[CCM-L] Busy weekend - nursing shortage

McSwain, Norman E Jr. nmcswai at tulane.edu
Wed Jul 16 03:27:11 BST 2008 

There are good things and bad things every where you go. I prefer hurricanes and living below sea level to that white stuff that accumulates on the ground that makes driving difficult and you have to wear down coats and facial coverage. The ideal Christmas is one where you go to visit your friends with the top down on your car and you have on shorts and a tee shirt., Oh sorry for Christmas you wear a button up shirt but short sleeved of course.
 
When I see white cold stuff, I want it in a cone..... and you have to lick it fast before it melts....on your bare arms of course because you still have on a short sleeve shirt ......except in January and February....... then a jacket is acceptable
 
Norman
 
Norman McSwain MD
Trauma Director, Charity Hospital
Professor of Surgery, Tulane University
New Orleans LA
504 988 5111
norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu> 

________________________________

From: trauma-list-bounces at trauma.org on behalf of Andrew Bowman
Sent: Tue 7/15/2008 7:44 PM
To: Trauma &amp; Critical Care mailing list
Cc: Trauma &amp; Critical Care mailing list
Subject: Re: [CCM-L] Busy weekend - nursing shortage



Except for the hurricanes and living below sea level.

Typed by my index finger and sent from my iPhone!!

Andrew J. Bowman
Acute Care Nurse Practitioner
Trauma Nurse Specialist
Emergency Department Registered Nurse
Paramedic
Witham Health Services
Lebanon, Indiana
765-485-8510

On Jul 15, 2008, at 18:42, Jane Harper <janeharper at mac.com> wrote:

> 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 &amp; 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 &amp; 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 &amp; Critical Care mailing list;
>>>> Trauma &amp; 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 âEUR" 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 âEUR" 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 :
>>>> TRAUMA.ORG> To change your
>>>> settings or unsubscribe visit:> http://www.tr <http://www.tr/> 
>>>>
>>>>
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>>>>
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>
> --
> Jane Harper, PhD(c), RN, APN
> Trauma Nurse Practitioner, Rockford, IL
>
>
>
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