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