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ORLY?-796084

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Nursing industry desperate to find new hires

Seeded on Mon Jan 5, 2009 11:21 PM EST
Read ArticleArticle Source: msnbc.com
business, msnbci, careers, labor
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ORLY?-796084

Desperate? There is a minimum 2 year waiting list just to get in the nursing program at the local comm college here.

  • 3 votes
Reply#1 - Mon Jan 5, 2009 11:21 PM EST
Sabyne

That's pretty much the case here in Southern California.  At the community colleges near me, the wait lists are about 2-3 years long.  There are always promises to open up an additional session for Nursing students, but it's the first idea to go when the budget cuts hit.

University-wise, the public Universities are around 1-2 years waiting, unless you're willing to shell out the $40-$50K to go to a private University with a Nursing school.  Even then, there's no guarantees.

I really want to be an RN, but I have to wonder how seriously people in the medical field take the whole shortage situation.  They all talk about how "desperate" they are for RNs, but they don't seem willing to put their money where their mouths are and invest in the Nursing schools that exist.  They want more qualified nurses?  Get more people off waiting lists and into Nursing programs.

  • 1 vote
#1.1 - Mon Jan 5, 2009 11:37 PM EST
Clary Berberine

Desperate? Why does it HAVE to be RNs? What about hiring LPNs with decades of nursing experience? My mom just got LAID OFF as an LPN because the facility she was working at had a bunch of Certified Med Aides finish training and they'd been promised jobs. She was still in her 90-day-terminate-without-cause period at a new job, and gee, it was just so much easier to hire CMAs who belonged to a UNION than my mom, who was a new hire and hadn't gotten into the everlasting UNION yet. That's another thing: get rid of the unions and let nurses negotiate individually for their salaries, and there wouldn't be such a shortage of qualified nurses. Unions are a thing of the past. They've served their purpose--now we have employment laws that protect the individual. Unions are like leeches, and about as necessary.

  • 2 votes
#1.2 - Tue Jan 6, 2009 12:02 AM EST
sqrtnegone

There is a minimum 2 year waiting list just to get in the nursing program at the local comm college here.

The waiting list is due to the fact that the colleges can't hire enough faculty to teach the nursing courses, and the fact that the programs are very structured. 

Why does it HAVE to be RNs? What about hiring LPNs with decades of nursing experience?

The laws may vary from state to state, but there are several things that an RN is allowed to do that an LPN is not.  It is based on the level of training that the RN gets compared to the LPN. 

Unions are a thing of the past. They've served their purpose--now we have employment laws that protect the individual.

I don't think that unions have anything to do with the issue at hand.  As far as them being things of the past, how come the employment laws didn't protect your mom?

    #1.3 - Tue Jan 6, 2009 1:45 AM EST
    WinslowD

    Clary,

    Nurses working at unionized hospitals are MUCH better off than those working in non-union hospitals.  Unions have helped nurses negotiate for better pay, stopped the 16 hour shifts, and some even have demanded certain nurse/patient ratios. 

    HEALTHCARE SHOULD NOT BE A BUSINESS!  This is the problem in a  nutshell of the whole healtcare system in this country.

    • 4 votes
    #1.4 - Tue Jan 6, 2009 2:27 AM EST
    oldnewgrad,RN

    This information is outdated. There is no shortage right now nor has there been for years. The city hospital has no new grad hiring planned 2 years into the future. The large well endowed teaching/research hospital with a 1700+ nursing staff only hire 20 new grads a year. They don't even hire their own msn grads and receive 200 unsolicited resumes a day.If they actually post a job they get 250 in an hour. To work 13 hour shifts with both day and night shifts in the same week. kaiser has no new grads at all. Hiring freezes and layoffs abound around the country. We should not have one quarter of our nurses trained out of the country and brought in when so many nurses here are unemployed. Check out youtube if you want to get a feel for their standards: laughing while practicing putting in IVs in a parking lot. Home health care requires years of experience and pays less so yes he might have trouble recruiting. Beware before you invest years into nursing school, there is age discrimination and no new grad positions.

      #1.5 - Tue Jan 6, 2009 4:49 AM EST
      JoblessNewGrad

      I agree wholeheartedly.  I've applied for 42 positions and have only had four interviews.  None of which I was accepted for.  Three of the interviews were with the same facility on the same day..to which I was told there was a hiring freeze for and they just interviewed me for fun.  I recently graduated, am fairly young, and currently, six months out of school with a passed NCLEX I still have no job.  Notice they say..."experienced nurses" all throughout the article.  Apparently there is some shortage of experienced nurses..because hands down...I'm a nurse and still am not employed.  What's the sense in getting the education and training when you still are not hired?  I walk into an interview..and there are no lavish celebrations with Mr. Woolery or Champagne...I just get told..oh..you don't have one year experience..we're not interested.  Or.."there's a hiring freeze right now."  If you are graduating..get ready for the best of the best discriminating the fact you don't have a year experience as an R.N.  Even though I have seven years experience in the medical field in different capacities.  This article is as close to a lie as I've seen MSN come....

      • 1 vote
      #1.6 - Tue Jan 6, 2009 9:52 AM EST
      frustrated!-799283

      Shortage????  I am a travel nurse with several years experience, and am being told now that there are simply "no jobs available".  "No hospital is hiring", "no one needs nurses right now" by the THREE different travel agencies I work with.  I left my full time job to begin travel because of the promises of more money and the desperate need for nurses, now I am being forced to go back home to my original hospital (who is also not hiring) and beg for my job back.  If we are so needed, why am I begging for a job?  I love nursing, and enjoy the hard work, but I am strongly considering going back to school for something else while I am still young.  There is NO job security in nursing! 

        #1.7 - Tue Jan 6, 2009 10:15 AM EST
        Stephanie, RN

        Jobless new grad,

        Best of luck finding a position.  I graduated from college in May.  Luckily, I was able to find a position at a hospital.  It isn't the exact department I wanted but it's a job.  I know it is hard and intimidating but you will find something, just keep trying.  Good luck!

          #1.8 - Tue Jan 6, 2009 5:05 PM EST
          Reply
          burned-out nurse

          I have 8 years experience as an RN. I love what I do, but I am so tired of feeling like a court reporter and having to cover everyone's butt, that I don't know if I want to keep doing this job. Incentives don't mean anything when hiring unless you keep bouncing from job-to-job. How about pay what we are worth and try to keep us happy in one place.

          • 3 votes
          Reply#2 - Mon Jan 5, 2009 11:27 PM EST
          kidRN

          I agree.  If I felt like my hospital thought my expeirence was worth something, I know I would feel better about staying there.

          so often nurses pay is determined by non healthcare people

          • 2 votes
          #2.1 - Tue Jan 6, 2009 12:07 AM EST
          Reply
          Melissa -798715

          Currently,  I am a full-time clinical instructor for a large southern reputable university. I left a full-time Nurse Practitioner position to teach in order to be available to my children in the afternoon....It has been 8 years since I have been a staff nurse.   And honestly I do not know why any one would want to be a nurse these days.  I am ashamed to say it, but the working conditions are ten times worse since I was last a bedside nurse.  We now have to contend with pushing a full size computer on a cart with a scanner  into each room to give medications.  It can take at least two hours to give medications to four or five patients due to the additional steps needed to take to reduce medication errors.  And while I believe in reducing these errors...the hospital administrators did not take in to consideration the nursing work load.  It would make things much easier if each patients room had it's own computer.  But now we are forced to push a huge cart with a large PC in order to give medications.   Not to mention trying to TEACH student nurses how to give medications properly.    Nurses also have to contend with irritable, often hateful physicians as well as resident doctors that do not write proper orders.   Nurses also are notorious for being horrible to each other and "eat their own".   Nurses need to learn to take care of themselves and each other which is horribly difficult when caring for the sickest of patients.  A solution for the nursing shortage  is hard to come by but perhaps instead of giving away gas cards and SUVs I think most nurses would welcome increased hourly salaries and more regular praise from administrators for a job well done.    What I would really like to see is administration walk a mile in a bedside staff nurses shoes for a full 12 hour shift and better  yet have administrators be patients for 24 hours in their own hospitals.

          • 1 vote
          Reply#3 - Mon Jan 5, 2009 11:38 PM EST
          bill870

          Who can afford to even go to the hospital anymore?

          • 2 votes
          Reply#4 - Mon Jan 5, 2009 11:41 PM EST
          SaraJinu

          New grads are having the toughest time finding a nursing job in New York though. I got my license, and gave my resume to all the hospitals.. but nobody is hiring.. budget cuts, they say.

            Reply#5 - Mon Jan 5, 2009 11:46 PM EST
            KW-798784

            I am experiencing the same problem in Oregon. I just graduated and am looking for a nursing job and all the hospitals i have applied for are on hiring freezes due to the economy. Or they wont hire new grads, they want two years of experience even for a Med/Surg job. Well how are you supposed to get experience when they wont even give you a job. The jobs I'm talking about dont even offer signing bonuses either, even if you did have experience!

            • 1 vote
            #5.1 - Tue Jan 6, 2009 12:50 AM EST
            Michelle-330760

            This has happened in the past in nursing and is unfortunate timing for a new grad right now in many areas.  Every 10 years or so hospitals start downsizing, laying off,  and new grads find it harder to get a job out of school.  Most end up starting out working in a nursing home environment to gain experience.  It will change, there is always a backfiring and patient census increases and then hospitals are short staffed.  Look at all of your options, consider moving out of state to an area where hiring is still going on.  Get a year of experience and look at travel nursing as an option.....    Good luck.

              #5.2 - Tue Jan 6, 2009 3:17 AM EST
              Reply
              WinslowD

              I was an RN for 18 solid long years.  I will never work in the field again.  This article is the first one I have read that cites the real reasons for the shortage.  Nurses are leaving the profession in droves.  Hospitals are built to make money.  Taking care of people is very much secondary.  The goals of hospital adminstrators and those of the care givers are in direct conflict with each other.  Nurses are not treated well at all on the job by their superiors and often by the patients.  A person can only take so much abuse before they throw in the towel.

              • 4 votes
              Reply#6 - Mon Jan 5, 2009 11:49 PM EST
              Rachael-798868

              Winslow:

              right on! The administrators' agenda and that of the caregivers are complete opposites....how sad!  No wonder nurses are so disillusioned. They are trained to give excellent "patient care" and then are stripped down, timewise, to give less than adequate care. I don't see a solution in sight.

              • 1 vote
              #6.1 - Tue Jan 6, 2009 3:10 AM EST
              Reply
              Richard Hernandez-550265

              Pay the teaching nurses commensurate with their duties.

              In english that means at least as much as their students will receive working in a hospital.

              There is always enough funding for war and never enough for social efforts.

              When are we ever going to learn how to push our politicians to set their priorities?

              • 1 vote
              Reply#7 - Mon Jan 5, 2009 11:52 PM EST
              James-798743

              Been Nursing for 13 years now, no ones given me a free anything... cept maybe a loaded bedpan. Sheesh, give me a gas card or TV just for applying...

              I've loved nursing, its been good. But I have to admit I've thought of leaving the field many times. Hospitals are a worse bureaucracy than the army was. The article had it right that they fix issues when times are bad only to go back to their evil ways when times are good (staffing wise). It kills me that they would rather hire a new nurse and pay them $10 more than we started to do the same job and chase off the experienced nurse to save $3... at the risk of patients safety. Oh silly hospital administrations... when will you learn to mix the experience levels so the new and old nurses are happy and the patients get good care?

              • 1 vote
              Reply#8 - Tue Jan 6, 2009 12:00 AM EST
              Stephanie, RN

              LOL!  I love the bedpan joke!  I do have to admit, even being a new nurse, we need the veteran nurses to teach us how to be the best nurse we can be.  I have learned so much from my charge nurse, a diploma grad nurse, yet the hospital I work for seems to find that a downfall. 

                #8.1 - Tue Jan 6, 2009 2:59 AM EST
                Reply
                kidRN

                As a nurse (RN, BSN) with experience (8 years) in one of the specialized areas (pediatric ICU) I know that hospitals are doing alot to get more nurses, but some of their biggest problems are in KEEPING the old nurses.  I work in a children's hospital in a city where their is no other children's hospital, so there really is no competition for those of us who specialize in caring for kids.  Therefor we are some of the lowest paid nurses in the city.  But I will say that we are often better staffed than many of the other hospitals.   

                There are new policies in place that actually take away from beside care, to intice nurses to do more (such as research, and community service) outside the hospital for more money- so the hospital can look better.

                We do lose many nurses who have gone back to school, which the hospital pays for, and I agree that we need more nurses with advanced degrees,  but those of us who stay get nothing equal to the free tuition those who left recieved.

                There are other things that I think would help the nursing profession as a whole.  If people really understood what we did-how much we have to know, how much we learned and keep learning as things and knowledge change and grow.  Nurses have to know if what the doctor wants to do is right, and it is part of our job to refuse to do something the doctor wants us to do if it can harm the patient.  Another important thing: the doctor is not the nurses boss, we are all part of a healthcare team, and the doctors wouldn't be able to care for anyone in the hospital without us.  And (this is a sore spot with many RN's) a nurse aide is not a nurse, if someone works in the hospital and has contact with a patient that does not make them a nurse.  Also, it is not ok to assault a healthcare worker-I work with nurses and doctors and others who have been hit, cussed at, threatened-and this is not by patients, this is by family members-and often the worker is not well protected by the administration.

                Even after all this (and actually there is more), I do love my job most days.  I am very happy to have a job in these poor economic times.  I don't want to discourage anyone from becoming a nurse, it can be a very rewarding profession, there are patients and families I will never forget.  But the profession needs help, it needs to reward those who stay and help those who want to join it in better ways.

                  Reply#9 - Tue Jan 6, 2009 12:01 AM EST
                  dj98908

                  I went back to college and wanted to get into the nursing program. at 37 years old it was estimated that I would graduate in 6+ years. 2 years for my pre-reqs (optimistic to say the least, as they were always FULL), 2 -3 yr wait for the nursing program, then 2 year program itself. I wanted it so badly, but didnt want to embark on my career at 43+. 

                    Reply#10 - Tue Jan 6, 2009 12:02 AM EST
                    RWRNPOLICE

                    In addition to adequate teaching compensation of at least $75000/year for a day shift RN teaching job to start....get rid of the ridiculous criteria.  I.E.  it is totally unnecessary to hold a BSN or even a Masters in order to teach and the fools running the show should know better...THINK!  Are ya that dense that you don't get it;  that pushing this academia agenda may sound nice and artsy/fartsy......but it is a total line of B.S.  especially when shortages are happening and are forcast to continue.  Go ahead and get almighty once and if you solve the problem of shortages.  In the mean time use that so-called highly educated brain of yours and THINK about doing the right thing for nursing now.  I am going to urge my children to take just about anything but nursing because it is a thankless job most of the time and it sure as hell doesn't warant 4 years of school;  unless they are going to use that to spring board into a better Masters level career.

                    K.Switzer RN    

                      Reply#11 - Tue Jan 6, 2009 12:07 AM EST
                      ermine

                      I totally agree. The instructors I know are downright scary.  I wouldn't let them take care of anyone I know.  Who cares if they have Masters? They are pencil pushers.  The whole academia thing about making nurses more "professional" by having advanced degrees is ridiculous.  I see pictures of Master degreed RN's every week in a nursing paper I get.  They are always behind a desk and usually obese.  What role models. As for me, after 25 years in Home Health and working ALL the time, day and night, always tethered to a pager, I left for a desk job, too.  And offering a SUV to a Home health RN?  How stupid. You need a vehicle that is reliable and NOT a gas guzzler.  Just another example of how little administrators understand about the work.  One last thing - A lot of RN 's in their 40's and beyond would not leave the hospitals if they were not forced to work 12 hour shifts.  But that's not so good for the number crunchers, so guess what?  They leave!  Gee, I wonder why?

                      • 1 vote
                      #11.1 - Tue Jan 6, 2009 1:43 AM EST
                      Rachael-798868

                      Ermine:

                      I liked the part about the gas-guzzling SUV!  I have a master's degree and work as an RN and consider myself a great instructor. I rarely sit behind a desk, am 5 ft 7 inches tall and weigh 135 lbs....other than that, I understand where you are coming from. Many of the MSN-prepared nurses would be scary as bedside providers.

                      • 1 vote
                      #11.2 - Tue Jan 6, 2009 3:17 AM EST
                      oldnewgrad,RN

                      law professors don't make as much as lawyers. Engineering professors don't make as much as engineers. After years of floor nursing and sleep disruption of varying 13 hour shifts there are perks to teaching. I guess the hospital culture of competition (sound like a shortage to you?) is hard to shake. I find the culture of making remarks about overweight patients and attitude about blue collar workers very disturbing.I observed this many times in clinical. You are not there to judge (and many of your patients will be overweight) but to render care. Rein in your hostilities and remember that patients who are asleep, unconcious, whatever often can hear your remarks. Patients who have been identified as spanish speaking or ESL can usually very well understand your remarks and attitude as well.

                      • 1 vote
                      #11.3 - Tue Jan 6, 2009 5:03 AM EST
                      Reply
                      RWRNPOLICE

                      warrant....my bad.

                        Reply#12 - Tue Jan 6, 2009 12:10 AM EST
                        deme

                        I am a surgical tech and 2 prereqs away from applying to nursing school. I live in Southern Cal and all the junior colleges have long waiting lists...my plan is to apply everywhere but maybe cough up the money to go to a private school that is offering the 2 year program...I have my GI bill to help some but there is a time limit...I don't want to wait forever to get started!!!!  I figure in the end it will all work out.

                        • 1 vote
                        Reply#13 - Tue Jan 6, 2009 12:11 AM EST
                        kidRN

                        if possible look outside california for school.  many schools have no waiting lists, or at least not that long. 

                          #13.1 - Tue Jan 6, 2009 12:18 AM EST
                          ermine

                          Consider something besides nursing.  It is a hard work; you won't be appreciated; you won't b paid well; you'll be forced to work long hours, regardless of the studies that show 12 hour shifts are detrimental, and no one will care if you have a family or other responsiblities. Remember Work to live NOT Live to work.  If you go into nursing you will have no life!Think about being a Physical thrapist.  They have great hours, great pay, and easy jobs! And Dr's respect them.

                          • 1 vote
                          #13.2 - Tue Jan 6, 2009 1:56 AM EST
                          Reply
                          debra rose

                          We'll have to wait until one of them is sick and has poor care.  Then they'll take up our cause.  The only solution is to pay nursing school teachers/professors 50 dollars/hour or more.  Then perhaps the nurses leaving the hospitals in droves will be inclined to teach rather than leave the profession for something else entirely.  Here in Texas, thousands of students wait for openings, so there is no shortage of bodies wanting to work in nursing, just no one to educate them. 

                          I have been in nursing since 1985 and every day I leave the hospital after work, I don't know how I manage to go back into the quagmire that has been created by insurance companies and the hospital management companies.  But I love what I do.  So I continue to work as a nurse because I wouldn't want to do anything else.

                          • 1 vote
                          Reply#14 - Tue Jan 6, 2009 12:12 AM EST
                          Reply
                          wsc2006

                          I am a nurse of almost 3 years. I admit, I still have more to learn, but I pride myself in being an excellent nurse with excellent patient outcomes and pride myself in that. I make a decent wage up here in the northeast (CT)....I make approx 31 dollars an hour with my 2nd shift differential...not shabby, but still not great considering the plethora of responsibilities I have. It's kind of sad that I have almost 3 years experience and new nurses being hired are being given more money per hour than I make with NO experience....so fair don't ya think? I know it's tough, but we aren't a unionized hospital as many hospitals here in CT aren't as well. it's a tough game that we aren't ever going to win.

                            Reply#15 - Tue Jan 6, 2009 12:50 AM EST
                            Mo-291261

                            When I was working, despite the claimed shortages, the hospital where I worked staffed every shift with as few nurses as they could get by with, and if the census went down during a shift, nurses would be floated or let off, even those who were full-time and needed to work full shifts, because that's how they paid their bills. I decided that my talents could be put to better use.

                            • 1 vote
                            Reply#16 - Tue Jan 6, 2009 1:09 AM EST
                            Wanda-358181

                            I left the healthcare profession two years ago and never intend to re-enter it.  One of the things the hospital did where I worked was to bring in and sponsor RNs from the Phillippines with the understanding that they would take and pass the RN test given by the state to get licensed.  It was really interesting to see how few of them could pass the US test although they were RNs in their home country.  The level of care was very low from them, as if they had never been exposed to healthcare at all.  One woman who couldn't pass the test after taking it three times became a CMT.  When I examined her Phillippine documents, I could have sworn that the picture was someone else altogether.  Even the facial structure was different.  No one ever noticed the difference and she has since moved on to a doctor's office. 

                            • 1 vote
                            #16.1 - Tue Jan 6, 2009 8:31 AM EST
                            Reply
                            LFS-765170

                            Simple solution---change the name from Registered Nurse to Registerd Medic.  That way more and more men will enter the posistion.  Look at the big laugh at "Meet The Falkers".  Most guys NEVER even think about being a nurse, but on the other hand, the vast majority of the ambulance service people (low in the medical chain of command) are men.  Now I personally know that there is a 2-3 wait in a lot of schools---but it's worth a shot.

                              Reply#17 - Tue Jan 6, 2009 1:10 AM EST
                              Jayveee

                              run,   do not walk away from nursing.  it is theee worst career choice one could make.  low pay, long hours, always shift work, and plus you are around a bunch lazy people.  the aids want an lpn license, the lpn's want their rn. the rn's want their bsn.  the bsn want their msn.  there is never a satisfied state.  nurses are high strung and nevere satisfied.  the patients expect to be waited on like kings and queens.  in effect in nursing your are just that and nothing more   a waiter/waitress.   in addition to the above many rn's have more ego than their license could possibly ever hold.  and this idea that there are tons of jobs everywhere  that is just total  bs.  sure the place in the article gives gas cards away   it is a nursing home,  that is where the most jobs are because they are crappy places to work,  totally understaffed and overworked.  you will be up to elbows in urine and stools on a hourly basis.   yes there a jobs in nursing because  there are more nurses trying to get out of nursing thatn trying to get in.    run do not walk away from nursing.  be an engineer, a lawyer, a plumber   and be able to spend evenings/nights/weekends with your families.

                              • 1 vote
                              Reply#18 - Tue Jan 6, 2009 1:31 AM EST
                              whiskers64

                              I have been an RN since 1996. I enjoyed the job, especially working in pediatrics. I really felt like I was making a difference. But here are just a few of the reasons why I got out of hospital nursing, probably never to return: Long shifts, usually 12 hours but would extend to 16 if you had to chart at the end of your shift or you had a code, high patient to staff ratio (my first job I had to care for 12 cardiac step down patients one night. I quit that job due to the unsafe conditons), hospital administration that promises higher pay, safer working conditions etc but never comes through (although the hospital CEO usually gets 4-500K a year plus perks), administration who are NOT RNs, just bean counters with no hospital experience, untrained hospital staff who are hired right off the street, hospitals that import poorly trained foreign RNs under the guise of patient safety (yes that does happen and continues to this day), unruly doctors who treat hospital staff as idiots (yet copied my charting as their own and never looked in on the patient during the entire shift). Wow, so there you go. Just a few reasons why I left the floor. RNs are professionals and need to be treated as such. We all go to college (Nurse Practitioners with Masters degrees have years of experience but in some cases are still paid less than Physician Assistants who only go to a 2 year program, some with NO healthcare experience). RNs strive to provide the best care possible and promote a safe and healthy environment for our patients. We talk to the patients, we check their medications, administer those medications and watch for any side effects. We listen to the patient's concerns, their problems, their family issues and sometimes even become their best friend in a scary hospital situation. Nursing is and always be a noble profession. So don't worry. Even though RNs are treated poorly and paid low wages, they will continue to care for their patients and watch over them.

                                Reply#19 - Tue Jan 6, 2009 1:52 AM EST
                                J.W.D., R.N.

                                I have been an R.N. for thirty-eight years.  For the first half of my career, I was a busy, but fulfilled hospital nurse, working in Med-Surg, O.R., L & D, Post-Partum, and Neonatology.  During that time, nurses actually had time to spend with patients.  Call me old-fashioned, but my reasons for going into nursing were to treat, to listen, to teach, to counsel, to comfort, to touch (yes, we actually gave backrubs!)...to minister to the body, spirit, and soul. 

                                I would not return to hospital nursing in this age.  The horror stories about short-staffing and forced overtime make me wonder how those nurses can bear it.  I also wonder how hospitals and the public can fail to realize/acknowledge how dangerous those conditions are.  I believe it truly is all about the profit margin.

                                I currently enjoy a position in Home Health/Personal Care nursing.  The one-on-one benefits of this type of work are reminiscent of the past.  Unfortunately, the low pay is a drawback, and government rules and red tape make it challenging.

                                Hello, employers!  Try fully staffing all units with ample nurses, providing fair pay, offering educational opportunities, and helping your nurses avoid burnout.  Your patients will fare better, and maybe there will even be someone around to care for me in my last days. 

                                • 1 vote
                                Reply#20 - Tue Jan 6, 2009 2:00 AM EST
                                Michelle-330760

                                I am a 10+ year Critical Care RN BSN in Minneapolis/St. Paul and our area IS being effected by the economy (or something!) with many hospitals (large and small) having lower patient census totals this past year.  Cost cutting in my facility started out with letting go of Cleaning staff so it took longer to get rooms turned around, then they started limiting the number of RN's on a unit and left us short staffed many times. Our unit secretaries were downsized and we had to share between units and the phones rang and rang as Nursing had to juggle patient care and answer the phones, and direct traffic.  We put a halt to  the reduction in ancillary help by just not answering the phones and eventually our Manager saw the light and we were able to have secretaries on each unit during the dayshift. 

                                Today, many hospitals in the Twin Cities have hiring freezes in effect and my hospital is calling Nursing staff DAILY to request us to take a vacation day, on call, as well as RN's being involuntarily cancelled from our scheduled shifts with NO pay.  In December the hospital layed off 20 Nurses and we received a memo last week that in the near future (possibly this week), 40 additional RN's hospital-wide will be layed off.  Nursing in this area is essentially unionized which in this case is a saving grace as there are limits in the number of times the hospital can cancel RN staff yearly, but the lower senority you have, the more likely you are to be effected.  Many of my co-workers had short checks this past holiday season and were cancelled up to 3 times in one pay period.   Overtime was very limited this past year as well and my annual income this year was close tp  $15,000 less than 2008.  I make good money but I like overtime as well which enables me to pay college expenses  for my children.  That's a chunk of change lost this past year!   Right now I'm just happy to have a job that I love and hope that it stays that way. I'll deal with less income if I have to in order to keep a paycheck coming.

                                I've been browsing/searhing job opportunities in the area and Nursing positions are limited at this time.  When I moved to the Twin Cities area 3 years ago, job opportunities were plentiful and I was even sent flowers after one job interview as experienced critical care RN's were hard to find. I was offered positions with all 5 hospitals that I interviewed with.  What a difference it is today, I couldn't find one critical care position when I looked at 6 hospitals in St. Paul and Minneapolis last week.  That is very worrysome.   I feel for new grads trying to get their foot in the door of a facility at this time as well as for the morale of our Nursing staff which  is at an all time low in the facility I work for.....

                                  Reply#21 - Tue Jan 6, 2009 2:03 AM EST
                                  Lily-409570

                                  I have vet. technician backround and agriculture school but all my life I wanted to work in hospital. I love being in hospital even if sick. I just love the medical backround. Problem is, during communism I had no chance to go to medical school and now here in USA I can't afford  the school and on top of it I'm getting older( (48).

                                  I always wondered if there is chance to study only the necessary classes that you really need. Something like a fast one year crash course. Seems like there is so many other subjects one has to take in order to finish school.

                                  I have a friend as RN and have an idea what she needs to know and what she does. It feels like I could learn it in one year, the rest everybody gains w/ experinces later anyway.

                                  Is there any RN program or class on internet? 

                                    Reply#22 - Tue Jan 6, 2009 2:10 AM EST
                                    Rachael-798868

                                    Lily: many LPN programs are one-year programs; but, you will need certain prerequisite courses. Try googling "LPN programs."

                                      #22.1 - Tue Jan 6, 2009 3:04 AM EST
                                      Reply
                                      Karen-798848

                                      I have been in the nursing profession for 40 years.  I graduated from a diploma nursing school in nyc.  I have worked on an ICU, Cardiac cath lab and am now working in the or.  Where I am employed at a small rural hospital, most of the OR staff is over 50 years old, with the majority of us nearer 60.  We work long hours, call, callback and have to be back at work at 7 am the next day, no matter how long we worked call the night before. 

                                      The hospital needless to say is nervous about our age as we all want to retire while we can still walk. 

                                      My son just became an RN last year, and is working on an ICU and with a registry.  He works 12 hour shifts. 

                                      Lets face it, you cant be in nursing for the money.  It is about caring for people, but it has be be done safely.  It seems there are more regulations for everything , taking the RN away from the bedside and doing more paperwork.  I have seen a lot of changes in nursing since I graduated, some for the better but some definetly for the worse. 

                                        Reply#23 - Tue Jan 6, 2009 2:10 AM EST
                                        DiaNE KIRSE

                                        Nursing is a portable occupation.  You can get a job almost anywhere you go.  There are problems in every job, I don't care what profession you are in.  But there are ways to manage some of the stuff that you would normally have to put up with. 

                                        The main problem is that nursing schools do not have enough instructors.  Generally the pay is lower and the educational requirements are greater.  Until they bring instructor pay up to what staff nurses make, they are never going to be able to fill those positions.  I would love to teach but I only have a BSN.  I have no desire what so ever to go back and get an MSN.  I have 30 years experience and feel that I would have a lot to offer students but I can't teach due to my lack of greater educational preparation.  It is too bad.

                                          Reply#24 - Tue Jan 6, 2009 2:15 AM EST
                                          WinslowD

                                          Another problem is that nurses will not help themselves.  I have often said that nurses should independently contract their skills to hospitals instead of being employed by them.    Nurse have all the power but have no clue how to utilize this power.  They just continue to accept whatever the hospitals throw at them instead of standing up for what is right for the care of patients. In reality there is not a nursing shortage in this country.  There are lliterally thousands upon thousands of nurses who refuse to do the job anymore.  Staying in the profession for 20  years will not raise a nurse's standard of living.  Bottom line is that traditionally, nursing is still a "woman's" profession, and strictly speaking, it is not even a profession, but a blue collar job. 

                                            Reply#25 - Tue Jan 6, 2009 2:16 AM EST
                                            lol-798857

                                            Just a blue collar job, eh? Wow, you better hope you're never my patient.

                                              #25.1 - Tue Jan 6, 2009 2:27 AM EST
                                              Rachael-798868

                                              You're right, Winslow. Nurses can be proactive when it comes to patient care, but reactive when it comes to taking what is dished out!

                                                #25.2 - Tue Jan 6, 2009 3:01 AM EST
                                                Michelle-330760

                                                I'm going to remember how blue collar I am the next time I'm compressing someone's chest trying to keep their blood circulating, monitoring an intra-aortic balloon pump after cardiac intervention,  on my feet all day titrating fluids and drugs to keep a blood pressure regulated and my patient alive,  protecting my patient while they seize,  monitoring a ventriculostomy drain in a neurosurgical patient,  ducking away from being struck by the alcoholic going thru severe withdrawals and most importantly the hand I hold when someone is dying and they have no family.... .......... some blue collar job I love huh.

                                                • 1 vote
                                                #25.3 - Tue Jan 6, 2009 3:06 AM EST
                                                Rachael-798868

                                                Excellent post Michelle!!!

                                                  #25.4 - Tue Jan 6, 2009 3:22 AM EST
                                                  Stephanie, RN

                                                  I have respect for those who work in "blue collar" positons-my husband does.  HOWEVER, NURSING IS NOT BLUE COLLAR!!!  We will NEVER be replaced by a robot like a blue collar worker can be-a robot cannot show emotion, a robot cannot care and a robot cannot care for a patient the way I can!  It is a profession! 

                                                  This is what I found on Wiki-"A profession is a vocation founded upon specialized educational training, the purpose of which is to supply disinterested counsel and service to others, for a direct and definite compensation, wholly apart from expectation of other business gain" 

                                                  From disciplined group of individuals who adhere to high ethical standards and uphold themselves to, and are accepted by, the public as possessing special knowledge and skills in a widely recognized, organised body of learning derived from education and training at a high level, and who are prepared to exercise this knowledge and these skills in the interest of others.  Inherent in this definition is the concept that the responsibility for the welfare, health and safety of the community shall take precedence over other considerations.''A

                                                  From www-cse.uta.edu-a profession: 

                                                   

                                                  • Renders a specialized service based upon advanced specialized knowledge and skill, and dealing with its problems primarily on an intellectual plane rather then on a physical or a manual labor plane.

                                                  • Involves a confidential relationship between a practitioner and a client or a employer.

                                                  • Is charged with a substantial degree of public obligation by virtue of its profession of specialized knowledge.

                                                  • Enjoys a common heritage of knowledge, skill, and status to the cumulative store of which professional men are bound to contribute through their individual and collective efforts.

                                                  • Performs its services to a substantial degree in the general public interest , receiving its compensation through limited fees rather than through direct profit from the improvement in goods, services, or knowledge, which it accomplishes.

                                                  • Is bound by a distinctive ethical code in its relationships with clients, colleagues, and the public.

                                                  I have specialized training, I perform my job knowing that I have a duty to my patients, my PROFESSION is bound by a code of ethics -which includes patient confidentiality.  I think I have given more than enough proof that nursing is a profession NOT a blue collar trade!

                                                    #25.5 - Tue Jan 6, 2009 3:37 AM EST
                                                    Florida_kes

                                                    Boy WinslowD, looks like you hit a nerve there! LOL 

                                                    Nothing like experiencing the inflated sense of self-worth to make one smile in the morning.

                                                    How's this for perspective for all of you "professionals" out there...

                                                    A lowely blue-collar worker's mistake can easily end up killing hundreds, if not thousands of people. What's the worse thing that can happen if you screw up?

                                                      #25.6 - Tue Jan 6, 2009 8:57 AM EST
                                                      Stephanie, RN

                                                      Yes, I can kill someone if I screw up.  But did you read that I have a duty to my patient not to harm them.  I triple check medications before I give them.  I do my best to read articles on the "newest ways of doing things."  I attend all of the required educational classes and try to attend as many as possible that are voluntary.  Does this mean that I have an inflated sense of self-worth-NO.  It means that I am trying my best to uphold my duty.  I am human-all humans error.  If you are going to post something and try to put down my PROFESSION, then you need to look up what the definition of profession.

                                                      BTW-did you not read the fact that I am married to a blue collar worker.  I also have a father, grandfather, uncles and aunts who are all blue collar workers.  I have respect for them.  I realize they are the one's who keep this country going.  They are the one's who produce and package everything I use on a daily basis.  Does it sound like I have an inflated sense of self worth now?  I was just simply giving the definition of a profession. 

                                                        #25.7 - Tue Jan 6, 2009 2:06 PM EST
                                                        JoblessNewGrad

                                                        Well said Stephanie.

                                                          #25.8 - Tue Jan 6, 2009 2:23 PM EST
                                                          ermine

                                                          Boy you hit a nerve!  But I understand what U R saying.  Too bad we don't get paid like blue collar workers (whom I totally respect).  Here's something 2 think about:  The car factory workers total compensation package ( wages, benefits, stocks, vacation time) far exceeds mine after 30 years as a RN at the top of the pay scale! How about a bail out for us????  BTW - the nursing shortage is bogus.  There are places laying off RN's - see above- and most available jobs are THE WORST jobs no one wants.  I'm glad I advised my daughter to stay away from nursing - she has a great job and gets to spend time w/ her family.

                                                            #25.9 - Tue Jan 6, 2009 9:13 PM EST
                                                            WinslowD

                                                            Look, I worked in the field for 18 years.  If you don't think as RN's that you are being treated like a blue collar worker then you are in complete denial.  Hospital administrations consider nursing staff in terms of quotas, hourly wages, and every one of you are expendable to them.  I know it is painful when you believe yourself to be professional, but in reality the job is more in line with blue collar work.  Face the music, RN's.  Professionals are your MD's and lawyers.  Nurses are low down on the totem pole and they will stay that way as long as they allow it to continue.  It is the administrators running your show, not yourselves,  therefore you are blue collar workers.

                                                              #25.10 - Tue Jan 6, 2009 10:11 PM EST
                                                              WinslowD

                                                              As another poster stated, nurses eat their own and have huge egos which is clear from the above statements.  Professinals, no.

                                                                #25.11 - Tue Jan 6, 2009 10:12 PM EST
                                                                Critical Care RN

                                                                News flash!  "Administrators" run the show in both MD and Lawyer offices, if they are not soley owned...get your facts straight.  MD's have quota's for their services and can lose certain certifications and sometimes thier jobs if they do not meet those quotas.  Every "profession" is run by someone else.  Guess what?  Nurse Midwives can own and run their own business being a nurse.  Nurses may be treated as "blue collar" workers in some facilities, however that does not make nursing any less than a profession.  Sounds someone hit a nerve with you.

                                                                  #25.12 - Sat Jan 10, 2009 1:21 PM EST
                                                                  Stephanie, RN

                                                                  Critical Care RN,

                                                                  Thanks for backing me up:)  Just proves we don't eat our own. 

                                                                  BTW, I am a new nurse so if anyone is doing the eating of our own or has a huge ego, not me.  I am too worried about doing my job right to let anything like that go to my head.  I guess it is just new nurse jitters!

                                                                    #25.13 - Tue Jan 13, 2009 3:39 AM EST
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