[CCM-L] Busy weekend - nursing shortage
Jane Harper
janeharper at mac.com
Tue Jul 15 23:42:58 BST 2008
Yeah Norm .. and I STILL want to come down and work with y'all, sounds like
a lot more fun!
J.
On 7/15/08 3:34 PM, "McSwain, Norman E Jr." <nmcswai at tulane.edu> wrote:
> I don't come close to that kind of money, but I live in New Orleans and that
> makes up for a lot :>)
>
> Norman
>
> Norman McSwain MD
> Professor, Tulane School of Medicine
> Trauma Director, Charity Hospital Trauma Center
> norman.mcswain at tulane.edu
> 504 988 5111
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
> On Behalf Of Jane Harper
> Sent: Tuesday, July 15, 2008 2:00 PM
> To: J.T.Deppe, M.D.; Trauma & Critical Care mailing list
> Cc: 'Critical Care List'
> Subject: Re: [CCM-L] Busy weekend - nursing shortage
>
> Come work for the trauma surgery group here -- the YOUNGEST of their four
> partners paid taxes on $430,000 his third year with the group.
>
> Jane
>
>
> On 7/15/08 1:48 PM, "J.T.Deppe, M.D." <depjt48 at msn.com> wrote:
>
>> $400K per year-boy, am I in the wrong place...
>>
>> Tim
>> J.Timothy Deppe, M.D., F.C.C.P.
>> Pulmonary/Critical Care Medicine
>> Johnson Memorial Hospital
>> Franklin, IN 46131
>> depjt48 at msn.com
>>
>> There are 10 kinds of people in the world, those that understand binary, and
>> those that do not.
>>
>> -----Original Message-----
>> From: ccm-l-bounces at lists.ccm-l.org [mailto:ccm-l-bounces at lists.ccm-l.org] On
>> Behalf Of Jane Harper
>> Sent: Tuesday, July 15, 2008 9:40 AM
>> To: Trauma & Critical Care mailing list
>> Cc: Critical Care List
>> Subject: Re: [CCM-L] Busy weekend - nursing shortage
>>
>> It's easy to say that physicians and nurses should stand together -- but
>> which of the two professions can better survive a work stoppage, a new
>> graduate nurse who (in this crappy economy) is sole support for a husband
>> and three children or a physician making $400,000 a year?
>>
>> Jane
>>
>>
>> On 7/15/08 6:37 AM, "Errington Thompson" <errington at erringtonthompson.com>
>> wrote:
>>
>>> This is nothing new. It has been going on for the past 10 - 15 years.
>>> Doctors have grumbled but haven't put up a concerted effort to stop this
>>> practice.
>>
>> Finally, I would add that experienced nurses like yourself are
>>> between a rock and a hard place. I know in the ICU and in the ER, when
>>> green
>>> nurses drop the ball, it is the experienced nurses who pick up the ball.
>>> Because of this mortality and morbidity is lower than it would be if the
>>> green
>>> nurses were allowed to stumble on their own. The hospital administrators
>>> can
>>> then point to little or no change in morbidity or mortality and say that
>>> their
>>> cost cuts has had no impact on patient care.
>>
>> Until doctors and nurses stand
>>> together to confront these terrible practices of hospital administrators
>>> across the nation, this will continue to happen.
>>
>> E
>>
>> Errington C. Thompson,
>>> MD, FACS, FCCM
>> Trauma/Surgical Critical Care
>> Mission Hospital
>> Asheville,
>>> NC
>> Author - A Letter to America
>> www.whereistheoutrage.net
>>
>> Everyone deserves
>>> to make an informed decision
>>
>> - Errington
>>> Thompson, MD
>>
>> -----Original Message-----
>> From: trauma-list-bounces at trauma.org
>>> [mailto:trauma-list-bounces at trauma.org] On Behalf Of ofiara at comcast.net
>> Sent:
>>> Monday, July 14, 2008 10:03 PM
>> To: Trauma & Critical Care mailing list;
>>> Trauma & Critical Care mailing list
>> Subject: RE: Busy weekend - nursing
>>> shortage
>>
>> There is and has been a nation wide nursing shortage in the U.S. It
>>> will get even worse as I believe the ave age of a nurse in the U.S. is in
>>> their late 40's . At the E.D./Trauma center I work in the Chicago-land area,
>>> we have lost a number of great experiences nurses due to management. The
>>> have
>>> been replaced by "new grads' ( cheaper labor) and are very green.
>>> Management
>>> doesn't seem to care because they are saving Salary money. They also are
>>> very
>>> eager to send staff home when the census is low, not based on pt. acuity,
>>> but
>>> when we are going " crazy" we can't get extra help because it will be
>>> overtime. I still love my job and I have a great working relationship with
>>> the doc's I work with and I like working with the E.R. residents and yes.
>>> Trauma can be exciting, but after 20 plus years I find myself enjoying a
>>> beverage after work more often. Just some venting.
>>
>> Larry Ofiara, R.N.
>>>
>>
>>
>>
>>
>> -------------- Original message --------------
>> From: "William Bromberg"
>>> <brombwi1 at memorialhealth.com>
>>
>>> Tim,
>>>
>>> Same here in Savannah, GA.
>>> Hospital is licensed for ~500 beds, staffed
>>> for only ~400. We routinely
>>> close beds for staffing issues.
>>>
>>> BTW — as far as I'm concerned this is
>>> a result of price controls on
>>> medical care. If you can't raise the price of
>>> a widget to cover the
>>> variable cost of making one more, you just won't make
>>> any more.
>>> Basically in any sane industry if demand outstripped supply,
>>> prices
>>> would rise to allow wages to increase to attract more workers,
>>> thereby
>>> increasing supply. In medicine we can't increase nursing wages much
>>> so
>>> we raid emerging countries for nurses instead, worsening their staffing
>>>
>>> shortages (NYC hospitals would cease to function overnight if not for
>>>
>>> Phillipino (sp?) nurses — best imperialism ever).
>>>
>>> Bill
>>>
>>>>>>
>>> Richard van der Kleyn 7/14/2008 6:40 AM >>>
>>>
>>> Dear Tim,
>>>
>>> A recent
>>> survey here in Catalonia (north east spain) showed that we
>>> were short of
>>> 15,000 nurses, Spain as a whole needs 3000 more ER docs.
>>> in our hospital in
>>> the summer months we always have 1 ward closed (about
>>> 40 beds) due to a
>>> lack of nurses...even though in the summer our
>>> catchment area populacion
>>> triples. Its much the same all other europe, a
>>> lot of spanish
>>> nurses/doctors go to the UK ( better pay), most of our
>>> new doctors come
>>> from south america (better pay), a lot of african
>>> doctors now go to south
>>> america (better pay)......finally the well paid
>>> western doctors go to
>>> africa as charitable organisations because of the
>>> lack of doctors...it
>>> looks like money is the way to atract personal.
>>>
>>> Richard van der Kleyn
>>>
>>>
>>>>> -----Original Message-----> From: Timothy Craig Hardcastle > Sent:
>>>
>>> 14 July 2008 07:40> To: 'trauma-list at trauma.org'> Subject: Busy weekend
>>> -
>>> nursing shortage> > Hi all> > We had a rather hectic weekend - but
>>> were
>>> even more curtailed by a> shortage of nurses; had to close ICU beds
>>> and
>>> refuse some patients from> the EMS. Is this just a South African
>>> problem or
>>> is this really an issue> in the USA, Europe and UK as well?
>>> Do you have any
>>> ideas about how to> attract dedicated trauma nurses to
>>> one's unit?> > Tim>
>>> Dr Timothy C Hardcastle> M.B., Ch.B. (Stell); M. Med
>>> (Chir) (Stell); FCS
>>> (SA)> Principal Surgeon-Lecturer / Sub-specialist:
>>> Trauma and Critical
>>> Care> Deputy director: Trauma Unit and Trauma ICU>
>>> Inkosi Albert Luthuli
>>> Central Hospital / UKZN> 800 Bellair Road>
>>> Mayville, Durban> > Postal:
>>> PostNet Suite 27> Private Bag X05> Malvern,
>>> 4055> KwaZulu Natal> >
>>> timothyhar at ialch.co.za > > > --> trauma-list :
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--
Jane Harper, PhD(c), RN, APN
Trauma Nurse Practitioner, Rockford, IL
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