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re: Trigger Warning: UMC nurses in NO vote to unionize

Posted on 12/13/23 at 8:42 am to
Posted by BoxComboNoSlawXToast
Louisiana
Member since Feb 2018
317 posts
Posted on 12/13/23 at 8:42 am to
That a poor example I get it, but at the same time unlike the flight attendant with one push of a button you could kill some one as a nurse.. so unlike the flight attendant the nurse has a little more responsibility
Posted by KiwiHead
Auckland, NZ
Member since Jul 2014
27730 posts
Posted on 12/13/23 at 8:45 am to
Nurse Anesthesthesists? Yeah nursing assistants for sure.
Posted by KiwiHead
Auckland, NZ
Member since Jul 2014
27730 posts
Posted on 12/13/23 at 8:55 am to
You're saying that management does not speak and act as one? What reality are you in? The board says no, and it filters down and is bought into down the line to the middle managers....or do you think they all act independently in this instance. Ceo says no, CFO says yes and they all do their own thing in respect to dealing with the nurses ?

Of course not, but you would expect the individual nurses acting as independent agents to approach the admin and there multiple levels to. I go to my supervisor, supervisor goes to his/her super and the maybe goes to HR . But in this case it apparently is not just about money for the individual. It's staffing levels, primarily and other working conditions that apparently is not being addressed....or is but ever so slowly with the hopes that ultimately it just goes away.
Posted by the808bass
The Lou
Member since Oct 2012
111617 posts
Posted on 12/13/23 at 8:59 am to
quote:

Nurse Anesthesthesists?


That’s CRNA
Posted by NC_Tigah
Carolinas
Member since Sep 2003
124188 posts
Posted on 12/13/23 at 8:59 am to
quote:

Nurse Anesthesthesist
CRNA
quote:

nursing assistant
CNA

quote:

We are talking about RNs and I suspect CNAs as well.
Regardless of ease of hiring CNAs, EKG techs, phlebotomists, etc., they are not being hired.

The thesis is "RNs can do those jobs," and if they can't, then Docs can. It is horribly inefficient, but in general, as long as the C-suite is at capacity with secretaries, custodians, etc. inefficiency elsewhere is of little consequence.
Posted by KiwiHead
Auckland, NZ
Member since Jul 2014
27730 posts
Posted on 12/13/23 at 9:00 am to
So why does the CEO or CFO still have a job if they are losing millions like that?
Posted by the808bass
The Lou
Member since Oct 2012
111617 posts
Posted on 12/13/23 at 9:10 am to
quote:

The thesis is "RNs can do those jobs," and if they can't, then Docs can.


I think the theory is that advanced practice clinicians are essential. They make up over half of Ochsner’s 32,000 employees.

We might be saying the same thing. I’m less cynical about the administration (which, in Ochsner’s case, has a fair representation of MDs and nurses).
Posted by Diamondawg
Mississippi
Member since Oct 2006
32359 posts
Posted on 12/13/23 at 9:14 am to
quote:

You can kinda pick CNAs off the street.

CNAs in Mississippi require certification, hence the "C" - certified.
Posted by Wiseguy
Member since Mar 2020
3426 posts
Posted on 12/13/23 at 9:23 am to
quote:

So why does the CEO or CFO still have a job if they are losing millions like that?


The CEO for many years left about a year ago. He got out before the crunch that they knew was coming actually arrived. The new CEO has made lots of changes this year in admin organization and staffing. The changes you are asking about have been and are being made. Not to say the changes that have been made are the answer- I’m an informed outsider with access to insider knowledge about the system. But they are trying to adapt to the current environment. And every hospital admin in LA had their assholes pucker up nice and tight when they heard the result of the LCMC vote. None of them want unionization.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
124188 posts
Posted on 12/13/23 at 11:00 am to
quote:

They make up over half of Ochsner’s 32,000 employees.
Ochsner's throws so many numbers out there, it's hard to know exactly. They claim 37,000-38,000 employees, about 8500 RNs, and seemingly ~900 employed MDs. (They fudge the 900 MDs with statements about 4700 employed and "affiliated" MDs) "Affiliated" would include MDs in private practice with hospital privileges at Ochsner.

Perhaps your >50% stat refers additionally to NPs, techs, therapists, etc?

But they carry a huge Admin staff as well. Though it's hard to pin down exact numbers, we know the number is large enough that Ochsner laid off nearly 800 of them last May.
Posted by KiwiHead
Auckland, NZ
Member since Jul 2014
27730 posts
Posted on 12/13/23 at 11:11 am to
Wow!!! 671 posts
Posted by the808bass
The Lou
Member since Oct 2012
111617 posts
Posted on 12/13/23 at 11:27 am to
quote:

Perhaps your >50% stat refers additionally to NPs, techs, therapists, etc?


Yes.
Posted by the808bass
The Lou
Member since Oct 2012
111617 posts
Posted on 12/13/23 at 11:31 am to
quote:

CNAs in Mississippi require certification, hence the "C" - certified.


Four weeks of classes where many employers will pay for the classes (because, like all medical personnel, they’re in short supply).
Posted by the808bass
The Lou
Member since Oct 2012
111617 posts
Posted on 12/13/23 at 11:33 am to
quote:

So why does the CEO or CFO still have a job if they are losing millions like that?


What was their number one increase in expense? Hint: it might have something to do with the subject of the thread.
Posted by KiwiHead
Auckland, NZ
Member since Jul 2014
27730 posts
Posted on 12/13/23 at 12:02 pm to
Enjoy the Filipino and Romanian nurses in ICU
Posted by Diamondawg
Mississippi
Member since Oct 2006
32359 posts
Posted on 12/13/23 at 12:41 pm to
quote:

Four weeks of classes where many employers will pay for the classes (because, like all medical personnel, they’re in short supply).

So not "off the street" as a couple of you said. "Off the street" to me means no training required. I had my annual wellness the other day and the individual that took my vitals and blood was a Rad Tech, according to her name badge. I suppose everyone is doubling up on responsibilities. I'm glad I am out of the rat race that is healthcare of today. I always considered myself "patient centric" and it doesn't sound like that would fly in today's environment.
Posted by RogerTheShrubber
Juneau, AK
Member since Jan 2009
261681 posts
Posted on 12/13/23 at 12:44 pm to
quote:


Of course not, but you would expect the individual nurses acting as independent agents to approach the admin and there multiple levels to.


Why not find work in another setting if you cant approach your superiors?
Posted by NC_Tigah
Carolinas
Member since Sep 2003
124188 posts
Posted on 12/13/23 at 12:56 pm to
quote:

Why not find work in another setting if you cant approach your superiors?
They have. That's why facilities are short-staffed and caught in the locums Catch-22.

You keep addressing this as a RN employment issue. It is a patient care, quality of care issue. If Administrative bonusing was based on those factors +/- patient satisfaction, this "crisis" would be fixed with quickness. It isn't though, so the problems will persist.
Posted by KiwiHead
Auckland, NZ
Member since Jul 2014
27730 posts
Posted on 12/13/23 at 2:00 pm to
They get lip service. Also being a nurse IS NOT the same as being a delivery driver. Concerns are different. Settings are different and generally your supervisor or direct superior is not the one you talk to. Decisions like what is being described is further up the line.

It appears that the administration and the nurses have widely differing concerns. The administration probably sees those concerns of the nurses as subordinate to other issues . Thus they get smacked with a union vote which means that administration was probably hoping that the concerns that nurses were making were deemed either illegitimate or something that could continually be put off. So they risk the whirlwind of a union.

Posted by Old Character
Member since Jan 2018
879 posts
Posted on 12/13/23 at 2:07 pm to
quote:

Look at the responsibilities and experience requirements of the CEO. Nurses are fairly easily replaced, CEOs not so much.


You’re either an admin and being intentionally dishonest or you’re talking out of your arse and have never worked a day in healthcare. Either way……I’m calling bullshite
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