Back-breaking work? Nurses face extraordinary health risks

Chart: Musculoskeletal work injuries by occupation: percentages

Nursing assistants, orderlies and registered nurses make up a significant chunk of the total number of back injuries suffered at work every year

NPR conducted an in-depth investigation into the working conditions of nurses, focusing specifically on how nurses suffer a shockingly disproportional number of back injuries. The authors concluded that “nursing employees suffer more debilitating back and other injuries than almost any other occupation — and they get those injuries mainly from doing the everyday tasks of lifting and moving patients”.

The NPR reporting was published as a series of articles, full of worrying data and heartbreaking stories, and the first four pieces alone added up to some 10,000+ words. Luckily the NursingJobs.us blog published a handy summary:

Back-breaking work? A shocking 4-part NPR report on the extraordinary health risks nurses face – and a couple of charts and leads of our own

The post does some follow-up work too, describing some of the impact the NPR stories had, and taking a closer look at one of the hospitals where the reporters found management to have treated injured nurses particularly callously.

The writer also observes that the NPR stories haven’t been the only recent reporting about the health risks nurses face. Nurses working rotating night shifts have an increased risk of death from cardiovascular disease and lung cancer, recent research has found; nurses suffer depression at twice the rate of the national population; and health care and social assistance workers in general are four times as likely to suffer an injury or illness because of violence at the workplace as other workers.

Safe patient handling: Be aware, be safe [quote, chart]

The number of musculoskeletal injuries by occupation, and how nursing assistants and registered nurses rank

Sen Sanders Joins Forces with Nurses and Students, Introduces ”College For All Act”

The Robin Hood Tax swooped into America’s national spotlight when presidential contender Sen. Bernie Sanders joined with National Nurses United and student groups in Washington, D.C. at a press conference today to announce his introduction of two Senate bills  – the College for All Act and the Robin Hood tax bill that would levy a small tax on Wall Street financial transactions in order to fund free tuition at every public college and university in the United States, as well as slash interest rates on existing student loans.

The College for All Act and the Robin Hood Tax would set a 0.5 percent tax on most stock transactions, and a lesser tax on bond and derivative trades. Such a tax has been championed for years by NNU, the country’s largest organization of registered nurses, and other healthcare and climate change groups and is already in effect in more than 40 countries around the world, including Britain, Germany, Switzerland, and China. A similar Robin Hood Tax bill, H.R. 1464, introduced by Rep. Keith Ellison, is pending in the House of Representatives. The tax is estimated to raise about $300 billion per year to fund programs such as free higher education, healthcare for all, and a reversal of climate change.

RoseAnn DeMoro, NNU’s executive director, said that nurses often see the health results that a lifetime of accumulated debt, stress, and poverty cause.

“The nurses are here because we have fought long and hard for a Robin Hood Tax to fund education, healthcare, shoring up our environment, to fund everything that has to do with human suffering,” said DeMoro. “Because what the nurses end up seeing at the bedside is all the unnecessary human despair and suffering when we don’t have these things.”

The country’s young adults are currently drowning in about $1.3 trillion of student loan debt that is borrowed at rates often set higher than mortgage and car loan rates. This crushing debt is a huge burden that prevents many young people from advancing in their careers and lives, stopping them from buying a car, getting married, buying a house, or having children.

“The time is long overdue for the American Congress to start listening to the needs of the American people and not just Wall Street,” said Sanders, flanked by students and registered nurses. “This is not a radical idea. Only in a Congress dominated by Wall Street and big money is this considered a radical idea

A huge student loan industry, as well as the federal government, has sprung up to service and profit off this need for loans, and student loans are currently bought and sold just like toxic mortgage debt was before the mortgage bubble burst in 2008. Some economists believe another bubble has ballooned around student debt, and is poised to pop soon, as well.

Sanders pointed out that many European nations make public secondary learning free for all qualified and willing students. Last year, Germany eliminated tuition at its public colleges. Denmark not only makes college free, but pays students to attend. In Sweden and Finland, public colleges are not only free to citizens but foreign students. Even in the United States, many public universities just a couple generations ago used to be free or at least very low cost.

Contrast that to today, when Sanders said that he cannot go anywhere in Vermont without parents coming up to him to discuss this crisis. “They come up to me and say, ‘This is crazy,’” recounted Sanders. “The other day I talked to a young doctor who told me her crime, the crime of becoming a general practitioner, was $300,000 of student debt.”

Some students at the press conference testified to not only the burden of graduating with major student loans, but how difficult it was to not be able to focus on their college studies while they were working two, three, four jobs to make ends meet – even with loans.

“While I was in school, I worked multiple jobs and often did not know whether I would have enough money to return to school the next semester,” said Alexandra Flores-Quilty (pictured left) of the United States Student Association, a group that advocates for students. She graduated late from the University of Oregon and now owes about $20,000 in student loans as well as $30,000 to her single mom. “Education is the foundation of any country. A free education means a free society. We need Sen. Sanders legislation to make sure that education is a right, not a privilege.”

Octavia Savage (pictured right), a recent accounting graduate from Bloomfield College, said that she worked day and night to afford college, on top of student loans. “When applying for college, the most important concern about college was, ‘How am I going to pay for school?’” said Savage, who worked in the college library, at UPS, at Sprint, and at Wal-Mart to make ends meet and still graduated with $26,000 in debt. “Students shouldn’t have to drown in debt to get the education they need to survive.”

 NNU’s DeMoro added, “People say, why are the nurses supporting a Robin Hood Tax? Because they experience despair and human suffering with every shift that is completely unnecessary.”

 

Click here to watch the press conference.

Watch the Robin Hood Tax USA live stream.

CNO of the Commonwealth

In May 2015, HB 389 Chief Nursing Officer (CNO) of the Commonwealth was passed in the House (final passage 187-6). HB 389 adds language establishing the office of the CNO of the Commonwealth within the Department of Health.

The CNO shall be appointed by the Governor with the advice and consent of the Senate. HB 389 requirements states that the CNO will:

  • be a practicing RN licensed by the Commonwealth,
  • be an RN with an unencumbered license,
  • have at least 10 years of working experience as an RN and
  • have a master’s degree in nursing or a master’s degree in public health.

Strong leadership is critical to realizing a transformed health care system in the Commonwealth.  Nurse leaders working in collaboration with other health care professionals is a key strategy for achieving innovative health care. To achieve this, RNs must actively serve on committees, commissions and boards. These committees often include Governor-appointed cabinet officials, but lack the engagement of the largest segment of health care providers — the RNs. The development of the role of HB 389 CNO of the Commonwealth is a significant step in achieving this goal.

The Shift Never Ends – Best Nurse for 2015

As a Nurse, it can be said that for some the shift never ends. This couldn’t be more true than for Diana Wright, founder of The Right Solutions. Diana was recently honored as Northwest Arkansas Democrat-Gazette’s Best Nurse for 2015. Join me in congratulating her for this exciting achievement. “When you put on your scrubs […]

The post The Shift Never Ends – Best Nurse for 2015 appeared first on The Gypsy Nurse.

Pet-friendly State Parks for Travel Nurses

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Pet-friendly State Parks for Travel Nurses

Have an awesome adventure with your best friend at one of these pet-friendly state parks for Travel Nurses!

For many Travel Nurses, whether to bring your pet on assignment or not is not even a question. Of course you want to hit the road with your best pal(s)!

Studies have shown that pet owners often cope better with new or difficult situations, making traveling with your pet good for your spirit and performance.

So, luckily, there are pet-friendly Travel Nursing agencies that will make traveling with your pets easier for you. But even though a pet-friendly company can help you with housing and other resources to make you and your pet happy on the road, once you arrive at your new location it can be a challenge locating dog parks or other good spots to go play with your pet(s) when you don’t know .

So I totally thought of you pet-loving Travel Nurses, when I saw a recent Roadtrippers post that shares some really great information about pet-friendly state parks. For Travel Nurses, it offers lots of great opportunities for pet-friendly fun and sightseeing with your pet on the road in Texas, New York, South Carolina, Kentucky, Utah, Alabama, Arizona, California and other locations.

Click here to learn more about some of these great pet-friendly state parks for Travel Nurses. And, bonus, you’ll also find a discount code for Rover.com where you can get a free night of pet-sitting!

Do you know of any great pet-friendly state parks for Travel Nurses? Share your faves in the comments!

 

Feds Say That In Screening Colonoscopies, Anesthesia Comes With No Charge

Earlier this week the federal government clarified that insurers can’t charge people for anesthesia administered during a free colonoscopy to screen for colorectal cancer. That’s good news for consumers, some of whom have been charged hundreds of dollars for anesthesia after undergoing what they thought would be a free test. But the government guidance leaves important questions unanswered.

Under the health law, most health plans have to provide care that’s recommended by the U.S. Preventive Services Task Force without charging members anything out of pocket. The only exception is for plans that have grandfathered status under the law.

That task force, a nonpartisan group of medical experts, recommends that starting at age 50 people periodically receive either a colonoscopy, sigmoidoscopy or fecal occult blood test to screen for colorectal cancer.

Most people are anesthetized during a colonoscopy, in which a flexible tube with a camera at the end is inserted into the rectum and snaked through the large intestine to look for polyps and other abnormalities.

Although the health law made it clear that the colonoscopy itself must be free for patients, it didn’t spell out how anesthesia or other charges should be handled.

That lack of clarity allowed insurers to argue at first that if polyps were identified and removed during the colonoscopy, the procedure was no longer a screening test and patients could be billed. In 2013, regulators clarified that patients couldn’t be charged for polyps removed during a screening colonoscopy because it was an integral part of the procedure.

With this week’s guidance, the government has made it clear that consumers don’t have to pick up the tab for anesthesia during a colonoscopy either.

But other questions remain. Consumers may still find themselves on the hook for facility or pathology charges related to a screening colonoscopy, according to an email from Anna Howard, a policy principal at the American Cancer Society Cancer Action Network, and Mary Doroshenk, director of the National Colorectal Cancer Roundtable.

In addition, cost sharing rules are unclear for consumers who get a positive result on a blood stool test and need to follow up with a colonoscopy. The federal government hasn’t clarified whether that procedure is considered part of the free screening process or whether insurers can charge for it as a diagnostic procedure, Howard and Doroshenk say.

In a 2012 study, researchers found that four insurers imposed patient cost sharing for colonoscopies after a positive blood stool test and three did not.

As for consumers who paid for anesthesia and now learn that they shouldn’t have been charged, it’s unclear if they can get their money back.

“Our expectation is that those who have received a bill for anesthesia this plan year may be able to appeal, but not for previous years,” Howard and Doroshenk said.

The Department of Health and Human Services didn’t respond to a request for clarification.

Please contact Kaiser Health News to send comments or ideas for future topics for the Insuring Your Health column.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation.