Showing posts with label nurses. Show all posts
Showing posts with label nurses. Show all posts

Tuesday, March 22, 2022

Transplant coordinators

 Those of us adjacent to kidney exchange know that transplant coordinators are heroes, and I'm reminded of that by some recent news stories.

This is one, from YNET, by Tamar Ashkenazi, who runs the Israeli transplant organization. Transplant coordinators are nurses, and these flew to the Ukraine-Polish border to help care for refugees in transit:

Meet Israeli organ transplant coordinators who rushed to aid Ukrainian refugees  b yDr. Tamar Ashkenazi

"Among the earliest delegations Israel sent to Ukraine was one consisting of a group of organ transplant coordinators, who refused to remain neutral in the wake of the horrors of war. 

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And here are some stories about Charles Bearden, one of the first transplant coordinators in the U.S.:

Life-saving matchmaker By KEN BECK For the Grundy County Herald

"Bearden, the longest-practicing organ transplant coordinator in the U.S., has observed a world of changes in organ transplants since he began his career in the 1970s."

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Transplant coordinator Charles Bearden has placed nearly 3,000 organs  by KEN BECK news@wilsonpost.com

"Organ transplant coordinators typically work 24-hour shifts 15 days a month. If Bearden makes it to the end of 2022, he will have fulfilled that role 45 years."

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 And here's an old post containing a poem by Marisol Robles (one of the first kidney recipients in a global kidney exchange) about Susan Rees, the transplant coordinator for the Alliance for Paired Kidney Donation:

Thursday, November 3, 2016



Friday, April 10, 2020

Clearinghouses are hard to organize in a hurry: volunteer medical workers in NYC

Many healthcare workers are willing and able to come to New York to help with the shortages that Covid-19 has created there.  But existing staffing marketplaces seem to be the avenue by which many of them are in fact matched.

The NY Times has the story:

Volunteers Rushed to Help New York Hospitals. They Found a Bottleneck.
When New York called for volunteers to help fight the coronavirus, 90,000 people responded. The hard part? Getting them into hospitals.

"Ms. Strickland, a former pediatric intensive care unit nurse in High Point, N.C., spent hours trying to submit her volunteer application online, and then emailed city and state representatives. She never heard back.

"Frustrated, she reached out directly to Mount Sinai Queens hospital in New York City. A manager told her to use a private recruiting agency, which the hospital had used for years to bring in temporary staff.

"Within two days, Ms. Strickland, 47, received her assignment. She started this week in the hospital’s emergency department, making about $3,800 a week for three 12-hour shifts instead of doing it for free, as she had initially wanted.
...
"As of Wednesday, more than 90,000 retired and active health care workers had signed up online to volunteer at the epicenter of the pandemic, including 25,000 from outside New York, the governor’s office said.
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"New York City hospitals have only deployed 908 volunteers as of Wednesday, according to city health officials.

"The urgent need for medical personnel is colliding head-on with the immovable bureaucracy of hospital regulations
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"State officials said the volunteer portal, which was built from scratch, was initially overwhelmed by the response, but has since connected about 10,000 volunteers to hospitals in New York State within two weeks.
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"The challenge of screening so many medical workers has opened an opportunity for the dozens of established private agencies that place temporary nurses and doctors at hospitals nationwide
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"The staffing agencies, an $18 billion industry, say that unlike the state, they already have the technology and infrastructure in place to quickly check credentials for health professionals. In normal times, hospitals hire them to fill short-term staffing needs, such as during a regular flu season.

“As great as it is that the state is trying to help, it’s a very complex process to staff a clinician,” said Alexi Nazem, chief executive of Nomad Health, a health recruiting agency based in New York. “There are dozens of documents to verify. Our company has spent years building those systems.”
...
"New York City’s public hospitals had used private recruiters to bring in about 3,600 new medical workers as of late last week and were seeking to hire 3,600 more, according to the mayor and a city spokesman.

"One of those recruiting agencies, NuWest Group, began contracting with the city less than two weeks ago. Since then, the agency has secured hundreds of nurses and respiratory therapists for city hospitals, with some positions paying more than $10,000 a week, a spokeswoman for the agency said.

"Agencies, who negotiate the rates with hospitals, say that without the high pay, there would not be enough qualified clinicians willing to take jobs at the front lines
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"Hospital staff members say they are grateful for any reinforcements, but some residents and nurses have expressed frustration over the pay disparities."

Tuesday, February 17, 2009

Market for nurses: residencies?

Despite the medical-training ethos of "see one, do one, teach one," newly graduated MD's aren't considered to be independent doctors until they have completed several years of organized on the job training (in the form of residencies and fellowships). Nurses, however, are often thrust directly into relatively unsupervised patient care directly upon graduation.

That may be changing, partly because the stress of being given too much responsibility too soon causes young nurses to leave: Amid Nurse Shortage, Hospitals Focus on Retention.

"Many novice nurses like O'Bryan are thrown into hospitals with little direct supervision, quickly forced to juggle multiple patients and make critical decisions for the first time in their careers. About 1 in 5 newly licensed nurses quits within a year, according to one national study.
That turnover rate is a major contributor to the nation's growing shortage of nurses. But there are expanding efforts to give new nursing grads better support. Many hospitals are trying to create safety nets with residency training programs."
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"One national program is the Versant RN Residency, which was developed at Childrens Hospital Los Angeles and since 2004 has spread to 70 other hospitals nationwide. One of those, Baptist Health South Florida in the Miami area, reports cutting its turnover rate from 22 percent to 10 percent in the 18 months since it started its program."
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"The American Association of Colleges of Nursing and the University HealthSystem Consortium teamed up in 2002 to create a residency primarily for hospitals affiliated with universities. Fifty-two sites now participate in that yearlong program and the average turnover rate for new nurses was about 6 percent in 2007."
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"The National Council of State Boards of Nursing is considering a standardized transition program. It cited a study showing a link between residencies and fewer medical errors, but also pointed to the inconsistency among current efforts."

Saturday, September 13, 2008

Market for nurses

The Washington Post runs a story whose sub-headline is Recruitment Plans Focus On Working Conditions Over Financial Rewards . Apparently salary isn't the only way to compete for scarce nurses. Job satisfaction matters too. Who knew?