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You have people above you and below you as a physician. I'm also not sure why you're telling me that you think you're going to be a capable physician as a pre-med. I don't care or see how that is remotely relevant to this conversation as I never used ad-homs in any capacity. Everything I've written is my thoughts as a nurse. I don't benefit at all from continuing this conversation. You can reply to me again, but I'm not going to respond any more.
that's insane - more than some doctors. clearly this is not sustainable so for those who think that this will be the norm don't be silly
I think hospitals might try to lobby to get laws passed that would require nurses to work so many hours a year in a hospital to renew their license. They could push some bs about them needing to maintain their bedside skills in case there is another pandemic. This would pull nurses from clinics and other non hospital positions which would increase nursing supply and reduce the need to hire travelers. This would allow hospitals to leverage power over nurses and make them sign contracts for more hours than necessary or else they lose their license.
When I was a nurse it definately seemed that any mistake could be pinned on you and a reason for firing. I dont think physicians are the same level of 'replacable' as RNs at all. Floor RNs are veiwed as commodities by most admins. Docs due to length of training are not. Even during residency we are hard to replace, especially as training level increases.
No way this could ever pass. Thats pure FUD.
They could frame it as a way to improve nurse patient ratios as well as being necessary to help patients in the hospital. Resistance to it would then be looked at as the nurses being greedy.
You are being low balled in terms of nurses earning 40k-50k in 2021. According to BLS data that constitutes the lowest 10% based on job survey data. The reality is that frictional unemployment is always in play in any economy and the current demand for travel contract healthcare workers is pushing new all time highs with the rampaging needs of the pandemic. Flexible nurses within healthcare systems were already rewarded with substantial pay bonuses within a system by working for a float pool (any unit) and even more so if they were willing to work any hospital. Traveling is simply the epitome of flexibility with nurses being willing to work any hospital, any situation, any time of day with hospitals being incredibly bad at managing logistics for retention, hiring, and management of staff. Anecdotally worked at a hospital for six months that had a staffing department using a faulty SMS text system that carried over so much spaghetti coding (text gibberish) that we couldn't tell what days needed to be covered (the message would never list a date because the spaghetti code took up the entire message).
You forget nursing lobbies are actually good at what they do, and many nurses are in unions. If what you were describing was acgme and residents, completly plausible, but not nursing at the state level.
That's a fair point the nursing union at my hospital is a major thorn in the admins side from what I've heard. Do you think physicians in these areas where travel nurses are getting paid so much will demand a higher pay in return?
Sounds like a pretty chill shift to me. Out of curiosity, what's your flipping protocol? And also were you guys also experiencing a shortage of levophed? We were told there was a national shortage and ended up using Vazculep as an alternative pressor to replace it in viable patients for a small stretch of time. Have not yet encountered patients with significant vision issues following s/p proning and extubation so it's interesting to see that hospitals are making that a priority when it comes to their COVID patient population.
16 hours tummy time
Lol... Opportunity cost.
The only thing I missed out on in training was a few less headaches, hours aren't that bad overall.
I agree. I talked to a traveling doc the other day and he told me that he has been making 500K for over 15 yrs.
Are you in a high earning specialty? Most primary care docs would have to work crazy # of hour to make ~500k/yr
I am not in a particularly high earning specialty. I have a med director stipend + see 16-20 patients daily otherwise in PM&R. I would about 40 hours weekly, M-F, and leave early on Fridays
Oh. Nice to know COVID is ending right before Christmas comes.
Got any advice for someone that got accepted into a DO school that wants to do PM&R?
That’s a bunch of baloney. I was a nurse before. Doesn’t come back on the nurse nearly half as bad as physicians.
They better be refusing it until absolutely necessary. Like peri code. Those patients are smart.
I am an intensivist. I am busy the entire time. Except this week where I had 8 Covid patients and less as the week went on.
Well the Physician faces consequences too. Same thing. There is a system of checks and balances. That’s where there are pharmacists there as well.
You are brainwashed. Ever heard of pharmacists? They also help ensure that patients aren’t euthanized.
Well the schooling for one. Way more bang for your buck long term to be making 200k at 23 than 600k at 32. And very little debt. And it’s more like $300k.
Except the 200k is temporary, the 600k is forever. You also earn money for everything beyond 4 of the physician years that is about the same as a non-travel nurse and can easily top six figures after moonlighting. Debt is the only real concern, but most nurses I knew had 60-100k+
I was an RN before age 23 and didn't make 200K or anything close to it.
Well, we are clearly talking of today RN ICU Covid money. Which is in the range of 200-300K easy.
You don't have to be 60-100K to be an RN. That's just plain dumb. If you live in a state where state colleges are expensive, start at a community college, get your ADN then do a year at a state college or even online and get the BSN. Doesn't have to cost more than 30K or so. Or move to a state that has cheap colleges.
The endpoint is they either die or they don't. But if they can survive on Vapotherm/NRB for 2 months, let them keep going. Because we have taken care of people on the vent for months as well so.. If that was me, I would say don't come near me with a tube unless I am coding. No sir, no Ma'am.
You don't have to go into debt. But most people do, because people make stupid decisions at 18. 70% of nurses have student loan debt, with the mediun being 40-55k depending on the study.
I did the community college thing too. Cool to meet somebody’s else who did it. I think though it’s because we had some real world experiences.
