Facing ‘worst ever’ demand for nurses, some hospitals offering unprecedented bonuses 


One signal of the severity of Georgia’s nurse scarcity may be seen within the bonuses provided to skilled RNs to hitch a hospital workforce.

Some well being programs within the state are paying bonuses of greater than $10,000 to draw nurses. And Piedmont Healthcare, which is quickly turning into Georgia’s largest well being system, mentioned it has provided bonuses of as much as $30,000, a determine that has startled native well being business officers.

Piedmont Columbus Regional

Nurses should not the one personnel in brief provide. Respiratory therapists are additionally in excessive demand.

In the meantime, some nursing houses have provided as much as $10,000 sign-on bonuses for licensed nursing assistants however have acquired “no outcomes,’’ mentioned Devon Barill of the Georgia Well being Care Affiliation, an business group. “That is unprecedented.’’

A lot of the RN scarcity has been pushed by the COVID-19 pandemic. Causes of the availability crunch embody nurse burnout from pandemic duties, an getting older workforce, and RNs leaving for jobs which can be much less demanding – and sometimes higher-paying.

The necessity for hospital bedside nurses with expertise “is the worst we’ve ever seen it,’’ mentioned Matt Caseman, CEO of the Georgia Nurses Affiliation.

It coincides with common workforce shortages as companies reopen operations because the variety of COVID instances decreases.

Signal-on bonuses have been provided for years as well being care organizations across the nation battle to recruit and retain nurses. Nonetheless, the quantities presently being provided seem stunningly excessive.

Baptist Well being System in San Antonio is providing sign-on bonuses of as much as $20,000 to newly employed nurses, in addition to to affected person care and lab associates, Becker’s Hospital Overview reported this month.

The nursing shortages, in the meantime, could show worse sooner or later. RegisteredNursing.org lately reported that the variety of RNs wanted in the US is estimated to skyrocket by 28.4 %, from 2.8 million to three.6 million. “Whereas most states are projected to maintain up with demand, there are numerous locations which can be anticipated to have vital shortages in registered nurses,’’ the report mentioned.

NurseJournal knowledge present that Georgia has about 10 nurses per 10,000 inhabitants – the fifth-lowest ratio within the nation.


Extra competitors for staffers


RN shortages existed earlier than COVID-19, however the pandemic has exacerbated the issue, mentioned Phoebe Putney Well being System, primarily based in Albany.

“We presently have a larger-than-normal variety of openings for nurses, respiratory techs and different well being professionals, together with lab specialists and authorized nursing assistants,’’ Ben Roberts, a spokesman for Phoebe Putney, mentioned Wednesday. Phoebe is providing sign-on bonuses for sure positions of as much as $12,000, paid out over two years, he mentioned.

Another excuse for the nursing scarcity is that many nurses have been pursuing contracts as journey RNs, who can receives a commission excessive quantities for short-term work.

One nurse who requested anonymity advised GHN on Wednesday that she left a metro Atlanta hospital for work as a journey nurse in California. “It’s not as demanding, it’s extra money and perks,’’ together with housing and use of a automotive, she mentioned.

The training pipeline isn’t supplying as many nurses as wanted.

“Nursing colleges merely aren’t graduating sufficient new nurses to maintain up with demand, as many skilled nurses enter retirement,’’ says Phoebe’s Roberts. “Well being care professions are difficult jobs that usually require less-than-ideal working hours, so fewer college students appear to be selecting careers in well being care.  There are numerous extra alternatives for nurses outdoors the partitions of hospitals at present than in years previous.

“Additionally, momentary staffing companies have grown quickly in recent times, providing salaries that usually are tough for hospitals to match.  As contract labor pay soared in the course of the pandemic, many nurses who had by no means earlier than labored as journey nurses determined to discover these alternatives.’’

Phoebe mentioned it has partnerships with a number of nursing colleges in its space, offering scholarships and funding educating positions that can enable these colleges to extend enrollment and commencement numbers.

College Well being Care System in Augusta mentioned that presently there are smaller class sizes in nursing colleges and a scarcity of nursing instructors regionally. The system additionally cited “the lack of scholars to finish their in-person scientific coaching due to COVID-19 that’s slowing our skill to backfill these positions.’’

Kids’s Healthcare of Atlanta can also be reporting a decent labor market, and is presently hiring nurses, respiratory therapists and different scientific staffers.

“Our group is paying sign-on bonuses of $5,000 to $15,000, relying on the function,’’ mentioned Kids’s Healthcare spokeswoman Allyson Wright. “Additionally, we’re working with our nursing workers to handle honest compensation and to make sure nurses and all of our workers really feel supported. Kids’s is dedicated to being aggressive on this tight labor market and we’re discovering that our nurses who stay at Kids’s are devoted to supporting children and their households.’’


Small services discover it arduous to compete


The hiring strain is felt by smaller rural hospitals, which may’t match the pay of larger city medical facilities.

Habersham Medical Middle


Habersham Medical Middle, with 53 beds, mentioned it has historically served as a coaching floor for nurses proper out of college. After a 12 months or so of labor on the Demorest hospital, many RNs typically go to programs like Northeast Georgia or Piedmont for greater pay, mentioned Habersham CEO Tyler Williams.

Habersham has to rent temp company nurses, who price greater than workers RNs. “Plenty of nurses can make more cash working at an company,’’ Williams mentioned Wednesday.


He added that there are shortages of licensed nursing assistants as nicely.

“We’re unable to pay like large programs can,’’ he added. “I don’t know the way rural hospitals are going to compete with that. Now we have a tough sufficient time to maintain our doorways open.’’

Piedmont, which is increasing to fifteen hospitals in Georgia, mentioned the necessity for acute-care nurses and respiratory therapists is excessive. “This case additionally has been exacerbated by having to compete with nationwide companies, that are paying extraordinarily excessive hourly charges,’’ mentioned Piedmont spokesman John Manasso.

However the Atlanta-based system is seeing recruitment decide up. “Certified nurses could earn as much as $30,000 in sign-on bonuses and/or relocation with a dedication that extends by way of a two-year interval,’’ Manasso mentioned. “To date, our providing of enhanced sign-on bonuses has penetrated the market and inspired journey nurses to return off the street and has inspired nurses outdoors the state to return to Georgia for full-time employment with our group.’’

Emory Healthcare didn’t disclose the bonuses, if any, that it presents to new hires. The roles in demand, apart from nurses, embody pharmacists, medical assistants, and positions within the laboratory, surroundings providers and meals and diet, mentioned Emory spokeswoman Janet Christenbury.

“Throughout the pandemic, hospital nursing work was difficult, and a few nurses left the career for brand new alternatives, whereas others retired or selected journey nursing positions in different states with extreme shortages,’’ she mentioned. “With a nursing scarcity in place previous to the pandemic, the extra lack of nurses to different profession alternatives has intensified the scarcity hole over the previous 12 months.’’

Marietta-based Wellstar Well being System, which additionally didn’t particular incentive pay, mentioned components concerned in staffing shortages embody “elevated competitors, an unlimited demand for well being care employees as a result of pandemic, and reductions within the nursing workforce from retirement.”

Barill of the Georgia Well being Care Affiliation mentioned that long-term care suppliers now face “an excellent better decline within the variety of people looking for and sustaining careers within the career.’’

As a result of staffing shortages, she mentioned, many services “have needed to restrict admissions, which negatively impacts entry to care.’’

Low reimbursement from Medicaid hurts nursing houses’ skill to pay aggressive wages and to recruit and hold a reliable workforce, Barill mentioned. However in an try and hold employees, services have provided workers wage will increase, hazard pay, retention bonuses, shift differentials and additional time.

“We can not low cost or keep away from confronting the very actual impression that concern and emotional fatigue has had on current and potential workforce over the course of the pandemic,’’ she added. “Frontline workers really feel as if they’ve been inserting themselves and their households in danger every time they enter the middle. This concern has diminished considerably as COVID incidence charges have decreased, vaccine availability has elevated and the availability chain is much less strained.’’


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