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tbyg52 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 06:24 PM
Original message
Dallas nurses fired after voicing concern for their ICU patients
THE NNOC TEXAS SUPPORTS FIRED NURSES

ICU RNs Pleaded with Health Management Associates to Fully Staff Intensive Care Unit; Instead They Were Fired

The firing on Monday, June 4th, of three nurses, employed by Health Management Associates at Dallas Regional Medical Center in Mesquite, brings forth the necessity to inform the public of a growing dangerous practice among health care systems. These Registered Nurses, Diana Sepeda, Nancy Friesen, and Sandra Taylor were fired for voicing their concerns for the safety of their patients due to the chronic understaffing of registered nurses in the ICU unit at the Mesquite facility where they were employed as critical care nurses.


http://forums.ultimatenurse.com/nurses-union-talk/nnoc-stands-strong-fired-mesquite-25349.html#post43764
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NC_Nurse Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 06:30 PM
Response to Original message
1. .
:cry:
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Warpy Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 06:31 PM
Response to Original message
2. 50% of the qualified registered nurses in this country have left
the profession. The most frequent complaint is the brutal working conditions imposed by a for profit medical system.

One of the worst feelings in the world is the one of never knowing when something will happen at work due to short staffing and exhausted staff on mandatory overtime that will cost a nurse the license s/he worked so hard to get.

Nurses are the canaries in the coal mine, folks. The fact that 50% of them are no longer there should tell people something, but I guess greed yells louder.
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Wesin04 Donating Member (188 posts) Send PM | Profile | Ignore Wed Jun-13-07 08:06 PM
Response to Reply #2
12. I'm one of the 50%
Left in February after almost 30 years...it's brutal out there for those in the trenches. Favorable patient outcomes are directly related to good nursing care at the bedside. Without it, our patients are effed. If this continues much longer, our entire healthcare system is in jeopardy, yet the nursing shortage is never mentioned when talking about "the healthcare crisis". Those running for office are clueless.
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Warpy Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 11:31 PM
Response to Reply #12
14. No shit, and I'm in that 50% too
because the halls kept getting longer, the patients kept getting fatter (300 lb. plus), the staffing kept getting shorter, and my back kept rebelling from all of it.

I will always miss it but I can't think of anything that would make me desperate enough to go back.
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caligirl Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-14-07 01:09 AM
Response to Reply #12
19. me too. management decisions to purposely ignore safe staffing aren't new or just in Texas.
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girl gone mad Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-14-07 02:43 AM
Response to Reply #12
22. The shortage is being addressed..
with more visas to bring in lower paid, often under-qualified nurses from abroad.
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Warpy Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-14-07 08:44 AM
Response to Reply #22
25. I've worked with those nurses and they are qualified
but they have trouble with the language and need training to use the technology.

The shortage is usually addressed by "new staffing guidelines" issued every six months saying, "Bend over, hon, nobody who left will be replaced and their jobs are now yours."
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maveric Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 06:35 PM
Response to Original message
3. Firing good nurses who actually care about patients is CRIMINAL!
Thats one of the reasons I left Health Care and wet back to shipbuilding. Administrator's only concern is the bottom line. They do and say whatever "Corporate", tells them to. At any cost.
Understaffing is so bad out here in CA. Its supposed to be a 6-1 ratio by law but I've worked stations where its 20-1. The patients suffer greatly due to the understaffing and the fatigue factor of nurses who routinely have to work 4+ 16 hour shifts in a row to make the quota.
I've seen good nurses get canned, quite often dismissing them on trumped-up charges, for expressing their concern for the welfare of their patients.

Health"care"?
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tbyg52 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 06:39 PM
Response to Reply #3
4. It's still that bad in CA?
I though the nurses' union had made some improvements....?
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maveric Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 06:48 PM
Response to Reply #4
5. On paper perhaps.
Its the same way it was when I left in 12/05. My best friend is an RN who is bullied into working multiple/consecutive 16 hr shifts. Everyone is tired and slower.
I've see patients DIE from this.
I've seen nurses DIE from this.
Healthcare in the US is a racket.
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tbyg52 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 06:53 PM
Response to Reply #5
6. That's pretty bad,
when you can be represented by a union and *still* have this happen.
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maveric Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 06:57 PM
Response to Reply #6
8. If you are lucky enough to find a union facility.
Unless you work at big hospitals you wont find the union.
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annabanana Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 06:56 PM
Response to Original message
7. Of course. Sick patients are MUCH more expensive than dead ones.
There is an organ in my body that must be "America" (the one I grew up believing in), and this story makes it ache.
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TwilightGardener Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 07:18 PM
Response to Original message
9. I used to be an ICU nurse. I worked in hospitals that usually had adequate
staffing to maintain the ICU standard of one RN/two-patient ratio, but if someone called in and we couldn't get a float, you might get stuck with three pretty damn sick people. I don't miss that job. What I love about this story is the hospital saying, "Oh, you don't think we have enough nurses? Well, guess what--we have even less now--you're fired!" Boy, that's helpful.
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NC_Nurse Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 07:38 PM
Response to Reply #9
11. Makes a lot of sense, doesn't it?
:wtf:
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proud patriot Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 07:19 PM
Response to Original message
10. Son of a ....
:grr:
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w8liftinglady Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 08:23 PM
Response to Original message
13. I just left my Dallas RN job after three years of fighting understaffing
I work for a large "Christian" hospital system.My administration chronically understaffed me,despite my vocal-and written-objections.Word gets out if you are a problem nurse.Most of the nurses I worked with were from the Phillipines,made less money than I did,and were afraid to speak out,lest they be deported.As far as I know,there are NO union hospitals in Texas.They tried to bring the union in about 15 years ago,and many nurses were fired,intimidated for participating.
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RepublicanElephant Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 11:41 PM
Response to Original message
15. not to worry folks....
the repubs are working on ending the shortage by bringing in as many low wage foreign nurses as possible.

of course those dang dems would rather offer more nursing schools for AMERICANS, but hey this is a global economy, right?
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Jonathan50 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 11:48 PM
Response to Original message
16. My wife's sister's husband just graduated from medical school
At the age of forty two, after a career as a hospice nurse.

He got tired of doing basically the same job as a doctor, not getting any respect and being abused by superiors constantly.

IMO, he will make a great doctor. He is going to make his practice in a small town and plans on home visits for the severely housebound.
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w8liftinglady Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-14-07 02:41 AM
Response to Reply #16
21. I have found that doctors who were nurses first are the best
Very few holistic physicians in my area...I know ONE who makes housecalls.
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knitter4democracy Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-14-07 02:19 PM
Response to Reply #16
26. Hubby got through college as a nurse's aid in nursing homes.
That's what got him into med school--the head of admissions told him that, if he could handle doing that job for six years (started in high school), then he could handle med school and residency. That's why Hubby's nice to the nurses and spends the time he needs to on his patients. I told him that, if I ever find out he was mean to a nurse or anything like that (and I have ways of finding out), he'd pay for it at home, too.

Why do they always cut nursing staffing levels? They think it's cheaper to pay more in malpractice insurance and lawyer fees, and that's just sick.
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lpbk2713 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jun-13-07 11:50 PM
Response to Original message
17. Let no good deed go unpunished.




Words to live by at the outfit I retired from.




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FloridaJudy Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-14-07 01:03 AM
Response to Original message
18. I'm another of the 50%
I quit hospital nursing because it was just too damned exhausting - physically, emotionally and mentally. Another problem this country faces is that the population of nurses is aging rapidly. Bright young women aren't as attracted to it as they were in my salad days, when it was one of the few educated professions that welcomed them. It's also getting harder to qualify as a nurse: most RNs now are required to have Bachelor's Degrees, which are getting more and more expensive every year. College educations were relatively cheap when I got mine, and there were lots of scholarships available for nurses.

Firing good nurses is insane. Replacing them with less skilled staff is putting patients in danger: horror stories abound whenever nurses let our hair down and share our "war stories".
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moondust Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-14-07 01:57 AM
Response to Original message
20. Time to call SEIU.
http://www.seiu.org/health/nurses/

Beware management thuggery and the hiring of professional union busters to try to prevent unionization. Mesquite, Texas, is probably a worst-case scenario.
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Hekate Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-14-07 02:46 AM
Response to Original message
23. Filipina nurses are being hired in our area & elsewhere.They're good but that's not the point,is it?
The whole system is sick, sick, sick. :-(

Hekate

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SarahB Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-14-07 04:47 AM
Response to Original message
24. Magnet hospitals are a good start in addressing this problem.
In order to attract (and retain) the best qualified applicants, magnet hospitals for nursing are a decent start. They require certain staff ratios depending on the level of patient acuity as well as certain standards. Unfortunately, hospitals to achieve this are few and far between.
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