ความคิดเห็นที่ 16
K. Thai Texan,
The foreign nurse can no loger come to work here on greencard ka. GC for RN has been in retrogression for almost two years. So, I don't think any foreign nurse can work here now (unless you come as TN visa).
Yes, nursing shortage is real. The hospital's top management knows that the inpatient units need nurses...but they will not do anything about it right now! Many hospitals tried to stay alive in this economic and will not hiring anyone to fill those position.
The hospitals has hiring freeze and some stop an in-house transfer. It is the reason why many new graduate nurses can't find a job..esp in the city like SF, LA or NY. If you are experienced nurse, you might get lucky to get a job if you know someone. The hospital will not train a new nurse because it costs lots of money to train a nurse.
The hospitals will not lay off the nurse. But they cut nurses hours and close some of unprofit unit. Most per diem position (hourly without benefit) are not called into work. Permanent position get our first, so if you are per diem..you don't have a job. Many travel nurse got the contract terminated. Many of my friends used to work 2-3 hospitals or lots of OT...now they are blessed that they still have a permanent job or work their hours at the hospital. The states that doesn't have nurse/patient ratio...nurse will have to take care more patients per one nurse. Luckily in CA, we have nurse/pt ratio.
You are right, we can't delay the illness. But if you are sick..it doesn't guarantee that you will get the care that you used to recieve prior the recession. You still can coming to ED to be treated. Like I said, one department that will never closed or got hour cut are ED and ICU (money making unit). In those departments, you have to be trained for months to work there...so regular med-surg or telemetry nurse can't just come to work in those units.
Actually, my emergency have seen more pt since econimic recession because we take medical and medicare. People who have no insurance come to us or other couty hospital near by. The waiting time in my ED are now double because more patients come in..sometimes pt wait 12-13 hours to be seen (and it can be longer at county hospital).
You will think, hospital will hire more nurses in my dept....no, we have same amout of nurse working. We work harder, get more pt in and out as fast as we can. So, more pt can be seen by doctor. The doctors will no longer admit patient into the hospital unless it absolutely necessary. If you're admitted, you will get this charge as soon as they can get you out. The hospital need beds and we have to have nurse available to take pt due to the ratio.
Just last monday, we have 13 patients holding in my ED because we don't have beds and nurses to take care the pt upstair. ED rooms are full...patients has to stay on the gurney in the hallway of ED. My department went on diversion...meaning we couldn't take any ambulance patients and patient in the waiting room has to wait until there were nurse available to admit them to the ED. Yes, we did need more nurses to come into work that day but management did not let us to call anyone into work because they said we aleady have enough nurse working!!
This is just example at my hospital...but it are not much different at the other hospitals in my area. It is horrible!
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