Had a lot of email about temps. There are good and bad, some are temps because of the situation like ours, some are because they like to be, and some are because they can't get hired any other way. This one seems like the first kind.
I read your comments about agency nurses and I would like to add some of my own, as well as steer you straight about we agency folk.By the way, did I mention that I worked agency many, many, moons ago? When I was, I worked where I wanted to, because they wanted me. The ones that E$$ent wants...don't want them...Frank.
While it's true that agency personnel are temporary by nature, it isn't quite true that we have no vested interest in the patients in a certain facility. I am a former PRMC employee/refugee, currently working as an agency medical technologist. While I do not stay at any one place for longer than, say, 26 weeks, I do care about the quality of my work and how it affects the patients of the client facility I may be at. The same is true for most of the agency nurses. Granted, I have not yet found a place I care to stay permanently, and granted I have no desire to stay at my current post past my contract time, but one thing I pride myself on is turning out good work. I felt the same way when I was a former McCuistion employee, and even under the Christus and Essent regimes.
OK, so much for defending my career, now for some numbers:
I'm not sure how much agency RNs bring in on an hourly basis, but I can tell you that it costs the facility a pretty penny not only hiring an agency person, but add in the salary, insurance, per diem, car allowance, housing (paid for by the client in the fee paid to the agency) and whatnot, and it ain't cheap. Multiply that by all the agency folks contracted out by PRMC, and that's an awful lot of coin going out the door. As a contract medical technologist, I spent 20 weeks at the VA center in Augusta, Maine. I was told that the VA was paying my agency on average of 75 dollars per hour to have me there. I paid no bills or rent, my utilities were paid, and all I had to buy was food (and the occasional adult beverage if I desired), gas, and stuff for personal maintenance. RNs historically get paid more than medical technologists (could be all the P&Ming their group has done over the years), so I'll bet 75 bucks an hour is darn cheap- probably higher for the nurses.
Again, we are temporary- once our contracts are up, unless we get extensions we're gone. Training time (which takes up considerable amount of contract time), & money out the window, which has got to be invested for each new temp.
Here's an idea, radical tho it may be- spend the coin to improve the wage & bennie package, change the facility culture, and make the place more attractive to we allied health personnel to want to stay. I was happy during my time at McCuistion, and even tho we sniped with the St. Joe lab, we helped each other out when we ran short of certain reagents, let each other run specimens on our analyzers in a pinch, and had a friendly rivalry with little hostility. THR screwed that one up, resulting in the merger of facilities and eventual purchase by Essent.
It could be the only way to change culture is to change ownership.
I know- well, duh.......
PS- I know how to post to blogs and all, but the computer I use at work to answer email prohibits access to weblogs. My wife was kind enough to copy & paste some of the jucier parts & send 'em to me in an email. It's good to know that there are some other employees there in Paris that aren't bending over when Essent tells 'em to. Perhaps someday I'll tell you how I came to be an ex-PRMC employee, but for now keep up the good fight, and chinga Essent!