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We may need fewer nurses in the hospital...

Nurses   (23,200 Views 177 Comments)
by Chin up Chin up (Member) Member

Chin up has 26 years experience and specializes in Med surg, LTC, Administration.

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SummitRN has 5 years experience as a BSN, RN and specializes in ICU.

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We pay college educated nurses to clean poop, make the bed, and empty the trash. How does that make financial sense? Maybe we need fewer nurses who spend more time doing that require their education and experience (assessment, RN skills, meds) thus better justifying money spent on their salary (which might even go up), and the unskilled tasks can be left to low paid techs.

(I know many of you are now looking for the ANTI-Kudos button for my post ;))

Edited by SummitRN

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linearthinker has 25 years experience as a DNP, RN and specializes in FNP.

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Well we aren't going to agree on the solution wrt single payer, etc, but I think it is too late to save the present system. It is self destructing.

Are you suggesting that the answer is to levy heavier taxes on people who already can't afford any health care, lol?

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Sorry to say it but Mass is a single payer state. THAT is the reason for the collapse among many other reasons that should be obvious with the socialistic disaster that Mass has turned itself into.

Nope. Mandatory coverage, not single-payer. Also, Mass has pretty good quality per dollar returns.

I agree that these docs sound pretty eager to shove the rest of us out the door, but if we do one day get a lot better at preventative care, there won't be as many hospital, acute/recovery jobs en total. That means nurses and physicians. I can just hear the thoracic surgeons and hospitalists complaining now about how they will be forced into family practice.

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TheMoonisMyLantern has 12 years experience as a ADN, LPN, RN and specializes in Mental health, substance abuse, geriatrics, PCU.

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You hit the nail on the head. THERE IS NO MONEY!!!! 45% of America works and pays taxes the rest milk the system. The top 2% pays 50% of the taxes and the bottom 40% of tax payers pay 2.9%, you cannot sustain any social safety net when the entire system is nothing but takers and and very few givers.

Single payer would be the death of the best health care system to ever be! The entire world comes here for there care, no one flys elsewhere because it is better, NO ONE! I don't want the greatest care on earth destroyed.

There are over 311 million people in the United States as of now and you honestly think that NO ONE has ever gone or desires to go to a different country for health care?

Furthermore isn't it logical for someone who makes 1.2 million dollars a year to pay just a little bit more in taxes than someone who makes 28 thousand a year?

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tamadrummer has 1 years experience and specializes in 1st year Critical Care RN, not CCRN cert.

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There are over 311 million people in the United States as of now and you honestly think that NO ONE has ever gone or desires to go to a different country for health care?

Furthermore isn't it logical for someone who makes 1.2 million dollars a year to pay just a little bit more in taxes than someone who makes 28 thousand a year?

They don't fly to thialand for sex change because it is better, they do it because it is cheaper because their governments aren't regulating the holy bejesus out of them and they can experiment on people and not be sued to bankruptcy.

Not because our doctors and nurses cannot take care of them or do a better job. Same reason folks go to Germany for multiple level lumbar disc replacement. Not because they are better, because the FDA does not stop them from doing it because they have no authority.

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linearthinker has 25 years experience as a DNP, RN and specializes in FNP.

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Guess she hasn't heard of medical tourism either, lol. France has the best health care in the world, not the US.

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caroladybelle is a BSN, RN and specializes in Oncology/Haemetology/HIV.

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Single payer would be the death of the best health care system to ever be! The entire world comes here for there care, no one flys elsewhere because it is better, NO ONE! I don't want the greatest care on earth destroyed.

What world are you in?

The US consistently rates much lower than many other nations, on most indexes that measure health. Just because we can get many (often unnecessary) tests and procedures quickly doesn't mean it makes us healthier, better off or that we have a good system of delivery.

And large numbers of Americans are going to other nations for procedures. Ever heard of medical tourism?

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nurse2033 is a MSN, RN and specializes in ER, ICU.

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I think prevention is a pipe dream that will take generations to make any progress. The people I see in my community are just trying to get by. Getting them to change their eating or exercise habits when they don't have enough money to pay the rent is a waste of time. With hospitals pushing the customer service experience to the hilt this will in no way allow a reduction in staff. Hospitals are constantly adding services to pull in customers. The opposite should be happening, they should be cutting services to cut costs. One hospital should be the trauma center, another the stroke center and so on. And the only way to approach the Canadian or European model is to ration care, and I can't see that every happening here. Who is going to be the tough guy and say if you exceed a certain BMI, for example, or you are over a certain age, you don't get to be admitted to the hospital? I don't pretend to have the answer but it is obviously eluding our communal best efforts as well. The problem is the payer and the consumer are not the same entity. One orders services not caring how much they cost because they aren't the ones paying. If we bring those together, people will then care how much things cost. What if the doctor had to personally pay for all the test they order, then pass the cost to the patient? That would lead to unequal care which would upset our sense of justice. The rich could pay for everything and the poor nothing, just like India for example, which leads us nowhere.

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linearthinker has 25 years experience as a DNP, RN and specializes in FNP.

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Rationing care is logical and also, inevitable. It will happen either formally or informally. I think formally would be more even handed. I don't know what you mean by cutting services, so I can't elaborate on that point. Preventive services are the way to go, no question.

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nurse2033 is a MSN, RN and specializes in ER, ICU.

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Guess she hasn't heard of medical tourism either, lol. France has the best health care in the world, not the US.

Are you French? A few years ago I took an American tourist off a plane with a broken hip. He fell in Paris. The ambulance took 40 minutes to reach him. He didn't get any pain meds until he had been on the floor for several hours, never mind the ambulance or the ER. So from injury to morphine was about 18 hours according to him. Then, five days later he was still waiting for surgery- and bailed, arranging to fly home. I was transporting him from the plane to the hospital, seven days after his injury, in constant pain, with an unstable hip. This did not impress me.

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linearthinker has 25 years experience as a DNP, RN and specializes in FNP.

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No, not French. I am from Mackinac Island (Michigan), and there were French fur traders here 300 years ago, that is about as close as I get. France has better outcomes at lower cost. People live better, longer. One might argue that they are also better dressed. ;)

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ok- I dont how the focus could change to prevention- seriously?????How many of us have taken care of patients in the hospital that we try to "teach" ?In the day and age to self- entitlement at all costs , we are just being told" I dont want to hear it.- Im not quitting smoking, Im not changing my diet, Im not going to quit smoking crack"despite that being their 3rd mi this year.What makes anyone think that teaching in the field is going to help? these people have experienced the consequence of their behavior first hand and still refuse to change- and get mad at the nurse even so!!

I just wish all those nurses could walk off the job for a week or so. Lets see that hospital work then. Maybe they'll realize that the unlicensed personel cant administer meds. Or assess. But they'll be able to provide customer service in the mean time-Pt is in VT, but no one is around to do any thing about it.But I can fluff your pillow!! Lets see how long the hospital lasts.

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