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ER closures and limited staffing

I was wondering if the average blood pressure readings were up over the last few years. Same with the medics.
 
48Connor said:
My cousin is an ER nurse. Was with her 2 weeks back and of course the topic of nurses being overworked/underpaid came up. She said her current schedule is 4 days on 5 days off, and has to pick up 1 extra shift a month (that she takes vacation on so she doesn't have to go in). Like goddamn I work 4 on 4 off and that is the best schedule I've ever had, having another day off would be insane. Sure I have no doubt they all work their ***** off when they are at work, but we aren't always getting all sides of the story.

I will agree they are underpaid. $35/hr for a nurse with 5 years experience is trash.

Also I'm a little annoyed how Bill 124 is portrayed in the media as only effecting nurses. Like the guy standing at the panel of each nuclear reactor is only getting a 1% pay raise, but you don't hear sh*t from them.
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The registered nurses I know make $40-$50/hr based on the type of care they deliver. High acuity RNs in my daughter's hospital are around $50, and are paid double time for OT.

I think nurses were collateral catches in Bill 134. The intention of that bill was not to reign in nurses, it was aimed at a public sector that under the last regime drifted to a 40% pay premium over the private sector.

I'll bet nurses will get a fair deal soon.
 
GreyGhost said:
It's not just small centres. Toronto Western almost called it this weekend (although there are obviously nearby alternates closing one probably pushes the rest into a state of near failure).
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I think that was a union stunt. It doesn't take many coordinated sick day calls to knock a hospital floor off balance.

The Star posted a similar article that included TG and Sick Kids. No mention of it on SK website, the nurse I know floats all their ICUs, she never heard of this.Left wing media sensationalizing to sell papers.
 
Mad Mike said:
The registered nurses I know make $40-$50/hr based on the type of care they deliver. High acuity RNs in my daughter's hospital are around $50, and are paid double time for OT.

I think nurses were collateral catches in Bill 134. The intention of that bill was not to reign in nurses, it was aimed at a public sector that under the last regime drifted to a 40% pay premium over the private sector.

I'll bet nurses will get a fair deal soon.
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I hope so but it's amazing how much effort people will put in when they get respect.

I was in ER once for a minor ailment and couldn't believe the language and anger people were directing towards the nurses. If you use that behavior in any other facility you are asked to leave.

Then shyte faced Trudeau, getting heckled at a rally, tells the hecklers to picket a hospital. A-H.
 
nobbie48 said:
I hope so but it's amazing how much effort people will put in when they get respect.

I was in ER once for a minor ailment and couldn't believe the language and anger people were directing towards the nurses. If you use that behavior in any other facility you are asked to leave.

Then shyte faced Trudeau, getting heckled at a rally, tells the hecklers to picket a hospital. A-H.
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I think the image some people get of nurses comes from TV shows, nurses hustling their butts off, compassionate and advocating for patients. There are some "Florence Nightingales" out there, but not all.

I've experienced good and bad, the best and worst at Markham Stoufville. Head injury last year was like a TV show. 10 years back an ER nurse asked offered to dispose of the severed thumb I had in a cup of ice, she coldly said we don't fix those, we just throw them out. I declined, a resident surgeon reattach it.
 
nobbie48 said:
I hope so but it's amazing how much effort people will put in when they get respect.

I was in ER once for a minor ailment and couldn't believe the language and anger people were directing towards the nurses. If you use that behavior in any other facility you are asked to leave.

Then shyte faced Trudeau, getting heckled at a rally, tells the hecklers to picket a hospital. A-H.
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I think the image some people get of nurses comes from TV shows, nurses hustling their butts off, compassionate and advocating for patients. There are some "Florence Nightingales" out there, but not all.

I've experienced good and bad, the best and worst at Markham Stoufville. Head injury last year was like a TV show. 10 years back an ER nurse asked offered to dispose of the severed thumb I had in a cup of ice, she coldly said we don't fix those, we just throw them out. I declined, a resident surgeon reattach it shortly after.

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I am sure there are exceptions, but most family doctor visits can be done by phone. Most initial visits are concluded by recommending RICE, a prescription, or a referral. Nurse practitioners can provide similar primary care at a cost-effective rate and free family doctors to provide specialised care. Greeding physician colleges are actively undermining nurses' scope of practice to protect their overwhelmed scope of practice.
 
daught said:
... Greeding physician colleges are actively undermining nurses' scope of practice to protect their overwhelmed scope of practice.
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That's true. I got a face full of stitches last year the nurse was coaching the young ER doctor. Nurses don't do simple suturing unless no doctor is available.

I remember getting stitched on the bench by a hockey team trainer who also stitched our damaged gear.
 
Mad Mike said:
That's true. I got a face full of stitches last year the nurse was coaching the young ER doctor. Nurses don't do simple suturing unless no doctor is available.

I remember getting stitched on the bench by a hockey team trainer who also stitched our damaged gear.
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There’s no reason why we shouldn’t have a massive increase in the number of nurse practitioners. I’ve never come across a poorly skilled nurse in this country but I’ve had the displeasure of bumping into quite a few inept doctors. Part of that is the slight difference in education track and attitude from the different groups. I couldn’t put a number on it but I’m guessing about 80% of what a family doctor does a good nurse practioner could do and in many cases do it probably better.
 
The number of nurse practitioners is only limited by the number of nurses that want to pursue that level of career and can manage that next level. Not all nurses have the smarts to make the jump. The ones that do are pretty good.


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jc100 said:
There’s no reason why we shouldn’t have a massive increase in the number of nurse practitioners. I’ve never come across a poorly skilled nurse in this country but I’ve had the displeasure of bumping into quite a few inept doctors. Part of that is the slight difference in education track and attitude from the different groups. I couldn’t put a number on it but I’m guessing about 80% of what a family doctor does a good nurse practioner could do and in many cases do it probably better.
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My step father was having stomach pains and the doctors kept trying different tests and pills. My mother was visiting a friend and the friend's daughter was there. She was a nurse and overhearing the conversation asked if they had given him an ultrasound. Nope.

My mother asked the doctor about an ultrasound and was given a chippy answer but the ultrasound was given and it showed the problem, an aneurysm on the aorta. Deadly. Zipped into surgery.

Doctor Rule #1 Never admit a mistake.

Doctor Rule #2 If a mistake is obvious, blame a nurse.
 
jc100 said:
There’s no reason why we shouldn’t have a massive increase in the number of nurse practitioners. I’ve never come across a poorly skilled nurse in this country but I’ve had the displeasure of bumping into quite a few inept doctors. Part of that is the slight difference in education track and attitude from the different groups. I couldn’t put a number on it but I’m guessing about 80% of what a family doctor does a good nurse practioner could do and in many cases do it probably better.
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I agree. My old doctor has 2 NPs and a PA under him in his local office. The NPs and PAs do most of the work these days, he's getting on in age.

I think what you're talking about is twofold. Balancing the number of practitioners to the health care system's needs, AND unleashing responsibilities for non-acute diagnostics, medication, and procedures to match the real capabilities of nurses, NPs, and PAs.

One thing that always perplexed me was the scope of things a Paramedic with 2 years of community college can do, vs an RN with 4 years of university education.
 
Georg3__ said:
^
Fordie wants to bring more non-Canadian trained doctors and nurses into hospitals. Not saying all foreign trained doctors and nurses are badly trained but I wonder how this will play out... Based on my experience in the tech industry, foreign trained folks are very greeen
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We'll see what materializes, it isn't going smoothly in other provinces and I don't expect it to go any smoother here.

 
crankcall said:
The number of nurse practitioners is only limited by the number of nurses that want to pursue that level of career and can manage that next level. Not all nurses have the smarts to make the jump. The ones that do are pretty good.


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I'd say any RN could make the jump - the question is why would they? Financially it's difficult, 2 years full-time study costs $200K in salary and $60K in tuition. NPs also need 4000 hours of on-the-job experience, which means work then return to school, another toughie unless you're wealthy.

NP narrows the scope of work by deepening the capabilities in a focused practice area, so if one really wants specialize that's the route. MScN goes wide vs deep, more on business, health care policy, and leadership -- this opens the door to more career options in teaching, management, health care administration, and a lot of the advanced clinical positions NPs can do. MScNs also see better comp and jobs that offer better work-life balance.
 
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