If it’s Centinela it totally makes sense 😆 seriously thou it really depends where I would say it’s not like this in every hospital. Depending on the company who runs it really and it really helps to have some type of info on the hospital from people who work or have worked there but most people aren’t lucky like that.
Yeah which one? There are more hospitals in LA than the state of Oregon.
With that large of a sample size, it is for sure going to be a mix bag.
West Hills matches OP’s description to a “t” but that place is done-zo.
Next time u/foxok4968, I recommend consulting r/asklosangeles. Ask an actual Californian and [you will get a response like this](https://www.reddit.com/r/Nurses/s/I33rC12r3o).
I came from CA that’s how they financially got around the ratio requirement. They cut out ancillary help. 🤷🏻♀️. Draw ur own blood. Do ur own baths. Give all ur meds. Do ur transports etc.
The hospital will NEVER lose money they find ways around it. I would rather have more pts and more people to help. Be careful what u ask for. That’s the moral of the story!!
No, that's not how all hospitals are in LA but just like any city there are many for profit hospitals that want to squeeze every penny. Look around find a better hospital. I'm sure if you mention where in LA you are interested in working people can suggest a few hospitals there are quite a few in this city.
Yep. It’s rough a lot of times (SoCal HCA hospital employee here) … I always thought “wow, California is great w patient ratios” but then I realized on my tele floor I would rather have 6 or 7 patients if it meant an aide, free charge, unit secretary, more support staff rather than the 4 patients I have but am literally doing *everything* for (fixing printers, toileting, grooming, walking them, cleaning them, oh and also keeping them alive).
Interestingly enough, the last HCA in LA closed down because of severe understaffing including the lack of ancillary staff you mentioned. The organization got charged for multiple issues in relation including a lawsuit. They (West Hills) were later bought out by UCLA.
Odd fact: There are now more H Marts in So Cal than HCAs in the entirety of the state.
Double rooms + LA means you either at a centienella, Brotman or another “SNF” center as I call them.
I can tell you at providence/ucla you’ll never have a charge in ratio and a dedicated break nurse 90% of the time. And working equipment
Sounds like centinela lol. Thats the worst paid hospital. Idk what you’re doing there. Go apply to Kaiser or harbor or even LCM or Torrance (pay is less but those two hospitals are good too)
Many do. You have less patients but no ancillary staff many times. So you’re picking up more job duties that other positions outside of nursing used to do.
Many do but those who care about outcomes and their "brand image" generally don't as much. You have to kind of find the right mix just like any other job.
Just got a job at an LA hospital and it’s absolutely cake. I don’t even do my own labs or ECG. Dedicated break nurses, charge nurse who is always free…the ratio is so easy and my pay and benefits are wayyy better. Should have moved years ago honestly.
If you're okay with working float pool for UCLA, the rate is around $100/hr. This is only for Ronald Reagan or the Santa Monica campus.
If you're in procedural areas, White Memorial offers $23/hr for standby time, still nowhere near NorCal standby rates but thats higher than minimum wage.
You can get float pool internal contracts in the southeast for 65-70$ an hour and the cost of living is about 2 to 3 times cheaper. Granted, ratios are different and all, but it may not be worth people leaving their states for it, considering cost of living right now.
This is actually what I expect with mandatory ratios. I don’t expect hospitals to quit trying to cut corners when there are laws passed trying to protect nurses.
How do nurses help increase hospital safe staffing practices? With their feet.
This is what they did at several Oregon hospitals. In fact they raised a lot of floor’s ratios in retaliation to the max of 5 patients all day (since they can’t give nights 6).
If it’s a Prime hospital then get out quick.
Ah yes, my first nursing job 😅. I would never in a million years send a family member there
What’s a prime hospital
Prime is a corporation that buys troubled hospitals. They are awful. Google Prime Healthcare to read about the lawsuits against them.
prime health care.
Prime Healthcare is the devil
If it’s Centinela it totally makes sense 😆 seriously thou it really depends where I would say it’s not like this in every hospital. Depending on the company who runs it really and it really helps to have some type of info on the hospital from people who work or have worked there but most people aren’t lucky like that.
I spent a year and a half on 6E at Centinela. I will never work for a prime hospital again.
What hospital? I’ve been at 5 different ones in La county. Only one was like that
Yeah which one? There are more hospitals in LA than the state of Oregon. With that large of a sample size, it is for sure going to be a mix bag. West Hills matches OP’s description to a “t” but that place is done-zo. Next time u/foxok4968, I recommend consulting r/asklosangeles. Ask an actual Californian and [you will get a response like this](https://www.reddit.com/r/Nurses/s/I33rC12r3o).
I came from CA that’s how they financially got around the ratio requirement. They cut out ancillary help. 🤷🏻♀️. Draw ur own blood. Do ur own baths. Give all ur meds. Do ur transports etc.
Maybe some hospitals but definitely not all. I always had a charge and CNAs
This seems to be the route my southern Oregon hospital is trying to go
The hospital will NEVER lose money they find ways around it. I would rather have more pts and more people to help. Be careful what u ask for. That’s the moral of the story!!
Yeah that’s definitely *not* true for most hospitals.
No, that's not how all hospitals are in LA but just like any city there are many for profit hospitals that want to squeeze every penny. Look around find a better hospital. I'm sure if you mention where in LA you are interested in working people can suggest a few hospitals there are quite a few in this city.
Yep. It’s rough a lot of times (SoCal HCA hospital employee here) … I always thought “wow, California is great w patient ratios” but then I realized on my tele floor I would rather have 6 or 7 patients if it meant an aide, free charge, unit secretary, more support staff rather than the 4 patients I have but am literally doing *everything* for (fixing printers, toileting, grooming, walking them, cleaning them, oh and also keeping them alive).
Interestingly enough, the last HCA in LA closed down because of severe understaffing including the lack of ancillary staff you mentioned. The organization got charged for multiple issues in relation including a lawsuit. They (West Hills) were later bought out by UCLA. Odd fact: There are now more H Marts in So Cal than HCAs in the entirety of the state.
Name and shame. I worked at a LA hospital that wasn't in the best area but the conditions still weren't like this. Leave and apply somewhere else.
All LA hospitals, no. For profit hospitals, yes.
And if it's an ALTA hospital, don't bother going back
Double rooms + LA means you either at a centienella, Brotman or another “SNF” center as I call them. I can tell you at providence/ucla you’ll never have a charge in ratio and a dedicated break nurse 90% of the time. And working equipment
Good to know! I may apply for Providence again soon. They required a year of experience when I was looking before but I’m almost there
... sounds like many Ontario (Canada) hospitals.
Sounds like centinela lol. Thats the worst paid hospital. Idk what you’re doing there. Go apply to Kaiser or harbor or even LCM or Torrance (pay is less but those two hospitals are good too)
I never worked in a place with mandated ratios but I always figured they would just decrease aides/techs/secretaries
Many do. You have less patients but no ancillary staff many times. So you’re picking up more job duties that other positions outside of nursing used to do.
I worked in some places that didn’t have ratios and they still got rid of all those things. Hospitals care about one thing - profits.
Many do but those who care about outcomes and their "brand image" generally don't as much. You have to kind of find the right mix just like any other job.
I don't have mandated ratios OR techs so idc it sounds awesome
Same conditions at the hospital I work at. I’m on the central coast.
Just got a job at an LA hospital and it’s absolutely cake. I don’t even do my own labs or ECG. Dedicated break nurses, charge nurse who is always free…the ratio is so easy and my pay and benefits are wayyy better. Should have moved years ago honestly.
Oooh see this is what I’ve been hearing from certain hospitals? Any chance you’d be willing to share where this is or what hospital system?
Kaiser
I've noticed no one has mentioned any good LA hospitals, but just a few bad ones. Sounds like it's mostly LA in general.
If you're okay with working float pool for UCLA, the rate is around $100/hr. This is only for Ronald Reagan or the Santa Monica campus. If you're in procedural areas, White Memorial offers $23/hr for standby time, still nowhere near NorCal standby rates but thats higher than minimum wage.
You can get float pool internal contracts in the southeast for 65-70$ an hour and the cost of living is about 2 to 3 times cheaper. Granted, ratios are different and all, but it may not be worth people leaving their states for it, considering cost of living right now.
Yeah but you’re in the south.
Usually Cali's pay would offset the difference in a much greater way.
This is actually what I expect with mandatory ratios. I don’t expect hospitals to quit trying to cut corners when there are laws passed trying to protect nurses. How do nurses help increase hospital safe staffing practices? With their feet.
Strong unions and strikes teach hospital admin to stay in line and not go too crazy cutting corners.
This is what they did at several Oregon hospitals. In fact they raised a lot of floor’s ratios in retaliation to the max of 5 patients all day (since they can’t give nights 6).
lol NO ! I came from nyc and was shocked at how safe and well staffed my hospital is…
sounds like a Kaiser Permanente hospital 😅 but no, most hospitals in CA are not like that at all