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Started By
Message
re: Trigger Warning: UMC nurses in NO vote to unionize
Posted on 12/12/23 at 9:03 pm to RogerTheShrubber
Posted on 12/12/23 at 9:03 pm to RogerTheShrubber
quote:
Youre so stupid.
The real "heroes" of health care are the professionals who organize systems, schedule people and keep the clinics open.
What the frick do you think a CEO does?
If we replace the singular "CEO" and replace it with "hospital administration"....you are dead wrong here.
It's a serious problem when hospitals employ more administrators than clinical providers.
1
Posted on 12/12/23 at 9:06 pm to NC_Tigah
quote:
I'm not sure what you were trying to say there, but Hospital Administrators often have no clue as to the clinical ramifications of their jobs or decisions. Worse yet, they often don't care, because they are simply not paid to care.
Ding ding ding.
You can tell in this thread the people who have actually spent time in hospitals, versus those who think medicine is run like other industries.
Posted on 12/12/23 at 9:11 pm to RogerTheShrubber
quote:
But you'll never have as much stress as an officer for a major company.
Absolute nonsense.
Posted on 12/12/23 at 9:13 pm to NC_Tigah
quote:
Roger, our Hospital CEOs sleep at home while clinicians pull all-nighters. Our hospital CEOs spend weekends on the golf course, when clinicians are fielding emergencies 24/7. Our CEOs meet with executive medical staff after hours in executive sessions ... the same medical staff taking call and covering w/e's. CEOs wouldn't want to sniff a busy clinicians schedule.
Seriously. When I take call, I take it for a week at a time. 24/7. My phone cannot leave my side. There is nothing that can happen at a hospital minus something outrageous like a natural disaster that will end with the CEO getting called at 3AM
Posted on 12/12/23 at 9:28 pm to onmymedicalgrind
quote:
It's a serious problem when hospitals employ more administrators than clinical providers.
Hyperbole will get you nowhere.
There’s over 3600 doctors in the Ochsner system. There’s over 7,000 nurses.
Posted on 12/12/23 at 9:29 pm to momentoftruth87
quote:
Medical is so accessible that it’s ridiculous prices continue to rise for basic procedures. Cut out the kick backs and stop fricking those in need of help as well as professionals suggesting treatment that isn’t medically nescesarry.
This guy thinks medicine is expensive bc of kick backs
Posted on 12/12/23 at 9:31 pm to 4cubbies
quote:
Shall we laugh on 3?
So there’s two states with mandated ratios. And you didn’t bother to quote them.
(Without even looking at them, I’m going to hazard a guess that the mandated ratios are higher than any nurse feels comfortable with. Because that’s what nurses do. Feel uncomfortable. Slightly joking, slightly serious.)
Posted on 12/12/23 at 9:34 pm to onmymedicalgrind
quote:
Any person in medicine knows hospital administration nowadays is absolutely absurd. It's bloated, expensive, and often unnecessary
One problem is that too many administrators (this encompasses far more than just the C-suite) are former RNs…
Posted on 12/12/23 at 9:35 pm to the808bass
quote:
Give me an example of this that doesn’t involve patient load.
If you gave me 30 mins, I could probably give you 50 examples of this.
Posted on 12/12/23 at 9:37 pm to onmymedicalgrind
I’d settle for two good ones.
I don’t doubt that these examples exist at all. I’m sure they do. Partly because of the nature of all American bureaucracy. Partly because of the nature of healthcare bureaucracy.
I do find it instructive to hear what people think are the best or representative examples.
I don’t doubt that these examples exist at all. I’m sure they do. Partly because of the nature of all American bureaucracy. Partly because of the nature of healthcare bureaucracy.
I do find it instructive to hear what people think are the best or representative examples.
Posted on 12/12/23 at 9:42 pm to the808bass
quote:
So there’s two states with mandated ratios. And you didn’t bother to quote them.
Are you incapable of simple Google searches?
California: 1-to-1 in operating rooms. 1-to-2 in intensive care, labor and delivery, ICU patients in the ER, and neonatal care. 1-to-3 in step down. 1-to-4 in emergency rooms, postpartum/antepartum and telemetry units
Massachusetts: Massachusetts mandates a 1:1 nurse-to-patient ratio in the ICU. Nurses may take a second patient based on their clinical judgment and use of an acuity tool. (958 CMR 8.00)
Interesting that you (presumably) smugly asked me to provide mandated ratios because you (presumably) didn’t think they existed. But they do exist. And now there aren’t enough of them to meet your standards. But you also don’t think there should be mandated patient to nurse ratios?
Posted on 12/12/23 at 9:51 pm to the808bass
quote:
Hyperbole will get you nowhere.
There’s over 3600 doctors in the Ochsner system. There’s over 7,000 nurses.
Fair enough. My point still stands.
ETA: I take that back
quote:
To run any organization, a base of administration is necessary. A typical US services industry (for example, legal services, education, and securities and commodities) has approximately 0.85 administrative workers for each person in a specialized role (lawyers, teachers, and financial agents). In US health care, however, there are twice as many administrative staff as physicians and nurses, with an estimated 5.4 million administrative employees in 2017, including more than 1 million who have been added since 2001
This post was edited on 12/12/23 at 9:54 pm
Posted on 12/12/23 at 9:57 pm to the808bass
quote:
There’s over 3600 doctors in the Ochsner system. There’s over 7,000 nurses.
Ochsner employs over 37,000 people. Only 11,000 are actual doctors and nurses?
Posted on 12/12/23 at 9:59 pm to 4cubbies
quote:
Interesting that you (presumably) smugly asked me to provide mandated ratios because you (presumably) didn’t think they existed.
They exist in exactly 2 of 50 states.
I’m not surprised they exist. I’m not surprised they exist in 2 states.
Posted on 12/12/23 at 10:00 pm to 4cubbies
quote:
Only 11,000 are actual doctors and nurses?
Lol. You’re really out of your depth, here. But I like how you swing for the fences.
Posted on 12/12/23 at 10:02 pm to the808bass
quote:
They exist in exactly 2 of 50 states.
When do we throw our heads back and laugh?
Posted on 12/12/23 at 10:02 pm to the808bass
Condescension noted.
Posted on 12/12/23 at 10:09 pm to the808bass
quote:
I’d settle for two good ones.
Sure
1) One of the two computer navigation systems we use in the OR has been malfunctioning. Me and my partners who all use it kept telling OR admin over and over to get it fixed. Now its completely stopped working. So we only have one, and there is often two of us operating who need it at the same time. I wouldn't bring cases to this hospital if they didnt have this navigation. This has caused case delays and increased OR time, shuttling this one piece of equipment back and forth. I have since cancelled all of my cases there until its resolved. Now I guarantee since they are seeing the potential loss of alot of business, they will get this issue rectified ASAP. Thats the only way to get this mfers to move.
2) New rule now that only hospital clinical staff (essentially RNs) can run the table we use to do our hip replacements. Makes 0 sense. It's a vital part of the surgery, and our implant reps are by far the best at doing this. This is dangerous and can lead to broken femurs during these surgeries. Luckily hasn't happened to me, but has to one of my partners. It's clear a rule made by someone who has no idea wtf they are doing.
Posted on 12/12/23 at 10:24 pm to onmymedicalgrind
quote:
1) One of the two computer navigation systems we use in the OR has been malfunctioning. Me and my partners who all use it kept telling OR admin over and over to get it fixed. Now its completely stopped working. So we only have one, and there is often two of us operating who need it at the same time. I wouldn't bring cases to this hospital if they didnt have this navigation. This has caused case delays and increased OR time, shuttling this one piece of equipment back and forth. I have since cancelled all of my cases there until its resolved. Now I guarantee since they are seeing the potential loss of alot of business, they will get this issue rectified ASAP. Thats the only way to get this mfers to move.
This reminds me one of my favorite hospital bureaucracy stories.
Friend of mine ran the sleep lab for a system hospital here in St. Louis.
The computer broke. He asked for a new one. They said it had to be approved by the board at the next board meeting. He said, “Ok, I’ll cancel all the patients who have sleep studies scheduled until then.” They said, “No, XXX Health System does not cancel appointments.”
So, for weeks, patients showed up for their sleep lab appointments only to be told there would be no sleep study done.
When the board met, the motion to buy a new computer for the sleep lab was raised. Someone said, “why are we spending money on the sleep lab when our billing is at an all-time low and complaints are at an all-time high?”
And so, they voted to close the sleep lab.
Posted on 12/12/23 at 10:31 pm to the808bass
I am not surprised by that story in the least. I just have a disdain for these bloated administrations and the decisions they make. I’m private practice, so as soon as they do enough to piss me off, I either take my cases elsewhere or threaten to do so unless they fix the problem. I am so so so much happier at our surgery center: much more efficient, much less bureaucracy.
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