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[CCM-L] Busy weekend - nursing shortage
Jane Harper janeharper at mac.comTue Jul 15 23:42:58 BST 2008
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Yeah Norm .. and I STILL want to come down and work with y'all, sounds like a lot more fun! J. On 7/15/08 3:34 PM, "McSwain, Norman E Jr." <nmcswai at tulane.edu> wrote: > 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 & 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 & 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 & Critical Care mailing list; >>> Trauma & 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 — 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 — 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 >>> >>> >>> auma.org/index.php?/community/ >>> >>> _________________________________________________________________ >>> Express >>> yourself instantly with MSN Messenger! Download today it's >>> FREE! >>> >>> http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/ >>> -- >>> >>> trauma-list : TRAUMA.ORG >>> To change your settings or unsubscribe visit: >>> >>> http://www.trauma.org/index.php?/community/ >>> >>> -- >>> trauma-list : >>> TRAUMA.ORG >>> To change your settings or unsubscribe visit: >>> http://www.trauma.org/index.php?/community/ >> >> -- >> trauma-list : TRAUMA.ORG >> To >>> change your settings or unsubscribe >>> visit: >> http://www.trauma.org/index.php?/community/ -- Jane Harper, PhD(c), RN, APN Trauma Nurse Practitioner, Rockford, IL
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