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Order viagra 1 I’m awake, order viagra 1 but my liver bile is still asleep!
Order viagra 1 Who knew?
Order viagra 1 Isn’t “liver bile” redundant?
Order viagra 1 I wonder what’s in those Carter’s Little Liver Pills?
Order viagra 1 An exhaustive search of
Wikipedia the internet shows that Carter’s is still sold as Carter’s Little Pills and is made of Bisacodyl.
Order viagra 1 AKA Dulcolax.
Order viagra 1 Seems it wakes up more than just your liver bile!
What the hell was I thinking when I signed up for ten semester units???
I told myself I would take classes slow and easy and enjoy the process. Order viagra 1 Of course, order viagra 1 the first chance I get I sign up for pretty near full time units. Order viagra 1 I always do that.
Now I work nursing, order viagra 1 I study nursing and I blog nursing. Order viagra 1 I’m a nursing machine!
Somehow that didn’t come out right…
I believe that as long as nurses are employees of a hospital and not private contractors they will not have power in an organization.
I started to brainstorm ideas. Order viagra 1 After the shock of having my brain still functioning after three hours of Statistics, order viagra 1 I asked myself…
How could this be done?
What if nurses started their own staffing companies? Companies that the nurses themselves would own.
I’m not talking registry here. Order viagra 1 I’m talking a company that contracts with a hospital to provide unit staffing. Order viagra 1 Any unit. Order viagra 1 Any floor. Order viagra 1 Long term. Order viagra 1 One year, order viagra 1 perhaps more…
I’ll use the emergency department as an example. Order viagra 1 Suppose I brought together a group of nurses with experience in emergency nursing. Order viagra 1 All of them CEN certified with ACLS, order viagra 1 TNCC, order viagra 1 PALS and ENPC certifications. Order viagra 1 We form a company – just for fun we’ll call it “EmergiNurse, order viagra 1 Inc.”
EmergiNurse, order viagra 1 Inc. Order viagra 1 contacts Hotel Hospital and says, order viagra 1 “For ‘x’ amount of money, order viagra 1 we will staff your department full time for the next year.” That includes charge nurses and a manager.
If an EmergiNurse is sick, order viagra 1 another EmergiNurse will take their place. Order viagra 1 The hospital doesn’t worry about providing health insurance, order viagra 1 benefits, order viagra 1 sick leave, order viagra 1 vacation or scheduling. Order viagra 1 They don’t have to worry about paying overtime. Order viagra 1 Twenty-four hours a day, order viagra 1 seven days a week there will be enough EmergiNurses in the department to staff the floor at least at minimum staffing levels. Order viagra 1 More staff if the acuity is up. Order viagra 1 Less if the acuity is down. Order viagra 1 We adhere to all hospital policies regarding Joint Commission requirements and patient care/procedures.
For a price. Order viagra 1 We contract with the hospital to provide nursing service on a unit for a set fee. Order viagra 1 One fee negotiated for the year. Order viagra 1 If the census drops the fee stays the same. Order viagra 1 If the census increases and more EmergiNurses are needed, order viagra 1 the fee stays the same.
We would provide documentation of all licenses, order viagra 1 certifications, order viagra 1 inservices and competencies. Order viagra 1 We would provide the health insurance, order viagra 1 vacation, order viagra 1 sick time, order viagra 1 educational leave and malpractice insurance for ourselves. Order viagra 1 We would pay ourselves a set monthly salary.
None of this clock punching, order viagra 1 standing by the time clock waiting for the minutes to pass before you can leave without getting docked in pay. Order viagra 1 We are professionals. Order viagra 1 We show up and we work. Order viagra 1 If we finish our work before change of shift is over, order viagra 1 we leave. Order viagra 1 If the unit is quiet, order viagra 1 we decide whether to leave or staff in case of admissions. Order viagra 1 If we have to stay over one day, order viagra 1 it’s not a big deal and we don’t quibble over 20 minutes of overtime. Order viagra 1 We set our own schedules.
We are professionals who own our own practice, order viagra 1 and we own the company. Order viagra 1 If we make money we keep it. Order viagra 1 We aren’t going to lose money because the hospital still has to provide for nursing services to the patients – they would be paying this money anyway. Order viagra 1 They don’t have to worry about union contracts because they are not our employers. Order viagra 1 We would manage ourselves, order viagra 1 bound only by hospital policies and state laws regarding breaks and overtime. Order viagra 1 We hire only the best nurses who meet our high standards. Order viagra 1 Magazine readers, order viagra 1 internet surfers and all ’round lazy attitudes need not apply.
We would be paid for our service and not have our professional services hidden in room fees and miscellaneous hospital costs.
Look, order viagra 1 doctors do this all of the time. Order viagra 1 They contract with hospitals to provide care for the patients. Order viagra 1 Yes, order viagra 1 that generates money for the hospital but the hospital is going to have to provide nursing care no matter what for those patients.
So we make it easy for them. Order viagra 1 They are still paying (big time – nurses don’t come cheap), order viagra 1 but with less administrative hassles to deal with.
Imagine hiring a nursing company to staff your facility.
Travel nurses do it as individuals. Order viagra 1 Registries do it per shift.
Why not entire units?