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

“If those evil bureaucrats don’t want to hire nurses,why do they keep offering incentives to new hires.?”

Last 3 years I worked the hospital paid on sign-on bonuses to new hires-$6k first year,$7 k second year,$8k 3rd year.They got 1/2 up front,the rest at completion of a year.Then they put them through a 2 month orientation program and then they were in the unit with a preceptor.
Guess how many completed a year.1st year-1,2nd year -1,3rd year-1.
They were overwhelmed with the work load,some only lasted a week post having a preceptor.
Some of it was not the hospitals fault such as the large number of morbidly obese pts.
A lot of it was the hospitals fault such as being short of equipment,not having ancillary people to do EKG’s,draw blood for lab work and cultures,no longer having ward secretaries to take off orders and put them in the computer or answer phone.
As many Accuchecks (blood sugars) we did the unit could have kept a full time tech busy just checking bloood sugars.
It would also helped if they would have had a orderly or 2 to help turn pts and pull them up in bed.We did have that for quite a few years but they were eliminated with
the other ancillary personnel.

The last nurse I precepted broke my heart.She was something special-whip smart,eager to learn,polite,good rapport with pts.She was taking bypass pts.by the end of her 1st year which was unheard of.She could have been a super star.Big problem was she was only 5’1”,maybe weighed 100 lbs.She wanted to do the right thing such as turn her pts. every 2 hours,get them out of bed as appropriate but, she required a lot of help which was often difficult to get.Hospital didn’t see fit to supply us with assistive equipment or orderlies.

When she resigned I asked her why,she was very blunt-“I just don’t want to work this hard”.She went on to say how she saw the older nurses with sore backs,aching shoulders,etc.She just felt like she couldn’t handle it physically long term,she was right.
So she got the rest of her $8k and went to a dialysis center.

Before the next year was up I was gone also.

Will this change the disparities in care with poc patients?

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The problem is that apparently you think "quality" is synonymous with "market forces.”

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Oooh boy, I missed this jewel yesterday.

Try this:
Discuss price-fixing in relation to free-market supply-demand theory.
Discuss disassociation of product quality and price from the demand equation in free markets.
Please do take your time.

You seem to imagine market forces at full-play in a scenario where the best and worst providers or facilities are reimbursed identically per encounter. You seem to imagine a system where Big Brother sets pricing based not on supply or demand, but rather on entity ownership or designation, as unfettered free market enterprise.

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The problem is that apparently you think "quality" is synonymous with "market forces.”

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No the problem is you really don’t understand what you are addressing. Quality and pricing are major free-market demand drivers.

Likewise, associated elements affect demand in a free market, such as:

• Consumer preferences - Free market consumers are willing to pay more for better quality. In the same vein, free market consumers pay less for lesser quality or for goods/services in oversupply. But those tendencies do not come into play in US Medicine. Reimbursement is uniform per encounter, regardless of quality.

• Income levels - Normally, market forces dictate higher income levels gravitate to higher quality, more expensive goods/services. Likewise, lower incomes tend to settle for less expensive issuances, or do without them altogether. Of course in terms of healthcare, we’d consider such premises conceptually repugnant. So, uniquely in healthcare, we do the best we can as a society to dampen income level as a market force.

• Prices of related goods - Normally demand for a product is influenced by the prices of complementary and substitute goods. But once again, that does not occur in US Medicine. Reimbursement is uniform.

Are you catching on?

Now then, can market principles still influence success, despite non-quality dependent price fixing? Sure. E.g., Facilities can run ads. Docs can open clinics in upscale appealing areas. Etc.

But to claim our healthcare system to be free-market, or wholly market-force dependent, conveys substantial ignorance as to the system, economics, or both

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What was the point of the story about the CEO making decisions based on maximizing profits and killing people?

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Well Einstein, the “point" was to address this:

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Decisions being made by non-clinicians that affect patient care.
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Give me an example of this that doesn’t involve patient load.

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So, the "point" was to provide an example of non-clinicians affecting patient care, aka killing people.

Ironically, the story had painfully little to with "maximizing profits." Nor was it an address, pro or con, of market forces, per se.

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But go ahead, tell me that I'm the idiot.

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Okay.

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But you'll never have as much stress as an officer for a major company.

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Odd conjecture. You asked me my experience in running a company, and I told you. You've asked the same of others here.

But at this point, as you seem dug in regarding the supposed stress of Hospital Administrators, it seems fair to ask what experience you have in running a company? (IIRC, 100+ employees was your criterion)

I'll also repost this:

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USA TODAY
Sara Chernikoff and Natalie Neysa Alund
Mon, Dec 11, 2023

What are the top 10 most stressful jobs?

The Occupational Information Network, or O*NET, part of the U.S. Department or Labor, ranked 873 of the most stressful jobs in the nation. The rankings note the importance of accepting criticism and dealing calmly and effectively with high-stress situations in each role.

These following 10 jobs require the most stress tolerance from employees:

1. Urologists

2. Film and video editors

3. Anesthesiologist assistants

4. Judges and magistrates

5. Phone operators

6. Acute care nurses

7. Obstetricians and gynecologists

8. Public safety telecommunicators

9. First-line supervisor of retail sales workers

10. Nurse anesthetists

FWIW, Hospital Admins didn't make the list

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I don’t get it? Of all the specialties.

What say you?

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I chuckled, as did my son who's a urologist.

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Everyone thinks they can be a CEO

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Theyre addicted to victimhood. Oppressed vs oppressor, management vs labor, elite vs working class.

Same stupid shite that has been used to divide people and keep others from individually advancing.

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Be content.....the administrators only have the best of intention

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No, be prepared to find other work if this one doesnt fit your needs anymore. Antagonistic grinding means you'll be stuck behind seniority your entire life.

This is how things work in the corporate world. Professionals have independent agency, not collective.

Employers raise pay and change conditions when they can no longer hire workers. Youre staying, and giving them reason to continue the process.

Dont sell your soul for two 15 minute breaks and a mental health day.

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Saw this the other day and still scratching my head.

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Urologists - so you won't scratch, uhhhh, you no!

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Patently absurd

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It seems there is commonality in the list

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1. Urologists
2. Film and video editors
3. Anesthesiologist assistants
4. Judges and magistrates
5. Phone operators
6. Acute care nurses

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... all spend their days dealing with dicks

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CNAs as well. You don't just pick them off the street like you would others.

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Eh. You can kinda pick CNAs off the street.