Pity Party - US Hospitals Hit With Nurse Staffing Crisis Amid COVID

Nurses COVID

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US Hospitals Hit With Nurse Staffing Crisis Amid COVID

A few choice quotes:

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The problem, health leaders say, is twofold: Nurses are quitting or retiring, exhausted or demoralized by the crisis. And many are leaving for lucrative temporary jobs with traveling-nurse agencies that can pay $5,000 or more a week.

Mmm, demoralized and...greedy!

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It's gotten to the point where doctors are saying, "Maybe I should quit being a doctor and go be a nurse," said Dr. Phillip Coule, chief medical officer at Georgia's Augusta University Medical Center

My eyeballs actually don't roll back far enough for this ^ one. ?

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"I think clearly people are taking advantage of the demand that is out there," Shields said. "I hate to use `gouged' as a description, but we are clearly paying a premium and allowing people to have fairly high profit margins."

Or this ^ one.

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"The nurses say, 'Hey, if I am not going to be treated with respect, I might as well go be a travel nurse,'" she said. "'That way I can go work in a hellhole for 13 weeks, but then I can take off a couple months or three months and go do whatever.'"

??

No doubt the situation is bad, but it's beyond disingenuous to pretend that all of this is primarily about Covid. As far as insinuating greedy motivations, I can't sum it up very well in a way that wouldn't get censored. One of the nurses mentioned in the article used travel money to pay off $50K in student loans. I suppose all is right with the world as long as it's just millions of individual citizens suffering and not businesses. The whole thing is somewhat sick.

In the 5+ years leading up to Covid, hospital admins have been downright gleeful over their own smug plans to profit all the more off of others' hard work and goodwill. Perhaps the number of times they can look people straight in the eye and make impossible demands and then treat them like trash when they can't do the impossible is coming to an end, or at least a hiatus. This kind of hatefulness did not used to be part of hospitals' dealings with nurses. They have been busy sending powerful messages from the top down that they could not care less if any given nurse works for them or not and have comported themselves as if mere mortals should grovel to be in their presence. They have been dismissive, disparaging and abusive. They appear to despise nurses and maybe patients, too.

And now, after spending years with mergers and takeovers and screwing communities across the country....they are actually going to cry in their beer about their problems.

I care about a lot of things, but I have zero sympathy for the concerns of hospital corporations. Zero. The rest of what I think while reading this article I can't print.

3 hours ago, Nurse Beth said:

For once, nurses are in control ?

I don't see this at all.  

5 hours ago, Horseshoe said:

I got out of hospital nursing years ago when I saw the writing on the wall.

Very wise. My one career regret so far is some sort of period of denial; I just could not believe how things were going and since I had pretty much loved my hospital experiences up to that point I kept thinking that with just being professional and reasonable we would be able to talk about what was sensible and people would agree. I'm still kind of mad that I'm usually perceptive but it took me so long to realize that things were going the way they were because people wanted them to; they were actively championing things that staff nurses would find so mind-boggling, like "why would we ever do things this way?" Some of the things were downright unsafe, some just inane.

A couple of my peers who probably had 5 or so more years' experience than me did see the writing on the wall. I'll never forget the day one of my favorite/most respected coworkers who was such an excellent ED nurse told me that she had taken an outpatient job widely known for being extremely low key. I was kind of appalled and asked her why she would do that and flat out told her I didn't think she was going to like it. She just smiled and said "It'll be okay." What a loss for the ED but brilliant on her part.

I'm thankful I was able to make a plan B and see it through and get out of there. I just wish I would've done it sooner.

5 hours ago, Horseshoe said:

I was lucky and had the option to say "screw this," I'm going to stay home and see my middle school kids through high school." And I did.

Very wise.

Specializes in New Critical care NP, Critical care, Med-surg, LTC.

So disappointing that things have gotten to this point, especially after the year of "healthcare heroes" BS they spouted. There's still a big cardboard heroes sign on the lawn of our hospital. And the local news published that my hospital was the most profitable in the entire state last year. However, last week a flood ruined about 40-50 cars of staff that were working overnight and the hospital says it's not their fault. In a lot with working security cameras, with water flooded up to our waists, all they had so far was the "generosity" to offer us a free Uber ride home in the morning (the same thing they give every patient in the ED). 

And the working conditions inside the building aren't much better lately. It doesn't help, though, when sometimes the nurses you work with won't pitch in either. We had a patient on the floor crashing the other night. I already had three ICU patients- two COVID, one on a vent, with another vented patient, and I was in charge. When I told the nurse they would be bringing down a patient to intubate she said, "well, I have to give meds in my patient's room". Did nothing to help. So I ended up over two hours late on my shift because I had to drop everything to get this patient intubated. At that point there is no refusing because it's not safe. Want this patient with sats in the 70s to live? Then step up and help. The number of staff members I work with that want to sit on their phones for hours, make up excuses for why they can't turn patients or provide care is aggravating. If you don't want to do your job, fine, but then leave. 

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

the ONLY people I have any empathy for are the staff (nurses/ancillary staff/housekeeping) overwhelmed and treated like crap. The rest can take a flying leap. Including said doctors who think we have it so good.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

One more thing:

Nurses are NOT in control. If we were things would be vastly improved.

Frustrated at the lack of a place at the table where decisions are made that directly affect our practice, we are leaving (in droves).

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
10 hours ago, hherrn said:

This article could have been published by Gomerblog. It is unreal that these idiots could be so dense, and still run hospitals.  The only way to have not known this was coming was to have eyes shut, fingers in ears and walk the hospital halls singing "LA LA LA..."

He said it is hard to compete with the travel agencies, which are charging hospitals $165 to $170 an hour per nurse. He said the agencies take a big cut of that, but he estimated that nurses are still clearing $70 to $90 an hour, which is two to three times what the hospital pays its staff nurses.

"I think clearly people are taking advantage of the demand that is out there," Shields said. "I hate to use `gouged' as a description, but we are clearly paying a premium and allowing people to have fairly high profit margins."

This, my friend is simple economics.  You pay below market value, staff goes elsewhere to earn market value.  You then pay a premium to the agency supplying the commodity you put no effort into conserving.

Coule cited a recent example in which his hospital in Georgia hired a respiratory therapist through an agency to replace a staff member who had decided to accept a traveling gig. The replacement came from the same hospital where his respiratory therapist had just gone to work.

"Essentially we swapped personnel but at double the cost," he said.

No, you did not "swap personnel at double the cost"  You lost a potentially long term valuable employee, and temporarily patched a staffing hole at double the hourly rate.  Your cost is going to be a hell of a lot more than double when you have to actually hire and train somebody to replace the traveller.

The lack of understanding of simple math is astounding.

Missing from the article was a hospital exec explaining what they were doing to mitigate this problem.  

Hard as hell for me to believe these execs have advanced degrees in business (because we sure as hell know they don't major in nursing or medicine).

They must have slept through business classes in business school.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

I worked at AU, I almost ejected my tea from my face when I saw Dr. Coule's quote. No words! 

Specializes in Tele, ICU, Staff Development.
20 hours ago, SmilingBluEyes said:

One more thing:

Nurses are NOT in control. If we were things would be vastly improved.

Frustrated at the lack of a place at the table where decisions are made that directly affect our practice, we are leaving (in droves).

Right, but at least travelers can command a high salary and decide when and where they'll work right now.  And hospitals have no one but themselves to blame.

21 hours ago, SmilingBluEyes said:

the ONLY people I have any empathy for are the staff (nurses/ancillary staff/housekeeping) overwhelmed and treated like crap. The rest can take a flying leap. Including said doctors who think we have it so good.

I do have have empathy for the employees too. Fortunately I am not in contact with any physicians who seem to share the sentiment expressed in the article.

19 hours ago, Lunah said:

I worked at AU, I almost ejected my tea from my face when I saw Dr. Coule's quote. No words! 

I spot-picked a couple of interviews of his to watch; he seems...not the worst. But boy, that was one insensitive and out of touch comment. It's basically why I called this a pity party. I can't believe that everything is so fine as long as its someone else bearing the burden and the minute execs have to sweat just a little it's time for adult baby fits. Doctors wish they could have the money nurses have, said no doctor ever. And I'm usually pretty supportive of them.

But probably even more disappointed from what I've seen from nurse "leaders" the past 5+ years. If this Dr. Coule is out of touch and insensitive, some of the ideas and interactions with staff I have seen from nurse leaders is that on steroids. Just unbelievably unprofessional, fake, dishonest, resentful. Probably the worst thing was that rather than explain a single thing, they went along with rolling out one initiative after another and then were just so hateful when people didn't understand what was going on. I still can't believe how many hopped on the train of helping model patient care after an automobile assembly line. ? I don't mean to be so dramatic but it was just so damn sad to watch in real time.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
18 hours ago, Nurse Beth said:

Right, but at least travelers can command a high salary and decide when and where they'll work right now.  And hospitals have no one but themselves to blame.

Yes but imagine IF nurses WERE control. They would be treated decently at their home hospital and not be forced to travel to make good money. I know of two who did just that because their pay was so pitiful where they normally worked.

So while I definitely see your point, we are not in control of anything. Except where we work.

Specializes in Dialysis.

I looked at CBG and 2 other area hospitals job postings yesterday. Not 1 posting for nursing jobs, but tons for IT (requiring masters in computer science, not Informatics), ancillary (dietary,  biomed, and housekeeping). I messaged friends who worked at each. They are paying current staff at all 3 travel style wages, and letting then fight over hours available. To TPTB, problem solved. Hate to tell these geniuses that these folks will get burned out, and eventually, no amount of money will keep them working in crazy situations 

22 hours ago, Susie2310 said:

I don't see this at all.  

I see it as an quickly evolving and necessary stance. We need to stand together to force change. Yes, we can do this even if it means using our feet to walk out the door. Corporations have other streams of income and enough money to pay travelers and wait out this cycle. Big systems are profitting in the billions and I read that some of the ones with losses are from their investments outside the system. I read Becker's Hospital Review. The smaller systems and community hospitals feel the pain. Did they not receive federal funds? There is no transparency soo...

But the bottom line is that conditions and pay for nurses have to change. We need to force them to hire more employees either through the fed ratios law or with our feet. Corp is deliberately ignoring needs of the employees. Their burn and churn revolving doors idea as a means for profit needs to cease. In the middle of all this is the patient and corp is trying to blame nurses.

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