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The New ABCs of Medical School: Anatomy, Biochemistry, and Cooking

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High-Value Care Increasingly Becoming Core Part of Med School Curriculum

High-value care has been added to curricula for many aspiring physicians

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More Ohio nurses seek 4-year degrees

When they’re not at a bedside, record numbers of Ohio nurses have been hitting the books.

Nationwide, enrollment of registered nurses in bachelor’s of science degree programs soared to nearly 90,000 last year, a 76 percent increase from 2007, according to the American Association of Colleges of Nursing.

And in Ohio, enrollment in so-called RN-to-BSN programs increased more than fourfold, from 1,686 in 2008 to 7,780 in 2011. The association said those numbers are voluntarily reported and are likely undercounts.

Ohio’s public universities awarded 1,918 bachelor’s degrees in nursing in 2010. That’s more than double the 906 degrees awarded in 2002, according to the Ohio Board of Regents.

Why? Employers are encouraging it.

In January, Nationwide Children’s Hospital began requiring new nursing hires to have a bachelor’s degree or earn one within five years. Nurses already employed were grandfathered.

Research suggests nurses with more advanced degrees are associated “with better rescue of patients who are deteriorating,” said Linda Stoverock, Nationwide Children’s chief nursing officer.

Mount Carmel, OhioHealth and Ohio State University’s Wexner Medical Center are setting timetables to reach an Institute of Medicine goal that 80 percent of nurses have a bachelor’s degree by 2020. The percentage of nurses with bachelor’s degrees is 40 percent to 45 percent at Mount Carmel and 60 percent at Wexner. OhioHealth last week said it couldn’t provide systemwide data.

That goal won’t be reached through hiring practices alone, said Gingy Harshey-Meade, CEO of the Ohio Nurses Association. Working nurses would have to return to school.

“You have to create incentives in the workplace to get people to go back to school,” she said. “ If you’re working full-time, it’s another big, full-time commitment.”

Local hospitals have nudged nurses back to school by reimbursing tuition and other incentives.

One is Kassy Robinson, a critical-care nurse at OhioHealth’s Grant Medical Center who received her bachelor’s degree a month ago. “I think I held them off for about five years,” she joked.

At Grant, the percentage of bedside nurses with bachelor’s degrees has climbed in recent years, from 31 percent in 2006 to 47 percent in 2011.

Robinson, 33, of Marengo, put off more school while her children were young. But once her youngest child started kindergarten, she enrolled in an Ohio University online nursing program.

An OhioHealth nurse for 10 years, Robinson said additional education helped her understand why she was doing her work a certain way. “You feel like you’re a little bit more able to be a leader,” she said.

Mount Carmel, OhioHealth and Wexner Medical Center still hire nurses with associate degrees and don’t require them to earn a bachelor’s degree within a specified period of time.

Hospital nurse executives said they value associate-degree nurses, noting that their diversity of backgrounds mirrors that of patients. But when they hire such nurses, they want them to further their education.

“We are concentrating on the bachelor’s-degree nurse more than the associate-degree nurse,” said Catherine Luchsinger, chief nursing officer for Mount Carmel Health System. “It gives them opportunities beyond the bedside.”

The Ohio Nurses Association would support passage of a bill that would require all new nurses licensed in Ohio to also have a bachelor’s degree in nursing within 10 years.

But that initiative has stalled. The Ohio Hospital Association opposes the mandate, saying many hospitals already are moving in that direction voluntarily.

And the Ohio Health Care Association, which represents nursing homes, is concerned a mandate could limit the supply of nurses.

But as hospitals seek more nurses with bachelor’s degrees, more nurses with associate degrees are taking jobs at nursing homes, said Peter Van Runkle, Ohio Health Care Association executive director.

At some hospitals, pushing for more highly educated nurses is part of an effort to earn or retain magnet status, a widely recognized designation of quality nursing care. That designation is held locally by OhioHealth’s Grant Medical Center and Riverside Methodist Hospital; Nationwide Children’s Hospital; and University and Ross Heart hospitals at Wexner Medical Center.

All else being equal, nurses with associate degrees are paid as much as nurses with bachelor’s degrees at Nationwide Children’s, Mount Carmel and OhioHealth. But at Wexner Medical Center and the Chalmers P. Wylie VA Ambulatory Care Center, nurses with bachelor’s degrees are paid more.

The average hourly wage for a staff registered nurse in Ohio was $27.27 in 2011, according to an Ohio Hospital Association survey.

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posted in: National, news, Employer News, Ohio
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Hospitals added more jobs, hired more workers in 2011

Report says hospital job openings has grown each year for last 5 years.

Hospitals in the region added more jobs last year, bringing the total to more than 52,000 positions at 23 facilities in the region, according to an annual report released this week by Greater Cincinnati Health Council.

Health is the second largest industry by employment in Butler County, with some hospitals among the largest employers in their communities.

Despite a slowly improving economy, vacancy rates or open jobs increased at the end of 2011 from the year before to 6.1 percent, or approximately 3,500 full- and part-time openings. That’s compared to about 50,200 hospital jobs and about 2,800 full- and part-time job openings, a vacancy rate of 5.1 percent, at the end of 2010, according to the health council.

Registered nurses remain the hospital job with the highest total of all openings at Butler County and other area hospitals.

At the end of 2011, there were 672 full-time openings for registered nurses, a vacancy rate of 6.6 percent of the work force of 9,530 registered nurses at the hospitals, according to the health council.

Over the last five years, the health council said the total number of hospital jobs in the area has grown every year from 47,172 at the end of 2007 to 52,099 most recently.

“Health care is a great profession to not only be in but to think about joining. There’s so many opportunities now,” said Mary Duffey, executive director of the Cincinnati health council’s Health Care Workforce Center. “You don’t have to be good just in biology. There’s a place in health care for everyone.”

The job openings are being driven by physical growth of the hospitals to increase access to care and increasing health needs of an aging population, Duffey said.

Vacancy rates reached a peak in 2003 of 20.1 percent for registered nurses. Then it dipped in 2009 to a low rate of job openings for registered nurses of 3 percent before increasing last year to 6.6 percent.

The jobs with double-digit vacancy rates in 2012 are: nurse practitioners, an advanced degree nurse with 27.7 percent vacancy of a total 87 full-time employees; physical therapy assistants with 15.6 percent vacancy of a total 61 full-time employees; and patient care technicians/assistants, an entry-level nursing aid position with 11.6 percent vacancy of a total 1,434 full-time employees, according to the health council.

“We’ve have steady growth through hard economic times and we expect that to continue,” Duffey said.

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posted in: Ohio
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Ohio ranks 3rd nationally in nursing jobs

Ohio ranks third nationally in nursing facility-generated economic impact and employment, with $13.3 billion annually and 106,356 jobs.
The findings were part of a new 50-state analysis detailing the significance of the U.S. skilled nursing sector on national and state economies. The study was completed by Alliance for Quality Nursing Home Care — a coalition of 15 national long-term care providers — with analysis by Avalere Health, a non-partisan health advisory firm.

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posted in: National, news, Employer News, Ohio
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AORN Announces Legislative Priorities for 2011

The Association of periOperative Registered Nurses, (AORN), with a membership base of 40,000 RNs and representing the interests of 140,000 perioperative Registered Nurses in the U.S., has announced it will target seven states in 2011 to enact RN as Circulator. The perioperative RN, through professional and patient-centered expertise, is the primary patient advocate in the operating room and is responsible for monitoring all aspects of the patient’s condition. The presence of the RN in the circulating role throughout each surgical procedure is essential for timely delivery of quality surgical care and optimal patient outcomes.
The seven targeted states, Iowa, Massachusetts, Michigan, Minnesota, North Carolina, Ohio, and Virginia, were identified following an interview-based survey of hospitals and ambulatory surgery centers by the AORN Advocacy leaders. Many of these states indicated a strong desire to assure patient safety through the use of an RN circulator for each patient during each surgery. 

posted in: Iowa, Massachusetts, Minnesota, North Carolina, Michigan, Ohio, Virginia
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Nursing jobs may find home in city

Voters may see a rezoning on the May 2011 ballot that would help clear the way for a 63,000-square-foot nursing home on five acres at the corner of Darrow and Highland roads.

The nursing home could bring as many as 140 jobs to the city, according to city officials.

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posted in: JobAlert, Ohio
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EMH Regional Healthcare System is Hiring RNs

The EMH Regional Healthcare System was founded in 1908 and today is a 438-bed, hospital system with campuses in Elyria, Amherst, and Avon Ohio. For nearly a century, the EMH Regional Healthcare System has been the leader in shaping healthcare delivery for Lorain County and Greater Western Cuyahoga County residents.

We measure our leadership through continuous improvements in our technology and the expertise of our staff. For instance, in 1915 - just seven years after our founding, we received national accolades for opening the Gates Hospital for Crippled Children. As Ohio’s first such facility, it became the precursor to today’s Easter Seals Society.This vision has continued for a century, resulting in numerous medical firsts etched proudly in EMH’s 100-year history.

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posted in: Ohio
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Cleveland Clinic - Main Campus is Hiring RNs

Cleveland Clinic is currently ranked as one of the nation’s top 4 hospitals by U.S. News & World Report and the #1 Heart Center for 13 consecutive years. Located in Cleveland, Ohio, Cleveland Clinic defines the very best of the nursing profession through Magnet hospital designation for nursing excellence.

With more than 1,000 beds, Cleveland Clinic is one of the world’s largest and busiest medical centers, serving patients from every state in the nation and from many countries around the world. Each year, more than 2.5 million outpatient visits are recorded, and approximately 65,000 surgical procedures are performed.

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posted in: Ohio
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University Hospitals in Northeast Ohio is Hiring!!!

Caring for patients and their families. Advancing medical knowledge, technologies and practices. Developing and educating the next generation of exceptional health care professionals. You can help us with all of these and more, when you add your talents to those who have already made the commitment to Be The Difference at University Hospitals.

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posted in: Ohio
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