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Tue Jul 15 21:34:16 BST 2008

I don't come close to that kind of money, but I live in New Orleans and that makes up for a lot :>)

Norman

Norman McSwain MD
Professor, Tulane School of Medicine
Trauma Director, Charity Hospital Trauma Center
norman.mcswain at tulane.edu
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Jane Harper
Sent: Tuesday, July 15, 2008 2:00 PM
To: J.T.Deppe, M.D.; Trauma &amp; Critical Care mailing list
Cc: 'Critical Care List'
Subject: Re: [CCM-L] Busy weekend - nursing shortage

Come work for the trauma surgery group here -- the YOUNGEST of their four
partners paid taxes on $430,000 his third year with the group.

Jane

On 7/15/08 1:48 PM, "J.T.Deppe, M.D." <depjt48 at msn.com> wrote:

> $400K per year-boy, am I in the wrong place...
> 
> Tim 
> J.Timothy Deppe, M.D., F.C.C.P.
> Pulmonary/Critical Care Medicine
> Johnson Memorial Hospital
> Franklin, IN 46131
> depjt48 at msn.com 
>   
> There are 10 kinds of people in the world, those that understand binary, and
> those that do not.
> 
> -----Original Message-----
> From: ccm-l-bounces at lists.ccm-l.org [mailto:ccm-l-bounces at lists.ccm-l.org] On
> Behalf Of Jane Harper
> Sent: Tuesday, July 15, 2008 9:40 AM
> To: Trauma &amp; Critical Care mailing list
> Cc: Critical Care List
> Subject: Re: [CCM-L] Busy weekend - nursing shortage
> 
> It's easy to say that physicians and nurses should stand together -- but
> which of the two professions can better survive a work stoppage, a new
> graduate nurse who (in this crappy economy) is sole support for a husband
> and three children or a physician making $400,000 a year?
> 
> Jane
> 
> 
> On 7/15/08 6:37 AM, "Errington Thompson" <errington at erringtonthompson.com>
> wrote:
> 
>> This is nothing new.  It has been going on for the past 10 - 15 years.
>> Doctors have grumbled but haven't put up a concerted effort to stop this
>> practice.  
> 
> Finally, I would add that experienced nurses like yourself are
>> between a rock and a hard place.  I know in the ICU and in the ER, when green
>> nurses drop the ball, it is the experienced nurses who pick up the ball.
>> Because of this mortality and morbidity is lower than it would be if the
>> green
>> nurses were allowed to stumble on their own.  The hospital administrators can
>> then point to little or no change in morbidity or mortality and say that
>> their
>> cost cuts has had no impact on patient care.
> 
> Until doctors and nurses stand
>> together to confront these terrible practices of hospital administrators
>> across the nation, this will continue to happen.
> 
> E
> 
> Errington C. Thompson,
>> MD, FACS, FCCM
> Trauma/Surgical Critical Care
> Mission Hospital
> Asheville,
>> NC
> Author - A Letter to America
> www.whereistheoutrage.net
> 
> Everyone deserves
>> to make an informed decision
> 
>                                 - Errington
>> Thompson, MD
> 
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
>> [mailto:trauma-list-bounces at trauma.org] On Behalf Of ofiara at comcast.net
> Sent:
>> Monday, July 14, 2008 10:03 PM
> To: Trauma &amp; Critical Care mailing list;
>> Trauma &amp; Critical Care mailing list
> Subject: RE: Busy weekend - nursing
>> shortage
> 
> There is and has been a nation wide nursing shortage in the U.S.  It
>> will get even worse as I believe the ave age of a nurse in the U.S. is in
>> their late 40's . At the E.D./Trauma center I work in the Chicago-land area,
>> we have lost  a number of great experiences nurses due to management. The
>> have
>> been replaced by "new grads' ( cheaper labor) and are very green.  Management
>> doesn't seem to care because they are saving Salary money.  They also are
>> very
>> eager to send staff home when the census is low, not based on pt. acuity, but
>> when we are going " crazy" we can't get extra help because it will be
>> overtime.  I still love my job and I have a great working relationship with
>> the doc's I work with and I like working with the E.R. residents and  yes.
>> Trauma can be exciting, but after 20 plus years I find myself enjoying a
>> beverage after work more often. Just some venting.
> 
> Larry Ofiara, R.N.
>> 
> 
> 
> 
> 
> -------------- Original message --------------
> From: "William Bromberg"
>> <brombwi1 at memorialhealth.com>
> 
>> Tim, 
>> 
>> Same here in Savannah, GA.
>> Hospital is licensed for ~500 beds, staffed
>> for only ~400. We routinely
>> close beds for staffing issues.
>> 
>> BTW â€” as far as I'm concerned this is
>> a result of price controls on
>> medical care. If you can't raise the price of
>> a widget to cover the
>> variable cost of making one more, you just won't make
>> any more. 
>> Basically in any sane industry if demand outstripped supply,
>> prices 
>> would rise to allow wages to increase to attract more workers,
>> thereby 
>> increasing supply. In medicine we can't increase nursing wages much
>> so 
>> we raid emerging countries for nurses instead, worsening their staffing
>> 
>> shortages (NYC hospitals would cease to function overnight if not for
>> 
>> Phillipino (sp?) nurses â€” best imperialism ever).
>> 
>> Bill 
>> 
>>>>> 
>> Richard van der Kleyn 7/14/2008 6:40 AM >>>
>> 
>> Dear Tim, 
>> 
>> A recent
>> survey here in Catalonia (north east spain) showed that we
>> were short of
>> 15,000 nurses, Spain as a whole needs 3000 more ER docs.
>> in our hospital in
>> the summer months we always have 1 ward closed (about
>> 40 beds) due to a
>> lack of nurses...even though in the summer our
>> catchment area populacion
>> triples. Its much the same all other europe, a
>> lot of spanish
>> nurses/doctors go to the UK ( better pay), most of our
>> new doctors come
>> from south america (better pay), a lot of african
>> doctors now go to south
>> america (better pay)......finally the well paid
>> western doctors go to
>> africa as charitable organisations because of the
>> lack of doctors...it
>> looks like money is the way to atract personal.
>> 
>> Richard van der Kleyn
>> 
>> 
>>>> -----Original Message-----> From: Timothy Craig Hardcastle > Sent:
>> 
>> 14 July 2008 07:40> To: 'trauma-list at trauma.org'> Subject: Busy weekend
>> -
>> nursing shortage> > Hi all> > We had a rather hectic weekend - but
>> were
>> even more curtailed by a> shortage of nurses; had to close ICU beds
>> and
>> refuse some patients from> the EMS. Is this just a South African
>> problem or
>> is this really an issue> in the USA, Europe and UK as well?
>> Do you have any
>> ideas about how to> attract dedicated trauma nurses to
>> one's unit?> > Tim>
>> Dr Timothy C Hardcastle> M.B., Ch.B. (Stell); M. Med
>> (Chir) (Stell); FCS
>> (SA)> Principal Surgeon-Lecturer / Sub-specialist:
>> Trauma and Critical
>> Care> Deputy director: Trauma Unit and Trauma ICU>
>> Inkosi Albert Luthuli
>> Central Hospital / UKZN> 800 Bellair Road>
>> Mayville, Durban> > Postal:
>> PostNet Suite 27> Private Bag X05> Malvern,
>> 4055> KwaZulu Natal> >
>> timothyhar at ialch.co.za > > > --> trauma-list :
>> TRAUMA.ORG> To change your
>> settings or unsubscribe visit:> http://www.tr
>> 
>> 
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-- 
Jane Harper, PhD(c), RN, APN
Trauma Nurse Practitioner, Rockford, IL

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[CCM-L] Busy weekend - nursing shortage