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Hey. I was just wondering your job has been affected by the economy recently? less overtime available, working less days, no raises, etc....
I have also seen a decline in the number of elective procedures being done. I am a traveler and have maintained the same position for the past year and am taking my turn at being called off. There are some per diem nurses that are looking for work. We are thinking this will all end with the flu season.
We were just talking about this at work last night. We are seeing fewer elective surgeries, and overall our census has been lower. I think our census is lower that it was a year ago because we are seeing more people refuse to be admitted. Our ER is sending more people home on po abx and home breathing tx. Fewer people being admitted for pain, n/v, etc.
The reasons people give for refusing admission are many, but major ones are that they don't have anyone to watch their children (the other parent/friends/family can't take time off of their job) or that they don't have insurance or simply can't afford it.
We used to be able to get OT whenever we wanted. Lately we've been working overstaffed (can you believe it) and even with that they have been having to call people off. I charge sometimes and I have been oriented to everywhere in the hospital but ICU and ER, so if the medical floor calls me off, I can float to mother/baby, nursery, pediatrics, surgical, etc. I'm glad to have that option!
We have been consistant and labor day was the only day I took a low cencus day. I have gone home an hour or so early on occasions. The pts we are getting tend to be sicker but I do believe we have been admitting some pts who really could be cured as out pts. So I guess my hospital has been admitting to pay the bills. Mind you only a fool would want to do overtime in my facility with the negative atmosphere going on.
It depends...there are a lot of people who are pregnant at the moment, and that opens up their shifts for others. Also, there are less elective surgeries...but the fact that we are the only area hospital for orthopedics and the only hospital outside of chicago for the area that has neurosurgeons helps. We are usually fairly full...it may go down around the holidays, but there are always people who break hips or bones slipping on the ice....but don't be one of em!
We have lots of open slots in the schedule so there is plenty of overtime available. Also staff has been getting mandated left and right. One floor in our facility has 60 open slots on the next schedule for day shift alone. We get time and 3/4 if mandated for a pre-existing slot. So business is booming. But I still thank heavens I have a job, because nothing is truly safe in this economy.
amjowens
486 Posts
ooh! Very scary! This is sad for the future of nursing.
:eek: Sure, we might have a job, but look at how many jobs. I wonder where patient care fits into all these job descriptions?