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Post by mzgarden on Sept 6, 2023 9:53:47 GMT
Looks to me like they don't have enough people at the hospital, so they're cannibalizing their urgent cares.
The urgent care in Mason is temporarily closed beginning on Tuesday.
The hospital is temporarily moving some of its team members to emergency departments to fill in the gaps from a provider shortage.
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Post by Ozarks Tom on Sept 6, 2023 12:48:34 GMT
Talking to our neighbor who's a retired ICU department head about nursing shortages. He says nobody is staying local, they're all taking temp jobs all over the place because they can make three times as much working someplace for a few months, then moving on to maybe an even higher paying slot. Some doctors are doing the same, moving from one big group to the next and doubling their pay.
Nice way to see the country, but it sure throws a wrench into those facilities that can't afford those big wages.
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Post by woolybear on Sept 6, 2023 13:10:56 GMT
And a lot of those traveling nurses/drs came about because of the jab requirement. In the hospital if you didn't take the jab you were fired. Well those folks left and started doing the traveling jobs...no jab required. So many hospitals were desperate for help (because of their stupid policy of jab required) that they wound up paying 2-3x's more for the same help that they had lost.
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Post by sunny225 on Sept 6, 2023 16:55:50 GMT
Not to mention, there is no 'care' in health care any longer.
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Post by Jolly on Sept 6, 2023 18:38:11 GMT
Wasn't about the jab, it was about the đź’°. It's starting to change...Local HCA hospital let all of their travelers go two weeks ago.
I think that trend will accelerate.
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Post by David! on Sept 6, 2023 19:53:30 GMT
We had travelling nurses here always calling looking for short term rentals. I am unaware of any who did it to avoid a vaccine. As Jolly , pointed out it was the money and I don’t blame them. I did credit and employment checks on a few and they were making big money. That all seemed to dry up months ago. Our local medical providers are still short staffed and overworked. Despite being short staffed I have had nothing but good, caring, competent medical care. It’s not just the medical profession, many local employers are looking for staff. |
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Post by laurazone5 on Sept 6, 2023 22:54:21 GMT
Ozarks Tom, the young lady who was my physical therapist, has taken one of the 'mobile' type jobs, and making a crap ton of money, but she is with a group that is going to small towns / rural areas. I am sad to see her go, because she 'knew' me and my boo boo's but good on her for going to the places where folks have little to no options!
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Post by Ozarks Tom on Sept 6, 2023 23:31:50 GMT
Ozarks Tom , the young lady who was my physical therapist, has taken one of the 'mobile' type jobs, and making a crap ton of money, but she is with a group that is going to small towns / rural areas. I am sad to see her go, because she 'knew' me and my boo boo's but good on her for going to the places where folks have little to no options!
I'd never begrudge anyone for making a job change to make more money, that's what capitalism and freedom of movement is all about. I do however question those places that have "no options", in that if they can afford those mobile groups now surely they could have afforded a local permanent group if they hadn't mandated vaccinations.
It would seem those hospitals that shunted off their "no-vaccine-for-me" people started their own aggravations in paying much higher wages, and are currently paying the price for their short-sighted policies.
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Post by farmrbrown on Sept 7, 2023 0:26:52 GMT
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Post by Jolly on Sept 7, 2023 14:03:08 GMT
Depends on how the hospital interpreted the rules. There has always been a religious exemption, at least in the hospitals I know about. Some hospitals took a very liberal interpretation of the rule, some didn't.
The nursing shortage has many facets.
1. Age. As nurses get older, many leave the hospital, often for less money. There are only so many desk jobs and pounding those patient floors gets harder with each passing year.
2. Money. Lot of locum tenens nurses during COVID. That's starting to settle down.
3. Division of labor. We used to use a lot more LPN's and CNA's, until the Total Care concept took hold. I think that trend is reversing.
4. Nursing school and the NCLEX. The school is often harder than it needs to be, because the schools are often teaching the NCLEX, rather than practical nursing care. A freshly minted RN needs a preceptor and six months experience, before she's worth a patoot.
5. An emphasis on BSRNs. Nice, but not necessary for a floor nurse. For the most part, AD guys work just fine.
6. Migration. With the explosion of NP's, a lot of nurses went back to school. Lost some of our best charge nurses and floor supervisors to the NP ranks.
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Post by farmrbrown on Sept 7, 2023 22:06:24 GMT
Depends on how the hospital interpreted the rules. There has always been a religious exemption, at least in the hospitals I know about. Some hospitals took a very liberal interpretation of the rule, some didn't. The nursing shortage has many facets. 1. Age. As nurses get older, many leave the hospital, often for less money. There are only so many desk jobs and pounding those patient floors gets harder with each passing year. 2. Money. Lot of locum tenens nurses during COVID. That's starting to settle down. 3. Division of labor. We used to use a lot more LPN's and CNA's, until the Total Care concept took hold. I think that trend is reversing. 4. Nursing school and the NCLEX. The school is often harder than it needs to be, because the schools are often teaching the NCLEX, rather than practical nursing care. A freshly minted RN needs a preceptor and six months experience, before she's worth a patoot. 5. An emphasis on BSRNs. Nice, but not necessary for a floor nurse. For the most part, AD guys work just fine. 6. Migration. With the explosion of NP's, a lot of nurses went back to school. Lost some of our best charge nurses and floor supervisors to the NP ranks. That's true, there are many factors. I think the bottom line is, if you have good people in a difficult job that's hard to fill, try not to screw with them unnecessarily, lol. One of the links I found last night and didn't post is here: www.fiercehealthcare.com/hospitals/how-many-employees-have-hospitals-lost-to-vaccine-mandates-numbers-so-far?itm_source=parsely-apiThe ironic thing is 1/2 the states went along with the federal mandate from CMS and half fought it. Now in 2023 (May I think) CMS "reevaluated" that mandate and rescinded it. Once again you can pick any number of reasons why but the end result is a lot of hospitals got rid of some good people they probably shouldn't have and whatever legal support they had for doing it, is now gone like a chair pulled out from under them. Imagine that? |
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Post by Jolly on Sept 8, 2023 13:54:56 GMT
Beancounters and middle managers.
If you know how hospitals are run, we've had an explosion of administrative staff, most them either chasing compliance with regulations or beancounters chasing pennies. Plus, because of reimbursements, solo practices and small, stand-alone, rural hospitals are quickly becoming extinct.
Big companies tend to make big mistakes, that they usually can't pivot away from quickly.
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Post by farmrbrown on Sept 8, 2023 21:37:04 GMT
Oh boy, believe me I know. Ever since I started working for myself 6 years ago, I almost NEVER have to deal with idiots that I wanted to strangle anymore! In a way, I guess I'm helping to save lives too, lol.
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Post by Ozarks Tom on Sept 8, 2023 22:54:18 GMT
Bean counters have been the downfall of many otherwise profitable and respected businesses. Their specialty is reducing quality in the name of saving pennies per part. Doesn't make any difference if it's a vital part, they're counting beans per unit, and by multiplying the number of units they look and feel like geniuses.
Was it Remington Arms they tanked? I remember when the AMF (bowling equipment) bought Harley-Davidson and nearly put it out of business by cutting corners throughout the bikes, making the nearly unrideable.
Manufacturer's reps that pioneer a product in a region, then get thrown to the side and replaced by three fresh out of college people because the rep who did all the pioneering was "making too much". Then the whiz kids couldn't even get back in the customer doors.
In this case of covid, the bean counters cost lives, but those government bonuses for deadly drugs, and ventilators sure made for some really nice year end paychecks.
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Post by farmrbrown on Sept 8, 2023 23:25:59 GMT
The best hospital in this area (for 100+ miles) was Mission Hospital in Asheville NC. No matter what it was, if you had a choice, that's where you wanted to go because they were the best, this side of Charlotte or Raleigh. Not anymore. By chance I met the head "beancounter" when she moved here from Houston after HCA bought them out in 2019. (Comptroller is her official title) Like I said, Mission's reputation was #1 for as long as I can remember, for 40 years or more. But it didn't take long for THAT to change. Right now, they're involved in several lawsuits, controversies and a kind of random/continuous picket line protest from the nurses. (I think the doctors chose to file lawsuits instead, lol) en.wikipedia.org/wiki/Mission_Health_SystemWe've all seen it before it all kinds of businesses. |
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