Viagra usa So that’s my problem!
Viagra usa I’m awake, viagra usa but my liver bile is still asleep!
Viagra usa Who knew?
Viagra usa Isn’t “liver bile” redundant?
Viagra usa I wonder what’s in those Carter’s Little Liver Pills?
Viagra usa An exhaustive search of
Wikipedia the internet shows that Carter’s is still sold as Carter’s Little Pills and is made of Bisacodyl.
Viagra usa AKA Dulcolax.
Viagra usa 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. Viagra usa Of course, viagra usa the first chance I get I sign up for pretty near full time units. Viagra usa I always do that.
Now I work nursing, viagra usa I study nursing and I blog nursing. Viagra usa 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. Viagra usa After the shock of having my brain still functioning after three hours of Statistics, viagra usa 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. Viagra usa I’m talking a company that contracts with a hospital to provide unit staffing. Viagra usa Any unit. Viagra usa Any floor. Viagra usa Long term. Viagra usa One year, viagra usa perhaps more…
I’ll use the emergency department as an example. Viagra usa Suppose I brought together a group of nurses with experience in emergency nursing. Viagra usa All of them CEN certified with ACLS, viagra usa TNCC, viagra usa PALS and ENPC certifications. Viagra usa We form a company – just for fun we’ll call it “EmergiNurse, viagra usa Inc.”
EmergiNurse, viagra usa Inc. Viagra usa contacts Hotel Hospital and says, viagra usa “For ‘x’ amount of money, viagra usa we will staff your department full time for the next year.” That includes charge nurses and a manager.
If an EmergiNurse is sick, viagra usa another EmergiNurse will take their place. Viagra usa The hospital doesn’t worry about providing health insurance, viagra usa benefits, viagra usa sick leave, viagra usa vacation or scheduling. Viagra usa They don’t have to worry about paying overtime. Viagra usa Twenty-four hours a day, viagra usa seven days a week there will be enough EmergiNurses in the department to staff the floor at least at minimum staffing levels. Viagra usa More staff if the acuity is up. Viagra usa Less if the acuity is down. Viagra usa We adhere to all hospital policies regarding Joint Commission requirements and patient care/procedures.
For a price. Viagra usa We contract with the hospital to provide nursing service on a unit for a set fee. Viagra usa One fee negotiated for the year. Viagra usa If the census drops the fee stays the same. Viagra usa If the census increases and more EmergiNurses are needed, viagra usa the fee stays the same.
We would provide documentation of all licenses, viagra usa certifications, viagra usa inservices and competencies. Viagra usa We would provide the health insurance, viagra usa vacation, viagra usa sick time, viagra usa educational leave and malpractice insurance for ourselves. Viagra usa We would pay ourselves a set monthly salary.
None of this clock punching, viagra usa standing by the time clock waiting for the minutes to pass before you can leave without getting docked in pay. Viagra usa We are professionals. Viagra usa We show up and we work. Viagra usa If we finish our work before change of shift is over, viagra usa we leave. Viagra usa If the unit is quiet, viagra usa we decide whether to leave or staff in case of admissions. Viagra usa If we have to stay over one day, viagra usa it’s not a big deal and we don’t quibble over 20 minutes of overtime. Viagra usa We set our own schedules.
We are professionals who own our own practice, viagra usa and we own the company. Viagra usa If we make money we keep it. Viagra usa 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. Viagra usa They don’t have to worry about union contracts because they are not our employers. Viagra usa We would manage ourselves, viagra usa bound only by hospital policies and state laws regarding breaks and overtime. Viagra usa We hire only the best nurses who meet our high standards. Viagra usa Magazine readers, viagra usa 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, viagra usa doctors do this all of the time. Viagra usa They contract with hospitals to provide care for the patients. Viagra usa Yes, viagra usa 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. Viagra usa They are still paying (big time – nurses don’t come cheap), viagra usa but with less administrative hassles to deal with.
Imagine hiring a nursing company to staff your facility.
Travel nurses do it as individuals. Viagra usa Registries do it per shift.
Why not entire units?