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Make all NPs revert to RNs. All problems solved. Docs happy. Hospitals happy. PAs happy. Patients happy. United unhappy...me happy.Too little, too late: 500K nurses are leaving the bedside by the end of 2022
The pandemic accelerated an anticipated nurse shortage by 20 years. What does it mean for the future of healthcare?
They're still licensed as RNs, so even if they haven't worked a day as a nurse they can still go through new nurse orientation like everyone else.
You are thinking about NP education. Nursing education AFAIK is still in-person only. And I believe most NPs do have nursing experience (maybe not the new NPs, but even then they went to nursing school).
I was always under the impression that the old school went nurse to NP but the new ones bypass that shib and go straight to DNP
Few, if any nurses, are currently getting those rates at a sustained frequency.
$150 is a joke. Normal range should be 250+
Should be $300 minimum, more like $500.
I work 140-160+ but I'm crispy. I also work enough slower shifts that it helps. I'd probably be around 130 if they were all at the mother ship.
I would straight quit.
Rusted nailed that one. Even with strong ties to the area, I would straight up quit if they cut my salary by ~30%.
Not moving forward. 55+ spots pre SOAP under 50 post SOAP. programs arent gonna give up the CMS money and cheap labor.
I've been actively encouraging our outgoing medical school bound scribes to not pick EM and happy to give my email address if they have questions later. I tell them something like, "If I ever see you here again, I hope it's because I called you as a consulting specialist."
good luck convincing a 20 something year old that they’re not going to like something 10 years down the road.
Just had a call this weekend with a former scribe. Talked for an hour. He was considering other highly competetive op[tions like derm but he thought they were boring which I cant deny. I pushed and pushed. I told him right now you can get jobs making 225-250/hr unless you are with USUCKS and that I felt EM pay was gonna trend to 180/hr (just my opinion) and he was unphased. I said you will likely make 300k/yr which is good money but you can have a better life/lifestyle with derm And make at least 2x that with no stress and no hospital political nonsense.There’s going to be lots and lots of people applying for this. I think it’s implosion is also going to attract people. Lots of people are sick and tired of medicine by the end of med school and see the light at the end of the tunnel and they want the fastest/simplest/easiest way. A 3 year residency in primary care was always that. Now that EM is seemingly on par for competitiveness this itself opens the door for some students. I personally know of at least a couple that are considering EM because it’s becoming less competitive. They’re not as concerned about the reason behind this drop in EM for some reason.good luck convincing a 20 something year old that they’re not going to like something 10 years down the road.
Agreed, but it's supply and demand. Nurses can and will and do flee the ER the minute it gets tough. Same with midlevels. Doctors are stuck, with no exit strategy.
They do, and to hear them tell it, they are always just on the brink of losing their license or putting it in Jeopardy!
I appreciate this and I think some of the emergency medicine physician frustration is equivalent to nurses cherry picking the few highly compensated shifts that I have had. I have earned comfortably over $500 per hour, I would not do it again and it wasn't worth it. Additionally, those shifts are exceedingly rare and stupidly dangerous.
If they're paying $500/hr, they're squeezing $600/hr or more of work out of you. What seems like a bonanza is a relief to those sticking it to you.
Not necessarily. There are likely some last minute shifts where you’ll make more than what you bring in for them but obviously this won’t happen consistently as that’s a poor business model.
These were last minute shifts. Essentially almost any hourly wage was better than not staffing the ER.
Whaaaat!? A 100k hospital is generally 500+ beds.. but doesn’t have a hospitalist or residents to cover floor codes? Insanity
Assuming there were also several midlevels or residents in the ED for these shifts. 100k visit/yr hospital with 55 beds in the ER can not be run by a single doctor. To be clear, even with residents / PAs, this is still insanely unsafe as you'd probably see ~60 patients in an 8 hr overnight shift. And expected to respond to floor codes? I have to believe that there are key details missing here. I'm assuming we're missing something like: so there's another doc until 3a, then morning comes in at 7a so it's really 4 hrs solo, plus there are 3 residents and a PA...
What the actual ****, that’s brutal. Good for you for not doing those anymore. EM docs as a whole just have to refuse to work in such unsafe conditions, otherwise it won’t get better.
SLOE? You think that those hundreds of people who scrambled/SOAPED into EM had SLOEs?
Only 4X... I know one ER nurse in my hospital who makes $27/hr. No EM docs here makes < $225/hr from what I was told. ED NP/PA here make $100/hr (1099).
My friend matched (Not SOAPed) w/o SLOE. He failed step1/2 multiple times and has been out of med school 4+ yrs. He was a US student though.
I hope that won't be case. He is a smart dude but has too much confidence in his ability. Hopefully his attitude has changed.
