2200 nurses strike in Chicago

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https://www.cbsnews.com/news/univer...s-walk-off-job-today-2019-09-20-live-updates/

I work closely with nurses and I'm wager what the ones in Chicago are saying is likely true because I've seen it in state and in much smaller, much less busy hospitals.

Chronic understaffing, working sick (and being punished for taking sick days), no lunch breaks. Working long blocks of days because of staff shortages, which leads to fatigue. Some of these men and women are essentially working drunk from lack of sleep.

I don't think most people realize how integral RN's (and to a lesser extent CNA's, if they even have one on shift) are to care either.
You know who's giving grandma her pain meds? Nurses.
Who's checking in on her to make sure there isn't an emergent condition or problem? Nurses.
When the MD and specialists are doing the sexy stuff during a code, you know who's sweating out chest compressions? Nurses.
Changing dressings on wounds? Wiping butts? Tube feedings? Catheters? IV's? etc. etc.
A doctor can talk all he or she wants about what treatment should be given or procedure done, but in the end, most of them wont be getting their hands dirty to do it unless it's something like a central line. Nope, it will be nurses.
They're the one taking your vitals, your history, making sure you get the right meds at the right time, acting as your advocate to arrogant physicians. In short, they are really the backbone of the hospital.

I don't know what the solution is, but this is another area where American healthcare is broken.
 
I have a friend who is on the faculty of a Nursing Department: there's one word ... care.
 
We are under a medical crisis in the US, but most people don't realize it, yet. The whole Affordable Care Act triggered a cascade that we haven't seen the end of, yet.
 
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We are under a medical crisis in the US, but most people don't realize it, yet. The whole Affordable Care Act triggered a cascade that we haven't seen the end of, yet.
It was garbage before that, honestly.
 
My wife is a RN and works in same day surgery, but spent time on med-surg, as well as a bunch of other departments and facilities.

She's says "mhm" to everything I just read to her. Lol.
 
It was garbage before that, honestly.

My Primary Care Physician was great. Obamacare pushed him over the edge into early retirement.

Main complaints: Paperwork explosion, and patients who were afraid to be honest because they didn't want their frailties in a national database.
 
I’ve known 3 or 4 nurses in the Charlotte area, in both Novant and CHS/Atrium, in the heart unit, babies, and everything in between. They all griped in harmony about understaffing and working conditions. This was 10+ years ago and continues to today. I used to always tell them I don’t know why they put up with it. Walk off the damn job if its that bad. They’d always say “it’s about the patients” or “I just couldn’t do that to my patients.” I have no sympathy or you then if you’re not going to speak up when someone’s shitting on you. ESPECIALLY when said shatting increases the chances of something going wrong exponentially.
 
Mission Hospital in Asheville was recently bought and went from a non-profit to for profit.

Everyone there is super stressed over the changes being implemented.

My understanding is that certain ICU units have gone from 2 patients per RN to 3. AND they’ve gotten rid of unit secretaries and LPN/CNA. So....nobody to answer the phone when family calls to check on grandma and nobody to run for labs, blood, fluids, stuff....it’s all on the RNs.
 
I’ve known 3 or 4 nurses in the Charlotte area, in both Novant and CHS/Atrium, in the heart unit, babies, and everything in between. They all griped in harmony about understaffing and working conditions. This was 10+ years ago and continues to today. I used to always tell them I don’t know why they put up with it. Walk off the damn job if its that bad. They’d always say “it’s about the patients” or “I just couldn’t do that to my patients.” I have no sympathy or you then if you’re not going to speak up when someone’s shitting on you. ESPECIALLY when said shatting increases the chances of something going wrong exponentially.
A lot of times it really is about the patients. The patients get screwed over by their insurance and sometimes you're the only one that can help them.
 
The bean counters won't put one more nurse on a shift than can minimally handle the work for the day. No allowance is ever made for sick, vacation or plane crash.
 
RS and I have lost 5 Doctors this year. 1 GP we had for 12 years, the GP they replaced that one with, and 3 specialists.
 
My employer either bought or is leasing the first citizens bank branch and just opened a wellness center in it. It's for employees and dependents only.

I hope the staff and care is up to par, because my doctor quit about two years ago and I've been driving to the next county for a primary care physician.
 
US Healthcare started going downhill when Medicare started.
But the national nurses unions all back this disaster of single payer. They think it will give them more power because all healthcare works will be federal and forced to join the union. But the skyrocketing cost of SP will result in slashed wages, slashed staffing numbers and hospital closings.
 
My SIL is a RN of 20+ years. Her first 10 were in a major teaching hospital mainly in Cardiac ICU (she was scheduled for 12 hours weekend shifts that were more like 13-14 every time). In 2010 she walked into the Administrator’s office and told him what was wrong and if he didn’t open his eyes he was going to lose quite a few of the staff very soon. He kinda laughed and asked if she was one. She said “Nope, here’s my resignation now and my 2 week notice starts today.” (she already has lined up a new job). She went to work for a plastic surgeon specializing in facial plastic surgery and reconstruction. Her job went 8-6 Monday thru Thursday and half day Fridays some weeks for the same pay with 90% less stress and way better work environment. When people ask her about selling out she tells them about the medical mission trips the doctor and nurses take every so often to rural US areas as well as South America (Guatemala this past summer).

The medical “industry” is pushing many of the good doctors and nurses into “for profit” type practices because of earnings and environment (as well as BS paperwork and regulations). Before long the best and brightest will have to make a choice to whether they will deal with public healthcare and eke by or specialize in a for profit type optional medicine (fertility, plastic surgery, etc) and make a good living.
 
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I wasn't too impressed with The NHS when I lived there.

It's a wonderful system for the little crap, as long as you have time to sit and wait to be seen. It removes the $500 for a simple shot issues you get here.... But for anything over basic care it's a godawful rationed bloody mess.
 
It's a wonderful system for the little crap, as long as you have time to sit and wait to be seen. It removes the $500 for a simple shot issues you get here.... But for anything over basic care it's a godawful rationed bloody mess.

^^^^^
Yeah. I lived and worked in Canada in the early eighties. It's a great place to have a broken arm or a normal pregnancy. If my son had been born there, he'd be dead.
 
A lot of times it really is about the patients. The patients get screwed over by their insurance and sometimes you're the only one that can help them.
It’s admirable and all, but there comes a point...
 
My employer either bought or is leasing the first citizens bank branch and just opened a wellness center in it. It's for employees and dependents only.

I hope the staff and care is up to par, because my doctor quit about two years ago and I've been driving to the next county for a primary care physician.
The few of those I know about, they actually work pretty well for your normal stuff...sore throat, seasonal cold, etc.
 
Okay, this is going to be brief because I'm getting ready to shower and take my kids to the Harry Connick jr. concert. I will post more later.

I have been a nurse for 17 years, I have been at the bedside, management, I've been a nurse coordinator, a project director, and now I am a clinical nurse educator. Most of my time has been in the emergency department and critical care with a little bit of time and procedural radiology.

I will tell you what it's like globally, the bell curve applies here. Some hospitals and systems are really great for nurses, and some are truly, truly awful. But most of them, it's a tough place to work. The article is spot-on. The hours are long, overtime is plentiful, there are vacancies in almost every department, the amount of breaks you get, if you get any, is laughable, working conditions can be very difficult.

The board of nursing spells out what we can and cannot do very clearly, and in all honesty, there have been times where I put my license on the line because I had to deliver crappy care because I've had too many patients to take care of. That is unsafe for the patient and it's dangerous for the nurse and his or her livelihood.

people get into nursing because they care, and they want to take care of people. They don't get into it because of the money or the benefits, they don't get into it because it's a get rich job. however hospitals and health systems make it truly difficult for nurses to perform at a high level.
 
My fiancee is a nurse, she was working on the Physical Therapy/Rehab floor in a local hospital for over 15yrs. An outside company came in and bought up the rehab wing of the hospital. All of a sudden the staffing ratios that were 5/1, sometimes 6/1 based on patient acuity went up to 9/1. You cannot provide the proper patient care with that high a patient load. On top of that they cut the CNA/Tech staff in half, plus since it is an outside agency, they don't have the support of the hospital like they did before as far as Rapid Response and code teams. If they had an issue with a patient they had to take them to the ER instead of just calling up the proper doctor to come and take a look. What was once one of the premier Rehab units in the country is about destroyed.
Luckily another hospital snatched her up, along with almost the whole crew that worked there, gave her a $4.00/hr raise, and there patient/nurse ratio is 5/1.
 
It was garbage before that, honestly.
Yes, but it's a lot worse now. During the eight years I worked in a hospital, I watched work conditions deteriorate and good nurses and doctors for that matter, give up. Our motto used to be Extraordinary Care. One day our nursing director said, at this point, she would settle for safe care.
 
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