New Zealand, etc... While it is very true and rational that the US government reserve such positions/jobs for their own people, the fact that Americans are not as enthusiastic as other nationalities in choosing nursing as their line makes the position reserved for these "people" empty, vacant, unoccupied. When will these positions be filled? NB: Just my opinion. Thank you.
  6. by   NRSKarenRN
    Quote from capecodmermaid
    5 patients and 4 of them can walk??? try working in long term care on a sub acute unit where you have 30 patients, too many regulations and mostly lpns.

    actually they were describing patients from 15 yrs ago...


    fifteen years ago, with a six- or seven-patient assignment, probably four of them could get up and about. a typical patient [today] has totally restricted movement, so we have to keep turning them as much as possible [to prevent] blood clots.

    at the same time, this person can require iv medications every six hours and can be taking three different antibiotics every two to three hours and pain medicine every two hours. we are monitoring all of their lab results, making sure any tests that have been ordered have been followed through, and prepping patients for tests.

    that's just one patient -- and i can have up to five.

    it would be a good day if i had one patient who could get up and walk around and get to the bathroom and take care of washing up [on their own]. more often than not, i have at least three that require total care, meaning that everything has to be done for them
  7. by   morte
    Quote from znov11
    This is why I don't understand why countries like the United States refuse to lift the recession of foreign nurses when in fact, they need all the help they can get. Many experienced and competent foreign nurses pass their NCLEX-RN with flying colors, and are waiting for the US to open their arms once again for such applications. Some, if not most are left with no other choice but to flee to other more welcoming countries like the UK, Canada,Australia, New Zealand, etc... While it is very true and rational that the US government reserve such positions/jobs for their own people, the fact that Americans are not as enthusiastic as other nationalities in choosing nursing as their line makes the position reserved for these "people" empty, vacant, unoccupied. When will these positions be filled? NB: Just my opinion. Thank you.
    reread the article....jobs are not that easy to come by in Cali, because of the ratio law, there are nurses in this country, but the working conditions are lacking....fix that and we wont need any influx of foreign nurses.....and remember, that some hospitals in Cali got rid of CNAs when the ration law passed, so that those 4/5 total care patients are all on the nurse....
  8. by   blue note
    Also, if hospitals were more willing to hire and train more new grad nurses , there wouldn't be this "shortage" of nurses. Read all those posts by nurses who can't get a job because they don't have the experience in California. In this economy, they should be hired first, before foreign nurses.
  9. by   tothepointeLVN
    While I am foreign born but US trained I see the point of trying to hire internally. IF we constantly look outside the country for our nursing needs then then nursing enviroment that turns people off being nurses ( and by the way many people would die to get into nursing students ) will never change and we'll be stuck in the same cycle.

    I would have never left my home country if I had not found the love of my life ( married 10 years ) so I wonder why the urge to flee to the US.
  10. by   tothepointeLVN
    Quote from blue note
    Also, if hospitals were more willing to hire and train more new grad nurses , there wouldn't be this "shortage" of nurses. Read all those posts by nurses who can't get a job because they don't have the experience in California. In this economy, they should be hired first, before foreign nurses.
    So true. Lack of experience is such an easily fixed problem.
  11. by   Vito Andolini
    Quote from znov11
    This is why I don't understand why countries like the United States refuse to lift the recession of foreign nurses when in fact, they need all the help they can get. Many experienced and competent foreign nurses pass their NCLEX-RN with flying colors, and are waiting for the US to open their arms once again for such applications. Some, if not most are left with no other choice but to flee to other more welcoming countries like the UK, Canada,Australia, New Zealand, etc... While it is very true and rational that the US government reserve such positions/jobs for their own people, the fact that Americans are not as enthusiastic as other nationalities in choosing nursing as their line makes the position reserved for these "people" empty, vacant, unoccupied. When will these positions be filled? NB: Just my opinion. Thank you.
    We have enough nurses in our own country that we do not need to import any more. What we lack is jobs that American nurses are willing to do, in terms of workload. IMHO.
  12. by   dawngloves
    "At the same time, this person can require IV medications every six hours and can be taking three different antibiotics every two to three hours"
    Umm..what abx do you give every 2-3 hours???
  13. by   NRSKarenRN
    I remember a time when this IVAB combo was popular for surgical pts, especially with open wd/ burst appendix: Ampicillin Q6, Genatamycin Q8 and Clindamycin Q8 + IV Tagemet q6 ---were aways hanging one of the doses. When I got pulled to surgical floor, all I did was meds for 15pts, 1/2 the hall along with IM pain mgmt injections--needed rollar skates.
  14. by   soozeeqrn
    Just the other night I had a patient who was receiving 3 different types of IV abx, each q6 or q8 hrs. Doses happened to fall due at midnight, 0200, 0400 & 0600. over night shift. (the q 6 hr med being due at mn & 6) He was also getting IV pain meds q 3 hours and those doses did not always fall due with the abx dose times. Along with the assessment and time spent performing regular care, I felt like I was with that patient all shift and I had 6 other post-op patients to care for as well. I have only been doing this for 7 yrs and love what I do, but I can really see why nurses get burned out. Some days I get home and am just completely spent, physically and emotionally.

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