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Tue Jul 15 22:16:13 BST 2008

Believe me, this is not the norm

R Wigle


--- On Tue, 7/15/08, Jane Harper <janeharper at mac.com> wrote:

> From: Jane Harper <janeharper at mac.com>
> Subject: Re: [CCM-L] Busy weekend - nursing shortage
> To: "J.T.Deppe, M.D." <depjt48 at msn.com>, "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> Cc: "'Critical Care List'" <ccm-l at ccm-l.org>
> Date: Tuesday, July 15, 2008, 3:00 PM
> 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 > > > -->
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> >> 
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> >> 
> >>
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> >> -- 
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> > --
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> 
> -- 
> Jane Harper, PhD(c), RN, APN
> Trauma Nurse Practitioner, Rockford, IL
> 
> 
> 
> --
> trauma-list : TRAUMA.ORG
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[CCM-L] Busy weekend - nursing shortage