On Monday, approximately 800 Las Vegas nurses were locked out of their hospitals after trying to negotiate for increased staffing and improved patient care. They had been intimidated by union-busters, suspended for supporting unions, and working without a contract since June.
United Health Services (UHS), the association in charge of the two hospitals, yesterday agreed to let the nurses return to work on Saturday and begin negotiations, but the work to ensure quality care is far from over. An August study ranked the Nevada last “among the 50 states in the number of registered nurses per 100,000 residents. The study found that Nevada had 514 registered nurses per 100,000 residents in 2000, well below the national average of 780 nurses per 100,000.”
Increased staff at hospitals — what the nurses in Nevada are fighting for — has a direct impact on improving patient care:
– “6,700 patient deaths and 4 million days of hospital care could be avoided each year by increasing staff of registered nurses.”
– Lowering a nurse’s workload by one patient decreases the mortality rate by 7 percent.
– “85 percent of nurses work longer on a daily basis than their scheduled hours. Recent research has documented a substantial increase in the rate of errors associated with nurses working more than twelve consecutive hours, and close to half of hospital staff nurses commonly work longer than twelve hours.”
– Nurses who are union members generally make 13 percent more than non-union nurses.
Nursing shortages are, in large part, a result of inadequate wages. Nurses who are union members generally make 13 percent more than non-union nurses. Therefore, by discouraging the nurses to join SEIU and refusing to negotiate with the union, UHS has been blocking better care for patients.
Taylor Marsh has more.
Sign the petition to improve nursing staffing standards and patient care.
THis isnt a story. This company is private the last time I checked. They should be free to pay and employ however many nurses they want. This is the free market. If Thinkprogress is worried about deaths and the people of Neveda, I encourage them to start there own chain of hospitals.
December 6th, 2006 at 12:17 pmSo we should use the non union workers and reduce the cost of health care.
December 6th, 2006 at 12:19 pm#1 RR
Ah, a neocon who holds the all mighty dollar above that of life.
This is a story because it shows the sorry state of the healthcare system in our country. The example in this story is only the tip of the iceberg. Nursing is itself is a difficult job to begin with because they face death everyday. Adding overwork and underpay doesn't help the system.
December 6th, 2006 at 12:23 pmAgain, example such as this just re-enforce the fact that allowing private companys to run our health system is outrageous since they will always put profit above the well being of patients.
uhhhhhhhh... i just thought i might mention, las vegas is NOT the only city in nevada... the problem exists here in reno too as well as statewide...
And, yes, I DO take it personally
December 6th, 2006 at 12:25 pmIn response to the nursing shortage, the healthcare corporations treat the nurses they do have, even worse, go figure that one out.
December 6th, 2006 at 12:28 pmHopefully Roger won't be in Nevada and need to go to the ER. Or anywhere and need to go to the ER, the quality of care at any given ER is substandard.
December 6th, 2006 at 12:29 pmHeh. 9:30 a.m. and I've already been deleted.
That's low, TP. I used the *.
:-)
December 6th, 2006 at 12:30 pmThis is the way capitalism works. #1 is correct in saying the company is private. #1 is, of course, wrong about everything else.
This is capitalism at its worst. The hospital is a capitalist corporation where profit is more important than human life. If capitalists profit more by having fewer nurses and more preventable deaths, then that is what they will do.
Capital has no conscience and it knows no holiday.
December 6th, 2006 at 12:30 pmKevin, unfortunately the health care corporations will not pass any savings from employing non-union nurses, on to the consumer.
Again, Kevin and Roger must never have had to really use the health care system other than for the occaisional flu. Hopefully Kevin or Roger will never have a premature child that stays in the hospital for weeks after its born, worrying about the quality of care and then getting a 375,000 dollar bill.
December 6th, 2006 at 12:32 pmNetwork Executive: “For God’s sake, Chris! The whole world is watching. We can’t let him die in front of a live audience!â€
December 6th, 2006 at 12:33 pmI call it predatory capitalism, and thats what most companies and individuals engage in. Placing the profit margin over and above everything else. It's what our government is influenced by. I got mine screw everyone else.
December 6th, 2006 at 12:35 pmHealth care in the US?? What health care? It's all heading down the commode as the corporate monopolies (big insurance, big pharma) control our lives.
December 6th, 2006 at 12:35 pmYou know the sad thing is there really are people who think like these trolls do. Their callous disregard for life is great flame/troll-bait, but it's not limited to the trolls.
Nurses are as much a casuality of our health system as the patients. They are underpaid, overworked, and have to put up with a lot more BS than most people since they are on the front line (and are forced to take care of jerks like our resident TP trolls).
The best part of Roger's post though is this...
Indeed, that is the free market economy. Hence why the system is FLAWED.
We are trying... it's called "socialized health care."
December 6th, 2006 at 12:37 pmOr watch a spouse die and as you walk out the door, extremely sad and shocked by the loss, but also impressed by the heroic efforts exhibited by the intensive care staff, you get the afforementioned extremely large bill.
Makes you proud to be an American.
December 6th, 2006 at 12:42 pmoff topic, but congrats to thinkprogress for being nominated as a finalist in the best liberal blog category in the 2006 weblog awards.
it's an honor to be singled out, and any blog that gets to the finals should be very, very proud.
we know that skippy sure is!
.
.
December 6th, 2006 at 12:46 pmOr, extending this into our wonderful health insurance industry, hopefully they won't have to wait until its too late for an actual diagnosis of an illness they have because the health insurance corporations don't want to pay out money for treatment. And then, of all things, these corporations file lawsuits against any doctor who would accurately diagnose patients and successfully treat them rather than other doctors following the line of the insurance industry, just tell their patients its all in their heads. What a wonderful healthcare system we have!
December 6th, 2006 at 12:49 pmHealth care should not be subjected to the free market. Health care is about people's health, not making money.
December 6th, 2006 at 12:50 pmUnfortunately I lived in Nevada for a while. It's a RED STATE and I strongly suggest that the nurses migrate into a blue state. Let them 'smart' republicans take care of themselves.
December 6th, 2006 at 12:52 pmLet all those Republicans just pull themselves up be the bootstraps, that what the Arizona constitutions says about healthcare.
December 6th, 2006 at 12:58 pmThe Republicans represent the greedy, selfish side of America, the liberals represent the mature caring side of America.
December 6th, 2006 at 1:00 pmThe Republicans represent the greedy, selfish side of America, the liberals represent the mature caring side of America.
Comment by ForTruth
I would say serious illness is the great equalizer, but I don't think it's true.
December 6th, 2006 at 1:07 pmTell that to charities.
December 6th, 2006 at 1:13 pmFrance, Germany ,Belgium, Switzerland and Holland have 0 waiting lists for any hospital treatments ........... Fall ill and you are seen immediately
Beat that
December 6th, 2006 at 1:27 pmKevin,
This debate has taken place already several times on TP, there are sources that say the poor give the highest percentange of their income to charities. And we've also visited what some of the "Charities" really are that conservatives give to. Some of it is a coverup for thier own special interests, like they give to thier churches. And the rich do give a lot, but overall it's the percentage is a pittance, and they needed the tax break. I still stand by what I said. If Republicans were so generous, why do we have so many poor and homeless is this country?
December 6th, 2006 at 1:30 pmKevin,
Your story was written by right wing shill John Stossell, that explains it.
December 6th, 2006 at 1:31 pmUnemployment is at it’s lowest. So I would say that if they don’t have a job they don’t want one. And if John Stossell is a shill wouldn’t TP be a shill for the left?
December 6th, 2006 at 1:51 pm#26 Kevin
Unemployment may be low, but what kind of jobs are those that people are holding now compared to a decade ago? Many jobs are only part time, so persons must hold multiple jobs and also do not get the benefits of a full time job.
December 6th, 2006 at 2:01 pmLow unemployment means nothing. Its how supportive the jobs are the people are able to get that matters.
so if you can't get a job that is better than what you are consider sub standard, the government should take care of them?
December 6th, 2006 at 2:09 pm#28
If someone is working two part time jobs and still has trouble paying all their bills for the necessities, then why should the government not help them out? They are obviously doing all they can to support themselves, and despite that are unable to get everything they need.
December 6th, 2006 at 2:14 pm#29 Why can he get help from local charities or family or friends. Why not go back to school and find whatever education he missed out on and better himself. I want that person to find help. I would be willing to help. But a government handout is not the help he needs.
December 6th, 2006 at 2:20 pm#30, why is it a government handout if we pay taxes? Where do you think the government gets the money anyway?
December 6th, 2006 at 2:37 pmI am home sick in bed, about to go to the doctor and pay way too much cash to see how bad it is. No insurance and two jobs. Welcome to America.
My mom works for one of the striking hospitals, as a nurse. She has never joined the union, and does not believe in striking as a way to get what you want. She has too much of a committment to the patients she takes care of to walk out on them.
What I notice in all of this news coverage is the obvious spin. I haven't seen ONE comment from a non-union nurse. I don't think anyone argues the value of having more nurses. The hospitals in question aren't avoiding hiring nurses - there just aren't nurses to be had. Note the quote in all stories of how Nevada is toward the bottom in number of nurses per 100,000 residents - the nurses just aren't there! Valley will actually pay for your tuition if you agree to work for them for two years (as opposed to the 10 years it took my husband to pay off his student loans). So the hospital is doing what it can to increase the number of nurses - what has SEIU done?
What's funny is that the contingency nurses hired by UHS are very good. For once, one person said, the patients were getting care, rather than the nurses spending every free moment talking about what they want from the contract.
Erin
December 6th, 2006 at 2:43 pm#30
Charities themselves are not enough and neither is family especially if they are in the same rut.
December 6th, 2006 at 2:44 pmWhere are they gonna get the time or money to go back to school? School costs are skyrocketing. Also, most of their time is already spent trying to make enough to eek out a bare existence.
The help they want and that is needed are full time jobs that will give them a decent wage and benefits. If that cannot be had, then government support should be given.
Kevin,
There is way more need than any local charity can fulfill. The problem is way worse than you realize. If you did realize, you would be singing a different tune, or decide to go back to denial.
December 6th, 2006 at 2:50 pmKevin,
I agree many of the disadvantaged should just get a job. Are you gonna make them? And when they get ignored by us, guess what, they get attention and resources one way or another by committing crimes. So we still pay for them anyway. Would you rather ignore these people until they commit a crime, or prevent the crime and pay on the front end?
December 6th, 2006 at 2:52 pm#33
You are wrong about Charities. You just don't want to take John's word for it. Community college is cheep. Government and privately funded I know. But it is a way up. If someone makes bad choices in life and need help they can get it via non government sources. People need to understand personal reasonability. But we teach them that they can’t survive without the government then we lose that independence.
December 6th, 2006 at 3:01 pmSo you solution is to bribe potential criminals? If a person refuses to get a job and would rater commit crime than accept charity then that’s when the government steps in and locks that person up.
December 6th, 2006 at 3:19 pmKevin,
People have to want to lift themselves up out of poverty. And there are many barriers you wouldn't know about. Like how you hate poor people. This does not help the ones who are trying to do better.
What do you do with the ones who don't want to do anything to better their situation?
December 6th, 2006 at 3:19 pmNo Kevin.
The partial solution is to give help to people who need it. When they get turned away, they turn to crime.
December 6th, 2006 at 3:20 pmI think it is funny. If there truly is a "want" for more nurses, better hospitals, etc. etc. from the public in Nevada, then there is a market opportunity for a new and better company to come in and fill the "want". Since no one, including the bitchers like thinkprogress have built a hospital in Nevada, it concludes that there truly isn't the "want" from the public. If there was, then someone would step in to fill it and make a profit.
December 6th, 2006 at 3:20 pmKevin there is no easy solution. Like the you would like to think.
December 6th, 2006 at 3:21 pmRogerx2,
By all means step up to the plate.
December 6th, 2006 at 3:27 pmFunny, a couple of folks have called on TP to solve this problem.
Good to see the pukes looking for appropriate guidance and authority.
December 6th, 2006 at 3:32 pmI saw this report on TV before seeing it writing. It was so full of holes, it was extremely frustrating. You cannot have the political party dominated by the wealthiest contribute the most to charity while simultaneously the poorest (who overwhelmingly are with the other party, religious nuts excluded) give the most to charity. The TV news article made it sound like all Democrats are rich and all Republicans are poor. What bizarro planet was that research done on?
However, when you actually break down the numbers, it does show some very interesting results. ABC padded it with fluff to make Republicans sound like great benevolent caring human beings to cover up for their greediness.
Could the middle class (which is 50/50 repub/demo) give more? You bet! We all could when fortune smiles upon us!
But what constitutes a countable "charity?" If I give money to the homeless guy with no legs on the street corner, is that counted? Do rich republican people (perish the thought) lie about how much they are giving? Is the full amount given to a church counted, or just the percentage with which the church gives to charitable acts? I have rich relatives who give a lot to their church -- but they also make good use of the church's private health club, basketball courts, multi-million dollar audio and video systems, and so on. I like electronic toys, but I wouldn't call that "charity." Does the survey count TIME donated to charity as well as money? And so on and so on...
Plus, comparing a large city, where people are skeptical of giving money to anybody with a basket and a bell, compared to a small town where you know everybody that you are helping when you give... that's not a fair comparison of "liberal" versus "conservative." Does a huge conservative city match the donating prowess of the town in BFE?
Man that news report is going to be cited as to why the Religious Right is the One True Way for some time to come. Luckily in reality, they make such huge asses of themselves and commit so many crimes, that the impact will be minimal... Mainly just an article conservatives and forward to each other in emails so they can pat themselves on the back.
December 6th, 2006 at 3:37 pmI know man... I grew a hospital in my backyard yesterday. It only took a little water and fertilizer and POOF! New hospital. Why can't Nevada grow hospitals like that? They are so profitable and do so much good. Everybody should grow them.
December 6th, 2006 at 3:39 pmShhhhh.....Rogerx2 is creating his own reality.
Quiet...
December 6th, 2006 at 3:48 pm#1 This is the free market.
Comment by Roger_Roger — December 6, 2006 @ 12:17 pm
Exactly. And good profesionals have a price. If you buy the cheaper, you'll end with some idiot who injects you pee instead of your medicine.
December 6th, 2006 at 3:52 pmRepublicans count giving to the various legal defense funds of the criminal GOP "charity".
December 6th, 2006 at 3:58 pmLet's not forget Barbara Bush's donations to Katrina relief efforts, specially earmarked for her son's educational software company.
December 6th, 2006 at 4:12 pmI guess dealing with the poor became too complicated for Kevin. He returned to his state of denial.
December 6th, 2006 at 4:25 pmThey have a new Restaurant in Phoenix, AZ. Called the "Heart Attack Grill", and the owner dresses like a Dr. all the wait staff are hot ladies in "Nurse" outfits. They serve like a 10 pound hamburger, if you finish it, they roll you out to your car in a wheelchair.
The local real nurses aren't happy about it.
I have no real point, just wasting bandwidth.
December 6th, 2006 at 4:31 pmMy point is the "poor" can take care of themselves with out the government handout that keeps them poor. That too complicated for you?
December 6th, 2006 at 4:40 pm#52 My point is the “poor†can take care of themselves with out the government handout that keeps them poor. That too complicated for you?
Comment by Kevin — December 6, 2006 @ 4:40 pm
But "personally responsible" conservatives (ha!) assert time and again that poors want money from the taxes to become rich. I guess that your allegation is so far from reality that it's difficult to maintain the lies together...
December 6th, 2006 at 4:51 pmKevin,
Can folks born into wealthy families take care of themselves, some can, some cannot. Some poor people cannot take care of themselves either. You oversimplify it.
December 6th, 2006 at 5:15 pmI know that most of you have probably never worked as a Union member. I was fortunate enough to have once had a Union job. It was the best job I ever had in my life, because management was forced to treat its employees like the human workers they were, rather than numbers on a financial statement. We were all contract workers, and the job ended because we completed our project--on time and with a record low cost to the employer. Becuase of this, I belive strongly in unions, and urge all TP readers to support union labor wherever possible.
December 6th, 2006 at 5:17 pmAs for Roger & Kevin--What comes round goes round--One day they could wind up losing everything due to illness and have to depend on charity or the governmen to support them and their families. Then they will be talking out of the otherside of their mouths.
You underestimate the poor. What about all the folks that grew up poor and made something of themselves. I grew up dirt poor. But I made something of myself. I had help from my family and worked hard to get it.
December 6th, 2006 at 5:44 pmI think it’s interesting how “compassionate†progressives wish dead and illness on me but want to hold hands with radical Islamic killers. And then say I’m evil and heartless. Looks like progressive hypocrisy to me.
December 6th, 2006 at 5:52 pmRegardless if one's employer is the government or the private sector, the ability to unionize is at the cornerstone of job stability.
December 6th, 2006 at 5:57 pmI'm not in a union. Don't want it. Don't need it.
December 6th, 2006 at 6:05 pmBut then you guys complain about the rising cost of health care. If you give raises to the nurses, your HMO premiums are - GASP - going even higher.
Shocker.
#17: Health care should not be subjected to the free market. Health care is about people’s health, not making money.
Well, lets eliminate or cap salaries for Doctors and Nurses. Remove the greed!
December 6th, 2006 at 6:16 pmHey Muckdog,
Doctors and Nurses made good money way before the system was in the shape its in today. I don't think that's where to start slashing costs.
December 6th, 2006 at 6:25 pmYou underestimate the poor
Comment by Kevin
You finally made me chuckle. I came from dirt poor too and made something for myself. I work with the poor now. You overestimate the poor's skills and abilities. Kevin, you are likely white, as I am. It was way easier for you and me to get ahead, than many other non-whites. You are not aware of your white privileges you take for granted.
December 6th, 2006 at 6:28 pmSo non-whites can't get ahead without the government? and you folks call me a racist.
December 6th, 2006 at 6:48 pm#61, you want to give raises to nurses. Who do you think will pay for that?
You want to have more access to health care by folks who don't have coverage. Increasing demand for services will also increase costs. (You remember a couple years ago what all that demand did to the housing market, right?)
So what are your ideas on slashing costs? Give me some specifics.
December 6th, 2006 at 6:52 pmMuckdog,
Administrative costs for healthcare are in the range of 45%. When HMO's took over they took the savings and saved it. Any typical business standard for administrative costs is 15%.
Can we start there?
December 6th, 2006 at 7:25 pmMuckdog,
Healthcare has become a giant paper chase. I work in that too. Healthcare for the poor. Administrative costs are out of control.
I never said anything about giving anyone raises, yet. That would take time after the administrative overhead is re-structured.
December 6th, 2006 at 7:27 pmDo you think the government can do a better job?
December 6th, 2006 at 7:29 pmDo you think the government can do a better job?
Comment by Kevin
In that particular context, that is a great phewking question. As it is today, probably not. If government was more honest and less corrupt, maybe yes.
What do you think about government regulation. (I know here it comes)
December 6th, 2006 at 7:34 pmI lived in Vegas for 10 years - believe me, it has he worst medical care in the US. This isn't a political or ideological issue, as some seem to think. The issue is quality of health care - period. If you want to gamble on not getting quality health care, then Vegas is the place for you. I now live in KÇ, which has wonderful health care services.
December 6th, 2006 at 8:23 pm$50 for a half hour doctor visit
December 6th, 2006 at 10:16 pm$12 for antibiotics
= $72. Out of a weekly paycheck of $500. Not a lot to some of you, but it makes a serious dent in my budget.
And of course, I don't have sick leave at my job either! I have been out two days this week. Hoping to work tomorrow.
Thanks FSM it wasn't anything serious. But if it ever is, I will be going to the emergency room and everyone else's insurance will have to cover it.
I would be happy to get a catastrophic insurance plan, but the cheapest one would be $300 a month for my husband and self... not affordable, with a $2750 mortgage payment.
Just my reality - Kevin, how much do you make? Does your boss give you sick leave and health care? Bully for you. Some of us are not in that boat.
The Nursing shortage is Worldwide. The US is competing to get nurses from other countries, and yes, often paying them less than nurses from the US.
However, one of the MAIN problems in the shortage is NOT PAY. It is the lack of NURSING PROGRAMS and the lack of QUALIFIED STUDENTS entering the profession. Nursing programs are VERY EXPENSIVE for colleges to maintain and several, including USC which had one of the most respected Nursing programs in the country, have disbanded their programs because the grade point average of the students was actually bringing down the averages for the entire school, jeopardizing them in terms of funding, etc.
We have to find a midway point in trying to solve this problem.
December 6th, 2006 at 11:23 pmHey Roger Roger can't wait until your a patient in a private hospital that is free to employ as many nurses as they wan't and they lock your nurse out on your sick or injured self.
Its a violation of human rights if you ask me (the patients not the nurses)
Sincerely,
Tim Miller
December 7th, 2006 at 2:14 amRN
Some of my comments are cross-posted at Taylor Marsh. I did add some thoughts based on the comments I have read here.
December 7th, 2006 at 11:49 amI am an RN and have not worked for 2 years. My last job was on an Ortho, Med/Surg, ICU step-down unit. The nurses on our unit, 30 beds, took care of patients with a wide variety of problems. The one thing they all had in common was the fact that they were very sick. I worked 12 hour shifts, which often ended up being 16 hours because of the mountain of paperwork and the convoluted computer-based charting system our hospital had in place. One night, I was asked to stay over my 12 hour shift and agreed to stay. I was pulled off my unit and sent to work in the nursery. I am not qualfied to work in a neonatal setting, and thankfully the staff gave me responsibilities I could handle, but the burden of responsibility and the potential for a sick newborn's condition to deteriorate was enormous.
There were many nights/mornings that I drove home exhausted, rewinding every hour of my shift hoping and praying that I had remembered to follow-up on all my work. I, along with many on staff, would call the unit after they gotten home just to make sure the next nurse coming on duty had all the data that they may have missed in the rushed haste of the change of shift report.
We had no union representation where I worked, so we, and our patients, were at the mercy of administrative and corporate decision-makers.
One problem were the nurses at the administrative level. By the time many of them had risen to these high level "clipboard-carrier" positions, they were completely isolated and removed from the difficulties of working at bedside, and rather than becoming advocates, they became lapdogs working to please and appease their bosses.
I am a Purdue University graduate, and I love nursing. I can't imagine doing anything else, but I wouldn't encourage anyone I know to pursue a career in nursing now, knowing what I know, and having lived in a state of constant anxiety at the thought of showing up for work. I became a nurse because I wanted to provide care and comfort to people. When the work environment seems to function in direct opposition to this, it becomes untenable.
Nurses see people at their worst and at their best, but most of the time, they see the human condition in vunerability. To be helpless and dependent on others is a difficult position and knowing that you are the "thin white line" that may stand between life and death is a sobering responsibility.
Nurses shouldn't be recruited. Nursing should be a profession to which one feels a calling. It is a life against nature, in many ways. How many people would deal with bodily functions, despair, death, and a host of other unpleasantries for the money. At the very least, a nurse shouldn't fear going to work. A nurse shouldn't have to be afraid that they will be unable to meet the challenges they face on every shift. They should have every tool they need to do the work most of them love.
Well done!
Nursing issues are complex, and there are many contributing factors to the intensifying nursing shortage. Nursing workloads are not ideal and can lead to unsafe patient care resulting in mistakes, patient harm and patient death.
Nurses work almost exclusively as employees of healthcare organizations. Nursing service leaders by their employment status, maintain allegiances to hospital administration over professional nurses, thus splitting nurses' power base. However, a professional practice group model may be one alternative which overcomes this limitation and returns nursing practice autonomy to nurses.
It is imperative that nurses unite under their professional interests and move the profession forward - for their own well-being and for patient advocacy.
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