andywolfe

"Cost of Hiring New Nurses on ADVANCE for Nurses (This article includes the chart referenced earlier in the thread, breaking down the specific costs involved in getting a new graduate RN from the hiring process to "competency" and showing those costs add up to nearly $100k at one NY hospital)" From the same article you failed to mention that "The approximate starting salary for a graduate nurse in the New York City and Long Island is between $65,000 and $75,000 annually." In the middle part of the country, you won't find these kinds of salaries for graduate nurses!!!! Just 2 weeks ago, my friend had offers from a hospital in both Arkansas and Alabama that started her at $19.00/hour + shift differential. At $19.00/hour, it is mathematically impossible for someone to earn between $65,000 and $75,000 for working full time only!!!!!!! 　 "The hospital did a study 3 or 4 years ago and came up with $35K-$38K to orient a new grad nurse. That figure has probably changed or gone up since then. She has seen figures of $50K-$90K for all bed size hospitals in orienting these nurses." (Please note this data is from 2008) In the beginning of article it clearly states that "A plethora of orientation programs has been developed to meet the needs of novice nurses. These multifaceted residency, internship, or preceptorship programs last from 4 to 12 months and are designed to provide new graduates with supervised hands-on clinical experience." Again it's like I keep beating a dead horse. 4 MONTHS=Approx 16 weeks and 12 months=52 weeks. Training now a days for med-surge doesn't last 4-12 months. Mine lasted only 6 WEEKS. All the research you quoted is misleading due to the fact that you are comparing training that last from 16-52 weeks, to my training that has lasted only 6 WEEKS

In this country, for every 1 hospital like parkland, there are at least 10 other hospitals that are training med surge nurses in a time period of 6-8 weeks. THIS IS A FACT!!!!

[TABLE=width: 500] [TR] [TD=class: formOffsetColor, bgcolor: #C0C0C0]Department:[/TD] [TD=class: form, bgcolor: #F5F5F5]4 West Medical Surgical Renal[/TD] [/TR] [TR] [TD=class: formOffsetColor, bgcolor: #C0C0C0]Schedule:[/TD] [TD=class: form, bgcolor: #F5F5F5]Full time[/TD] [/TR] [TR] [TD=class: formOffsetColor, bgcolor: #C0C0C0]Shift:[/TD] [TD=class: form, bgcolor: #F5F5F5]Nights[/TD] [/TR] [TR] [TD=class: formOffsetColor, bgcolor: #C0C0C0]Hours:[/TD] [TD=class: form, bgcolor: #F5F5F5]7p-7a[/TD] [/TR] [TR] [TD=class: formOffsetColor, bgcolor: #C0C0C0]Job Details:[/TD] [TD=class: form, bgcolor: #F5F5F5] 4 West is a 39 bed Medical Surgical unit practicing individualized care of the adult patient. 4 West nurses are experienced in the care of a wide variety of chronic and acute medical conditions and receive special training for the care of renal patients. Nurses collaborate with interdisciplinary teams and a variety of specialists including: palliative care, cardiology, neurology, urology, oncology, and orthopedics. 4 West is team- oriented and has been successful in providing our patients with superior quality and outstanding customer service. Our unit is an ideal place for nurses looking to optimize their clinical expertise, time management, and critical thinking skills.ORIENTATION •UMC General Hospital Orientation •UMC General Nursing Orientation •Electronic Documentation training. Individualized Unit Specific Orientation •Unit specific orientation is in addition to UMC’s General Hospital Orientation and General Nursing Orientation •Orientation consists of observation, classroom, and clinical hours over a 6-8 week period. •Medical Surgical classroom orientation takes place over 2 days. •During clinical orientation you will be paired with an experienced nurse preceptor. The preceptor is chosen to best fit your personality and learning style. •Unique training includes Peritoneal Dialysis and care of the Renal Transplant patient. •Clinical orientation may be conducted on days or nights, depending on the shift the nurse is hired for. •Professional growth and development opportunities are available and encouraged including: committee participation, educational, and leadership advancement. Committees are available at unit level as well as hospital wide. •Other opportunities include: mentoring and a mix of core and flexible scheduling to optimize staffing and balance for our employees. Qualifications •Graduation from an accredited School of Nursing •Valid Texas Graduate Nurse Permit required. •Current CPR certification from American Heart Association. •Customer service abilities including effective listening skills. •Critical thinking skills, decisive judgment and the ability to work in a fast paced environment. •Ability to perform work that requires walking, sitting and standing most of the time while on duty. Occasional lifting or patients with assistance is required. Benefits •Full-time benefit package inclusive of health and dental coverage •Competitive compensation based on education and experience •Relocation assistance package if relocating > 75 miles / To reside in Lubbock, Texas •Educational Reimbursement for BSN / MSN •Eligible for overtime pay after 40 hours per week •Eligible for yearly annual increase •Eligible for Career Ladder after 12 months •Uniform Payroll deduction •Certification Exam reimbursement •Long Term Disability/Group Life Insurance/Group Dependent Life Insurance •Vision Insurance •Tax Sheltered Annuity Program •Supplemental Insurance Programs •Healthcare and Dependent care spending accounts •PTO and Extended Illness UMC Health System is the leader in comprehensive healthcare delivery in West Texas and Eastern New Mexico. More than 300,000 patients a year have come to expect [/TD] [/TR] [/TABLE]

I would encourage you to look at the training for community hospitals. My original post did exclude hospitals that have Versant training programs and other programs that are similar to it. Here is an example of one of them "Looking for a company that will train you upon graduation from college? If so, IASIS Healthcare could be the one for you! We hire new graduates into many different areas of our hospitals; if you are a recent graduate from a nursing, physical/occupational therapy, laboratory sciences, respiratory tech, surgical tech, anesthesia tech or pharmacy program, give us a call today. IASIS places great emphasis on training and transitioning new graduates from the academic to the clinical/hospital setting. For example, our orientation program for newly graduated registered nurses is structured to last between four to 12 weeks. The length of the training varies from facility to facility and may take place in the classroom and/or clinical setting. Each hospital structures training based on unit needs, structure and the individual progression of the employees in the program. Rest assured if you were hired into one of our programs as a new graduate, you would receive the training you need to start your career. In addition to training, IASIS Healthcare offers competitive salaries and benefits, opportunities for career advancement, education programs and a variety of locations spread throughout the country. We have a total of 19 hospitals (18 acute care facilities and one behavioral health facility) located in Arizona, Colorado, Florida, Louisiana, Nevada, Texas and Utah. To learn more about our new graduate opportunities, contact the Human Resource department at the hospital you are interested in, or go to that hospital website and apply for a position today. Congratulations on graduating and welcome to the exciting and rewarding field of healthcare!"

I am sorry but i am only writing the facts. If you like I can copy and paste the links to job description and names and numbers of the hospitals that are providing 6-8 weeks of med surge training and a max of 3 months of internship for ICU position (even though again I had excluded ICU position from my original comment)

2011 California Tax Rate Schedules Schedule X — Single or married/RDP filing separately [TABLE=width: 417] [TR] [TD=colspan: 6]If the taxable income is [/TD] [/TR] [TR] [TD]Over [/TD] [TD]But not over [/TD] [TD=colspan: 3]Tax is [/TD] [TD]Of amount over [/TD] [/TR] [TR] [TD]$0 [/TD] [TD]$7,316 [/TD] [TD]$0.00 [/TD] [TD]Plus [/TD] [TD]1.00% [/TD] [TD]$0 [/TD] [/TR] [TR] [TD]$7,316 [/TD] [TD]$17,346 [/TD] [TD]$73.16 [/TD] [TD]Plus [/TD] [TD]2.00% [/TD] [TD]$7,316 [/TD] [/TR] [TR] [TD]$17,346 [/TD] [TD]$27,377 [/TD] [TD]$273.76 [/TD] [TD]Plus [/TD] [TD]4.00% [/TD] [TD]$17,346 [/TD] [/TR] [TR] [TD]$27,377 [/TD] [TD]$38,004 [/TD] [TD]$675.00 [/TD] [TD]Plus [/TD] [TD]6.00% [/TD] [TD]$27,377 [/TD] [/TR] [TR] [TD]$38,004 [/TD] [TD]$48,029 [/TD] [TD]$1,312.62 [/TD] [TD]Plus [/TD] [TD]8.00% [/TD] [TD]$38,004 [/TD] [/TR] [TR] [TD]$48,029 [/TD] [TD]And over [/TD] [TD]$2,114.62 [/TD] [TD]Plus [/TD] [TD]9.30% [/TD] [TD]$48,029 [/TD] [/TR] [/TABLE] This is the CA Tax Rate Schedules for 2011. This is direct from the state website. https://www.ftb.ca.gov/forms/2011_California_Tax_Rates_and_Exemptions.shtml#ifr In order for a person to pay about 10K in state income tax only, they must be earning at least $132,000. Here is a crude calculation below So out of that $132,000 on the first $48,029 you pay a tax of 2,114.62 and the remaining $84,000, you pay a tax of 84,000 X 9.3% = $7812. $7812.00+ $2114.62=$9,926 which is close to 10 thousand dollar. I wonder who in their right mind will leave a job that pays them $132,000 for one that pays about 60k-70k (high RN wages in Texas) just so that they can save some money on state taxes and gas:roflmao::roflmao:

Again my original post does exclude higher acuity unit like ICU, NICU, etc etc. You can call community hospitals throughout USA and they will tell you that the training for med/surge unit is about 6 weeks and 2 extra weeks if you need it. Now in terms of Cobra, I have already compared the self insurance and insurance through the employer. Finally calling me ignorant won't really do anything for the fact that you were wrong about the topic below and your feelings got hurt in the process. https://allnurses.com/micu-sicu-nursing/weird-but-missing-792124.html

Again these values don't relate to me or the majority of the hospitals that hire med/surge nurses. We don't get 6 months and 1 week of training as you have indicated in the post above. My training lasted only 6 WEEKS. Only class time I had was for computer training and in house orientation. I already paid out of my own pocket for ACLS, BLS, and PALS!!!! Please try again.

I will say it again the last line of the 1st paragraph in my original post does state that my figures are excluding specialty nursing unit like ICU, NICU etc etc.

Before writing something you may want to do some research about the subject at hand. Homeowners in Texas do have to pay property Taxes. Here is the link to it. Property taxes in Texas And here is a direct quote from the web site “Property taxes are a significant part of the overall cost of owning a home in Texas. The state has no income tax, so property taxes carry a heavy load when it comes to funding public-school, city, and county budgets.” Only a handful of cities in California have a 9.75% sales tax. 90%-95% is between 7.75%-8.75% which is comparable to what we have in Texas. Here is the link to the taxes for each city in CA. California City and County Sales and Use Tax Rates - Cities, Counties and Tax Rates - California State Board of Equalization Houses are expensive on the coast but inland cities like Sacramento, Fairfield, Riverside, Fresno areas have houses that are decently priced. They aren’t as cheap as houses in Texas; but, they aren’t as expensive either.

I highly doubt that this will happen in my lifetime. At this moment in time and for foreseeable future, public seems to be really against Unions. I admit there are certain things that are wrong with some unions; however, overall the unions are good for workers, communities and country. The general public is irrationally blaming the unions for the problems that have occurred with our economy rather than placing the blame on the corporations and CEO's. They are shooting themselves on their own feet by not reforming the pay structure of CEO's while simultaneously decreasing the power of unions!!!!!

Here is a quote from National Bureau of Economic research about the tax breaks that corporations get for providing so called a valuable health insurance benefit. "]Currently, employers' spending on health insurance premiums is exempt from taxation for both employers and employees. Premiums paid by employees are exempt as well if the firm has established a Section 125 cafeteria plan; roughly 80 percent of employees with insurance have such a plan. This tax exclusion is extremely costly - it reduces federal and state tax revenues by $260 Billion per year and is the government's third largest expenditure on health care, after Medicare ($400 Billion) and Medicaid ($300 Billion)." These are straight up Facts not my opinion.

It may be the state that you are in. The insurance that I am looking at has similar if not the same schedule of benefits as one provided to me by employer and it doesn't cost a $1,000 per month in premium. Now let me give you some details about the plan. Out-of Pocket Maximum for individuals for both insurance is $6000.00. PCP deductile is $25 for both insurance. Specialist is $50.00 for both insurance. For the insurance provided by the hospital prescription drugs are $15.00 per prescription for 1st Tier Formulary and $30 for 2nd Tier non-formulary. The self insured prescription drugs are $20.00 per prescription for 1st Tier Formulary and $35 for 2nd Tier non-formulary.

Dealing with the insurance companies for the purpose of selling it to consumers doesn’t tell you the true cost of providing the service. There is an inherent bias that comes into play since your income is completely dependent upon selling the insurance. Each person that you sell the insurance to, the Big insurance company will pay you a commission. Since your income is directly coming from the insurance companies itself, you tend not to question the status quo. It’s similar to what happened in the mortgage business and banks. The banks sold shoddy mortgages to consumers. The auditors were sleeping or missing in action so to speak. While the sales people paddle those shoddy mortgages to consumers. Yet, some of these same sales person had 10 or 20 years in banking experience. Therefore, I would believe in my own research rather than believing someone else and as I had stated earlier I can get the same or similar type of health insurance for less than $500.00.

“5:26 am by Multicollinearity You are way off base regarding COBRA. The COBRA payment amount is the amount the employer is paying for your health insurance to the insurance company plus a 2% administrative fee to cover the cost of administering the plan.” You may want to call a local insurance rep that deals with multiple health insurance company and ask for a quote for a 28 y.o male for a similar or same type of insurance. In CA it will run you less than $500.00. You also may want to research about the tax breaks that the corporations receive for providing insurance to you. They inflate this number so that they can get a bigger deduction on their taxes.