Politcally incorrect rant aka how my day went

1 If anyone here thinks that healthcare is not already suffering because of Medicare cuts and reimbursement cuts as a result of Obamacare and the general state of the economy... are smoking some great crack (and I'd like some). And the bad news is, we are in a downward spiral with very little to no hope of stopping it. Staffing cuts are leaving our hospital workers overwhelmed and unable to provide the level of care that we once did. Value-based pricing, process measure indicators, and customer satisfaction scores, which Medicare reimbursement is now based on, have nowhere to go but down. Which equals more decreased reimbursement and even more staffing cuts. Our national leaders from the left and the right should hang their head in shame at what they have done to our national budget.
And hospital administrators need to pull their heads out of their elitist, overly educated a$$, and join us "peons" on the front line. Then, they can tell us we need to do more. We need a practical paradigm to emerge from this nightmare--- not more esoteric weak management and leadership philosophy from the school of BS model of useless politically-correct drivel. Our leaders need to extricate their lard butts from their inane committee meetings and take a peek at the state of things. Stop telling us "we know this is a problem, we are working on it" and do something about it---- that is why we pay you the big bucks.
I guess I'm too well educated to understand most of that, but I can assure you that today's health care crisis predates the Obama administration.

The OP doesn't single out Obama in her post.... all sides are held equally responsible and the OP just states Obamacare as a contributing factor. It doesn't really matter who caused it, at this point it's everyone needs to help fix it.

I couldn't make any sense of anything past "as a result of obamacare..."

OK for the hearing impaired. What I am saying is our leaders ---- national and local (left and right) are running through our nation/ healthcare system like a swarm of locus devorhoring and destroying everything, and leaving a pile of **** it the wake. Clear?

How so?And, FTR, there is nothing lacking wth my hearing, or literacy level, lol.

How so? humm. let's see. Housing value has dropped my 50%. There is a 12% unemployment rate. Strikes on wall street. Continued spending on war in Aphganistan with no chance of "winning" or getting out. Half the nation doesn't pay taxes... Locally, my hospital expects me to take care of 4 patients total care, one which has a physician order to be OOB twice daily and also weighs 400 pounds and requires a hoyer lift for transfers, the other is in restraints with Q2 hours assessent, the other is actively having seizure and the last is just starting ETOH withdrawal. And no one on the floor to help..... SHould I go on about the "state of things"

I don't live in the US but all I can say is....I'm glad I don't practice as a RN in the states.And BTW - I regularly have 8 patients. It would be lovely to have 1:4 on each shift, though I do acknowledge u say they are total care.Nothing will change for nurses until everybody decides to go on nation wide strikes - I've said that for years. Some won't though due to fear of losing their job, don't want to be involved, whatever.

My rant of the day: I like...nay, I demand!...paragraphs.

What about decent spelling and a breath every now & then, so we can actually READ what people are posting?!!

Sadly, I fear we are *******. What is "Obamacare", anyway? If someone knows, maybe they can explain it to me. rngreenhorn, we are in the era of the "Commission", the "Study", and the "Blue Ribbon Committee". You can stall for years when you say that a group of people with important sounding titles are on it.If one nexus of power held just a few more cards than the other, we might see some system wide change. As it is now -- well most likely we will see tasks that can be done by people without a license stripped away slowly and inexorably. The RN may be paid the same or more, but fewer and fewer will be hired.

Quote from rngreenhornHow so? humm. let's see. Housing value has dropped my 50%. There is a 12% unemployment rate. Strikes on wall street. Continued spending on war in Aphganistan with no chance of "winning" or getting out. Half the nation doesn't pay taxes... Locally, my hospital expects me to take care of 4 patients total care, one which has a physician order to be OOB twice daily and also weighs 400 pounds and requires a hoyer lift for transfers, the other is in restraints with Q2 hours assessent, the other is actively having seizure and the last is just starting ETOH withdrawal. And no one on the floor to help..... SHould I go on about the "state of things"

It's kind of a sm�rg�sbord rant.There are a couple of things you allude to that could be changed without a lot of difficulty, though.The executives and people who normally inhabit an office wth a carpeted hallway should get out there and at least talk to the people on the front lines. That would be an excellent start.It always amazes me that most businesses (including healthcare) give the people who interface with their "customers" the least support and pay them the lowest wages. Imagine if that was turned around, and nurses, CNAs, etc were paid twice as much and we were flown to conferences in Carribean hotels and given gift baskets, etc.To be fair, we could have Management Week and give them all a crappy tote bag emblazoned with our names on the sides, or a polar fleece throw you can see through with a picture of our smiling faces on it. I think it would have a transformative effect and probably end up saving everyone money.