I understand your points. How much can you push staff and still maintain quality and safety? I think the flip side is true too. Not just keeping costs low but keeping profits high. The company that owns several hospital in my area is listed on the NYSE and it's profits grow way, way faster than inflation.
Francis
You know the answer, you can't. I went to a hospital that is publicly owned four times in maybe 8 years. Each time it was a three day stay, no matter what you had. I was told this hospital has the highest insurance reimbursement rates and pays staff the lowest in this area.
The last visit, how many nurses does it take to insert an IV? Six thats the number. Only 5 nurses looked at the IV (just a stub with a catheter) told me I was making up how bad it bit and burned. I watched how my flesh distended when they pushed saline into the IV. I was more than a little vocal, didn't help. I seriously thought about removing it on my own(utube is great), but didn't want the uncooperative label stuck on me.
I don't blame the nurses that's how they were taught(at this hospital) to treat patients.
The 6th needed to use it, on the third day, and confirmed it wasn't inserted properly, and couldn't be used. Had to insert a new one(surprise).
Per my PCPs nurse I complained when they called to see how I was doing. Weeks later I received a letter from that hospitals "risk management director". He explained I had received excellent health care, and they had records to prove it. I know he was an attorney that reviewed the records to see if their butt was covered.
If work makes you ill, and I can see how it would in a toxic environment then leave. Do part time or consulting if you need to, otherwise enjoy ER.
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