pickledpepperRN

What kind of payment system does the US have now? Multiple Providers -Private and public, profit and non-profit hospitals -Clinics -nursing homes -rehab facilities -doctors -pharmacies -laboratories etc. Multiple Payers -Individuals (co-pays, pre...

How can we achieve a system that puts individuals in charge of their own healthcare by enabling them to purchase services for themselves and by making providers acountable to them, not the government or insurance company?

No that is not at all what I am asking. Read post #14 where I responded Infection control laws, hospital dietary regulations, the safe staffing by acuity law with the ratio as the maximum number of patients, limitations on unlicensed assistive pers...

I was specifically responding to a post regarding the VA. The lack of planning or ability to change the plans in responce to the actual need caused by the increased traumatic head injury survival and mental health problems from the long was with milt...

The Ratio Solution: http://www.calnurse.org/assets/pdf/ratios/ratios_booklet.pdf

Contract approved by county nurses "It worked out great," said Pam Barnett, a nurse at Santa Paula Hospital and a member of the CNA bargaining committee. "I was really pleased with the contract, and we had an overwhelming number of nurses approve it....

Please tell me how we can be confident that if we end up taken by ambulance to the nearest hospital we will get safe care.

I'm afraid we need to elect more competent and honest people to our high offices. Probably a new admistration will do better than the current one. That said most VA hospitals provide a high level of care. The problem is access for all veterans. It s...

There are minimal federal standards, standards for Medicare that include abiding by state and local regulations, and then the actual state and local regulations. Like our safe staffing regulations in California. - http://www.dhs.ca.gov/lnc/pubnotice...

I fail to understand how an individual who is taken by ambulance to the nearest hospital can make that facility accountable to them. I am for regulations regarding the physical facility, required equipment and staff, sanitary requirements, isolation,...

3.7 after earning 4.0 since beginning nursing school. I had to bring it up from 2.5. I really doesn't matter now because I have no plans to return to formal ecucation. Employers just want to see the license. And CCRN. For direct care they hire ADN an...

The government regulates law enforcement. From murder to jaywalking. I am so very glad our government is charged with water safety and the other public protection laws. If not government who should make the laws? Who should make the arrests? Or enfo...

Now the insurance industry , big pharma, consultants, and others control the lack of a system. With the government WE can have our say. Both with our votes and with a local citizens committee (led by direct care nurses- I would lobby for that). I am...

I think single payer with government insurance like improved and expanded Medicare would be best. I am not in favor of the government running the providers such as hospitals, clinics, and such.

I did read all 8 pages but this shows the attitude: At my hospital 50% of our pharmacists were laid off and 30% of our registered nurses. All were replaced with unlicensed assistive personnel. NOT lVNs and NOT certified nursing assistants. Not even ...

From the current issue of the New England Journal of Medicine Market-Based Failure — A Second Opinion on U.S. Health Care Costs http://content.nejm.org/cgi/content/full/358/6/549

Patient, nurse ratios a focus in negotiations Representatives of the California Nurses Association proposed specific nurse-to-patient ratios in the opening round of negotiations with managers of St. Mary's Regional Health Center, a union spokeswoman ...

Saint Mary's Reno RNs Choose CNA/NNOC In Landslide 64 Percent Vote for 500 RNs Fri Dec 7, 2007 Nevada Breakthrough for Fastest Growing Union RENO, Nev.--(Business Wire)-- Registered nurses at Saint Mary's Regional Medical Center in Reno Thursday nigh...

Health-care concerns take spotlight at state Capitol Nursing organization rallies for bill requiring hospitals to have nurse-to-patient ratios Claudia Koerner, The Arizona Republic Feb. 15, 2008 12:00 AM At least 60 Arizona nurses put aside their be...

Inquiry Set on Health Care Billing It is a common medical puzzler. The benefits statement arrives from the insurance company, saying that although the doctor has charged, say, $200 for that recent office visit, only $80 is covered-and the consumer i...

You are right. All I am trying to say is that we can see the good in our patients. Respect that a hard worker, excellent parent, good friend, someone who does good for others may also be overweight. I am very glad the NP who was only supposed to do a...

Good for those doctors!

It takes self control and self discipline to get up and go to work. To put aside our concerns and attend to what is best for our patients. Anyone who has finished nursing school knows about self discipline and making choices. But a person can choose ...

We had a young attorney who was planning to start buying health insurance after he paid his student loans. I guess he though his youth and good health would keep him OK for a while. He was in an accident. Admitted to our ICU for a couple days. I wond...

My doctors group has an office open for urgent care from 7:00 am to 7:00 pm even on weekends. One of the physicians is there with an LVN. They will suture if needed. They have our medical records on the computer. And at night we can get an NP who wil...