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Re: gainful employment/burnout

Cathy: Acuity systems are a thing of the past in most health care
institutions...they now use algorithms that are based on numbers of
admissions and discharges to calculate hours per patient days...gives a
number of care providers to take care of a number of patients and then
what is the lowest skill mix RN to nursing assistant ratio they can come
up with. It really, really, really stinks!!!!!!!!

Melody, IA (Z 5/4)

"The most beautiful thing we can experience is the mysterious."    
--Albert Einstein

 --- On Fri 08/13, cathy carpenter < cathyc@rnet.com > wrote:
From: cathy carpenter [mailto: cathyc@rnet.com]
To: gardenchat@hort.net
Date: Fri, 13 Aug 2004 19:48:48 -0500
Subject: Re: [CHAT] gainful employment/burnout

What algorithm? One would think that it would take acuity into
<br>account....<br>Cathy<br>On Monday, August 9, 2004, at 12:05 PM, Judy
L Browning wrote:<br><br>&gt; Well folks, in the last 3 days, my so
called 8 hour shifts have <br>&gt; stretched to<br>&gt; 9-11 hours with
no time for a lunch break. 5 hours overtime, or about <br>&gt;
an<br>&gt; extra day's pay for the 3 days. Not sure it's worth it. They
staff by<br>&gt; algorithm at this hospital rather than by acuity. I
fail to understand <br>&gt; how<br>&gt; paying 2 or 3 nurses overtime is
cheaper than paying an extra <br>&gt; assisitant. I<br>&gt; can afford
to work only 6 days every 2 weeks, and can't afford to work <br>&gt;
more,<br>&gt; emotionally or physically. A lot of nurses choose to take
other, less<br>&gt; lucrative work because of the killer stress
involved.<br>&gt; Getting off my soap box, thanks for letting me
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