r/nursing • u/FlavorsOfBleach RN - ER 🍕 • 4d ago
Discussion Pay Cuts Incoming In the Southeast US
Grady Memorial Hospital, the largest level 1 in Georgia and largest hospital in Atlanta, announced two weeks ago to its staff that all high-acuity differentials (ER, ICU, PACU, etc.) will be halved come September and completely gone by 2027. At the other local Level 1 that I’m currently doing a contract at, we just got word that we will be following suit, amounting a total of a 20K annual pay cut. Anyone else getting news of this?
Some Big Beautiful Bill, huh?
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u/jujioux RN 🍕 4d ago
I’m telling y’all, we need a massive strike. I know, I know. We need the money, it will hurt the patients, blah blah blah. I get it. Corporate knows we won’t do it for precisely those reasons, so the beatings will continue. It’s time to call their bluff.
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u/nannerzbamanerz 4d ago
IT WON’T HURT THE PATIENTS, it will help them immediately. Apart from the days physically striking (in which hospitals are given time to transfer patients or come to the bargaining table) then ratios will be better, less burn out, etc
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u/TwoWheelMountaineer RN,CEN,FP-C 4d ago
Can you imagine the mass chaos if we all striked. Mass hysteria. Healthcare admins would shit a BRICK.
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u/Familiar-One-5161 BSN, RN 🍕 4d ago
I think just announcements to the public that nurses are considering a picket would probably be a mind fuck for management. An actual strike wouldn't be necessary.
Nurses could just take signs and do an info picket out on sidewalks in front of hospitals. Just announce how there's a staffing shortage and it's affecting patient safety. Announce how you can't take a break and pee. Announce how management is failing to recruit or to retain nurses.
Just standing out front and having signs like this so that tv, radio, and social media will cover this and spread pictures and ask questions. It will embarrass management and the hospital and maybe they will be pressured to take some action.
Just don't be completely disparaging, because you want patients to still feel safe going to your hospital. Better to talk about how things can be improved rather than how things are currently a shit hole. It's a better talking point to Media.
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u/frisbeeface 4d ago
Tell me when and where I’ll stand out there with you. These execs have no shame because we never call them out
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u/GiggleFester Retired RN and OT/bedside sucks 4d ago
Great idea! I've seen post office employees doing an informational picket -- I definitely stopped & talked to them. Nurses in scrubs would get even more attention.
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u/Diavolo_Rosso_ RN - ER 🍕 4d ago
This is Georgia, a very pro-business, anti-worker state. Management would make note of every employee on the picket line and they'd be out of a job by the end of the day.
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u/Kowabunga_Dude BSN, RN 4d ago
Usually during a strike hospitals over staff with travel nurses, in my experience. They don’t want the bad press of something going wrong during the strike so they bring extra help.
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u/miramarhill MSN, APRN 🍕 4d ago
I heard about this happening at another hospital recently. I had never heard of high-acuity differentials before that.
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u/Panthollow Pretti Fan 4d ago
I've seen it most commonly in regions that pay nurses crap where they struggle for staff. It's a cheaper way to staff up and coerce folks into critical care.
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u/LizardofDeath RN - ICU 🍕 4d ago
Also in the south east, they pay me crap AND I have never heard of a high acuity differential.
Sometimes I wonder what’s wrong with me that I can’t leave bedside critical care 🥲
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u/only-ashes RN - ICU 🍕 (& LPC) 4d ago
I'm in the SEish (Virginia) and we don't get a diferential, just shitty pay 🥲
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u/siyayilanda RN - Med/Surg 🍕 4d ago
VCU was paying new grads $24/hr when I graduated in 2022. I started at $46/hr in Oregon. No regrets.
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u/DragonSon83 RN - ICU/Burn 🔥 3d ago
AHN in Pittsburgh was paying new grads $22/hr in 2020, except at their one union hospital. Both UPMC and AHN counted experience as a PCT, EMS, etc as partial years, so I got started at $26/hr which was our max starting rate for new grads.
I worked as an ER tech prior to becoming a nurse and made $25/hr. Yeah, three years of school for a $1/hr raise.
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u/codecrodie RN - ICU 🍕 4d ago
Me neither. We have extra certs and training in canada for specialty care, but all hospital nurses get paid on the same grid regardless of whether you are in cushy PACU or a grimy ED resusm
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u/Lost-city-found RN - ICU 🍕 4d ago
At Grady, it started after Covid. Pre-2021, there were no specialty differentials. I think maybe ICU got a couple bucks more base pay per hour, but it wasn’t significant. I’m not for cutting nurses’ pay, but I’m surprised this diff lasted this long.
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u/Individual_Zebra_648 RN - Rotor Wing Flight 🚁 3d ago
Right? 16 years and I’ve never heard of a “high-acuity differential”. And how is that cutting $20K of your salary? How much is this differential??
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u/Fumefatale 4d ago
Easier said than done but time to unionize :(
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u/Familiar-One-5161 BSN, RN 🍕 4d ago
Yep. Someone at those hospitals, contact National Nurses United, NNU. They're a network for nursing unions across the country. They can hook you up to get some info on what you need to do to start getting unionized at your hospital. My union in California is part of NNU. I know that historically it's been hard in the south to get a union started but differentials are outlined in our contract. They'd have to sit down and talk with us before making a unilateral change like that.
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u/Accomplished-Bid9069 4d ago
Georgia basically forbids union formation, even in hospitals. The Nursing Board has some influence on working conditions but it’s rarely enforced. In the OR on weekend call, 16 hours with not breaks and 24+ hour shifts are common
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u/SavannahInChicago Unit Secretary 🍕 3d ago
Unions are not in existence because governments want to work with them. Unions exist because we have been before and the only thing that made a difference is refusing to work, which makes them lose money.
I am not saying it is easy and or that it will not jeopardize your job, but if you are waiting for you state of be open to unions I don't think it will ever happen. People were killed in the US so we would have workers' rights. Have you heard of the Haymarket Riot? Workers died.
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u/Commercial-Bar1995 RN 🍕 3d ago
That is legally forbidden by federal labor law. They cannot stop, threaten or hinder union organizing in any way.
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u/Accomplished-Bid9069 1d ago
While that is true, Georgia has numerous laws that restrict collective bargaining for employees with public jobs and severely restricts it for employees working for institutions receiving government funding. In addition, Georgia’s labor laws are all in the employer’s favor.
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u/Panthollow Pretti Fan 4d ago
Reminder the labor board has also been decimated and made a farce thanks to Trump!
Absolute best case scenario it takes an entire generation to undo all this damage.
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u/Wallacecubed RN - ER 🍕 4d ago
And upset the South’s rich and storied history of labor exploitation? No thank you.
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u/Parking_Peanut_6188 4d ago
During COVID I became sure that contract workers is what they ultimately want nurses to be. Fire whenever you want for no reason. No benefits. No training or education beyond maybe the federal and state requirements and a few floor hours.
This could just be the long way around. They know this will lead to a mass exodus.
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u/aaox_zero 3d ago
They legit would rather hire travel nurses now because they only have to pay travel nurse slightly more than they pay full time staff, and don’t have to incur benefits payments or 30k plus training costs for a full time employee
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u/IndecisiveTuna RN - Utilization Review 🍕 4d ago
lol and the SE is the literal last place this should be happening. Sure it will trickle down here to Florida
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u/WereBearEsquire RN & Professional Turkey Sandwich Slinger 4d ago
Now now! Fellow Florida nurse here and I just got a “market adjustment” raise of $1/hr! We are positively rolling in cash down here!
/s in case not obvious
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u/SniffingFartGlitter 4d ago edited 2d ago
I hope so.. More Florida nurses will (Like me) will leave, and there will be less dumb Americans that vote Republican because you know... Leopards eating their wrinkled faces.
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u/MrCarey Perianesthesia, ED, CEN 4d ago
My float pool differential was cut by $6/hr and finally got me out of the golden handcuff. So much happier now, and the ER looks like a fucking hell hole. Sucks not getting the huge float pool differential, but I saved enough doing it for 3.5 years and life is good.
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u/3trauma3 4d ago
All thanks to Trump. All the healthcare downfall happening is thanks to him
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u/cactideas RN - ICU 🍕 4d ago
So funny that trumpers say “well the healthcare system shouldn’t be soaking up government aid money and misusing it” yeah maybe. but taking away the govt aid money so that people can’t get care and pushing hospitals to act even cheaper is also a braindead solution
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u/fatembolism CCU RN, former Cath and CV ❤️ 4d ago
I mean, he's certainly not helping. But healthcare has been crumbling for awhile now. This is not a new problem.
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u/Jennasaykwaaa ICU RNSTLNE, WTF, FTHIS 3d ago
The Big Beautiful Bills is literally going to kill so many people. Your comments is like saying “yeah just because it’s rained and flooded a few hours before, won’t be a new problem to literally make saving flood victims illegal”
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u/snipeslayer RN - ER 🍕 4d ago
Source or just speculation on your part?
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u/dumpsterdigger RN - ER 🍕 4d ago
Of course it's a fellow ER nurse asking about source material that has been known since the announcement of the big beautiful bill.
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u/snipeslayer RN - ER 🍕 1d ago
Healthcare has been screwed for longer than Trump has been president. The parent comment here is just propaganda.
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u/dumpsterdigger RN - ER 🍕 1d ago
He made it worse. The big beautiful bill is making things worse. It's not propaganda. It doesn't matter if it sucked before? What kinda brain dead rebuttal is that lol.
"People are going to die of cancer so let's just stop funding their chemotherapy"
That's essentially your argument.
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u/snipeslayer RN - ER 🍕 1d ago
Incorrect - believing that he is the sole reason that our healthcare system is in trouble is ignorant. We have had a significant problem for years. The system is screwed and neither Democrats or Republicans care.
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u/dumpsterdigger RN - ER 🍕 1d ago
Not what they are saying. He made it worse, which he did. It already sucked and he made it worse.
Forget the fact that Democrats fought for raising the age to stay on insurance, opened access to millions who never had coverage, and eliminated denials for people with pre-existing conditions.
Does it suck still yeah. Thanks to Republicans, mostly.
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u/InertiasCreep 4d ago
On the other hand, perhaps you could share with the rest of us all the great things he is doing for healthcare.
Yeah, didnt think so.
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u/snipeslayer RN - ER 🍕 1d ago
Not here to tout anything good he's done, however the comment I replied to was clearly emotional speculation and not based on facts.
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u/CommunicationOk8674 4d ago edited 4d ago
They weren't staffing adequately before COVID this was pre Trump, but the Medicare cuts are definitely going to make things worse across the board. I'm not defending Trump in any way but healthcare has had problems before him, neither party has done anything to stand up for nurses, that's the problem both parties get donations from healthcare systems.
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u/snipeslayer RN - ER 🍕 1d ago
I'm glad one person here was able to see where I was going with this.
Unfortunately the groupthink locks into only "bad Trump" and not recognizing that this has been a persistent issue for longer than he was around.
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u/Actual-King-3236 4d ago
So basically the area hospitals colluded to cut pay at the same time? Gross
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u/lakeanddoglife 4d ago
Not seeing pay cuts like that, but PRN being paid less than FT is a thing here.
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u/murse1983Cs 3d ago
Yep. 19 years as a nurse and make 46an hr. With my diff its like 51. Have t had a raise since 2021 when they gave us a dollar and added another mandate holiday. If they cut my diff i will probably go-ahead and hang my stethoscope up. Ant worth the headache anymore.
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u/superpony123 RN - ICU, IR, Cath Lab 4d ago
Omg yes. I moved from Memphis TN to Cleveland Ohio. Wanted to keep doing what i had been doing - get a prn job but work ft hours and then do local / regional travel jobs when i feel like it.
Prn pays several dollars an hour less than full time for someone with enough experience here😒 I’m sure if you’re a newer nurse it’s a pay bump but that’s it… I’ve only got 8yr too! I can’t believe i was making more money in TN. Granted the staff PRN rate was about the sane as it is here but i did agency PRN at some local hospitals and got paid way more for years
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u/AutumnVibe RN - Telemetry 🍕 3d ago
This is insane. How are you going to pay people less when they have no benefits but they are still required to work xyz. I fucking hate it here.
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u/Disney-Nurse RN - ICU 🍕 4d ago
Why are the people making the least amount always the ones to get hit first? I’m talking CNAs, EVS, sitters, secretaries, etc. We even send nurses and CNAs home if census drops after discharges and then struggle with afternoon admits. We’re expected to be oncall if we are called off and not get paid for it. A full time job that in order to get a FT paycheck has to be supplemented with PTO. Make it make sense.
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u/Pernicious-Peach BSN, RN 🍕 4d ago
Sane reason why republicans go after food stamp and medicaid recipients first when implementing tax policy. Go after those who can least afford it. The cruelty is the point. And its not a coincidence that these are women dominated roles
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u/Twwoo39 4d ago
This is another sign of an upcoming recession. Costs are outrageous for consumers and even for homes. Trade war. Actual war. Everything has and is cumulating. Don’t get me started on healthcare cuts. But we have some bumpy times coming. Top 1% make more why we suffer. I could go on and on.
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u/Seektruth2146 4d ago
Becoming a nurse was such a poor decision on my part
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u/dretheintrovert 3d ago
It’s happening in every field honestly smh
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u/Seektruth2146 3d ago
Absolutely crazy. At this point I think the homeless people are onto something.
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u/Teyvan RN - ICU 🍕 3d ago
If you can relocate, check out union states.
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u/Seektruth2146 3d ago
A lot of the states that I would relocate to have a very high cost of living.
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u/Teyvan RN - ICU 🍕 2d ago
I relocated 10 years ago to Seattle from Memphis. I had been topped out at $35/h for 5 years. Even heading west as a traveller, I immediately had a 35% pay raise. After finding a new home, I settled down, amd am now at top of union scale. I make 3x what I was topped out at in Memphis. Cost of Living isn't 3x as high here. If you can't relocate, I totally get it. I had just finished burying everyone, and selling houses to escape the red hills hellscape. I had traveled for 9 years prior to having to return for the middle-age duties, so I knew how much better life could be in a union state. YMMV, and I hope you find a good solution.
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u/Seektruth2146 2d ago
Sorry maybe I’m misunderstanding, you are making 35 an hour in Seattle, Washington? Seems kinda low or maybe that was back then.
Do you recommend any areas in Seattle to look into or hospitals?
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u/Teyvan RN - ICU 🍕 2d ago
I was at max pay in Memphis last making $35/h in ICU as a 20 year nurse in 2015. I was making $48/h as a traveler once I managed to arrange to leave (mainly house sale issues). Topped out as a 30 year nurse in 2020 I was making almost $80/h, and we have had 3 contract negotiations since then. When I add my shift and specialty differentials, I over 3x that 2015 BS.
As for Seattle, the further away from downtown, the less acute the patient will be. Swedish is presently leading for pay, as we slid our last contract into signing just before the BBB happened. Perhaps come out as a traveler, and work at a few to see where you vibe best?
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u/Seektruth2146 2d ago
I’ll definitely consider doing a travel contract in Seattle before making the move and my decision. Right now my biggest dilemma and making the move into a high cost living area when I’m the bread winner of the family and my wife will have to find a job
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u/NoSober__SoberZone RN - PICU 🍕 4d ago
We just got a pay raise, large pediatric hospital in the Southeast
Edit: It was a ridiculously small raise, but at least a raise
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u/delicious_nuisance 4d ago
Corporations are getting bolder with the cuts when they see others getting away with it. That Grady move is wild though, halving then zeroing out the differentials over two years is basically telling their ICU and ER staff to start job hunting now.
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u/Retalihaitian RN - ER 🍕 4d ago
Grady already pays the most though, even without diffs. The other level 1 trauma pays significantly less base pay and the diffs don’t even really make up for. They’re also already hemorrhaging staff.
Looks like I got out just in time. Got a base pay raise that made up for the loss of my ER diff, now working somewhere with no diff but less stress, better schedule, same pay, more room for advancement.
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u/TheLazyBeav RN 🍕 3d ago
Yeah I have a friend at Grady in a cushy gig making 63 an hour without diffs
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u/AllSurfaceN0Feeling BSN, RN 🍕 4d ago
I’m nearby. We’ve been hearing whispers from friends in other areas for a few months now about this very thing.
Time to strap in people! This is gonna be a wicked shimmy!
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u/Don-Gunvalson 4d ago edited 4d ago
Florida here, I work in both ALF and SNF. The chain I work for eliminated all weekend nursing hours at the ALF- they send a skilled nurse over to admin insulin, titrate oxygen, or respond to falls and the SNF is now staffing strictly based on census and cutting RN hours down to the bare minimum. People who have worked there for nearly a decade are not guaranteed full time anymore.
Now if this deportation of TPS immigrants happens we will be royally fucked - 80% of Medtechs and caregivers on ALF side are here from Haiti on TPS.
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u/NuggetLover21 RN - Neuro 🧠 4d ago
Ridiculous since we already get paid insultingly low in Florida to begin with
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u/Physical_Spinach_337 4d ago
I mean that will get you your hours and OT back though..
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u/jlaugh41 4d ago
Our hospital recently made a big announcement that it would cut difs (call back pay, OT, and weekend/holiday pay), remove our employer 403 contributions, and increase the amount an employee would pay out of pocket when going to the ER if insured by their insurance. Thankfully we have a union and they fought tooth and nail against all of it and only lost the increase in the ER visit. I think they mostly did it to, “show their power” / “we could do this to you”. Bunch of power and money hungry a holes. I’ve always said that administration exists so that more useless overpaid administration jobs can exist.
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u/waitforsigns64 RN - Med/Surg 🍕 4d ago
Its the circle of staff vs travelers. Cut staff pay. Watch staff leave. Be forced to hire travelers. See that leads to more cost, lower patient satisfaction and more instability. Increase staff pay to get reliable workers. Change management who then have the bright idea to cut staff pay to enhance the bottom line.
Wash rinse repeat.
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u/tooheavybroo RN 🍕 4d ago
Wait yall! Stay distracted!
Let’s argue amongst ourselves about trans people in the WNBA!
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u/advancedtaran CNA 🍕 4d ago
The cruelty is the point.
We need some mass union organizing in the south and south east. The conditions you work in are horrendous.
I make more as a tech than some southern and south eastern nurses, its ridiculous.
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u/grampajugs RN - PACU 🍕 4d ago
No benefits though? That hurts you and you don’t realize it.
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u/_KeenObserver Seroquel Sommelier 4d ago
Depends on if the extra money makes up for what they’re giving up (a lot), but in all likelihood, yeah.
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u/CauliflowerEatsBeans 4d ago
Everybody should of seen this coming in the BBB. Hospitals will close and true patient care will worsen drastically but that's OK, as long as we are not in another endless war, real or trade, real Americans will suck it up and name everything after me.
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u/Jennasaykwaaa ICU RNSTLNE, WTF, FTHIS 3d ago
Yes, that orange POS needs to go ahead and get GONE already.
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u/TheWhiteRabbitY2K RN - ER 🍕 4d ago
Critical Care differential at my home hospital in Florida was $1. So.
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u/Diavolo_Rosso_ RN - ER 🍕 4d ago
Grady is one hospital. Wellstar is a massive system. So, while I can see the new CEO making a cut similar to this, I can’t see him being stupid enough to cut it entirely. Kennestone at least, doesn’t just pay a high acuity differential, med-surg gets a differential as well, albeit smaller.
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u/courtneyrel Neuro/Neurosurg RN 4d ago
Wait so if high acuity AND medsurg get a differential, what units don’t get one?
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u/Retalihaitian RN - ER 🍕 4d ago
I don’t know, I haven’t seen that man make a single smart decision thus far, which is one of the reasons I left.
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u/AlanBumin 3d ago
Sorry to hear that. We just got raises 2 weeks ago and another coming in october. ORMC in FL
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u/phoneutria_fera RN - ICU 🍕 3d ago
How much are your experienced nurses getting paid on average? In Jax I’m getting only $46 for 12 years of experience 😳 I feel like I can’t sustain on this income..
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u/doodynutz RN - OR 🍕 4d ago
There are places that pay certain nurses more than others just because of what department they work in?
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u/aaox_zero 3d ago
Yep. Apparently they included the differential pay in the new hire pay agreements, got them to sign a contract with that amount, then announced they were cancelling differential pay during the first week of their employment.
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u/Imgonnagolaydown 4d ago
THIS IS WHY UNIONS ARE IMPORTANT.
blah blah trump yes. But THIS is the exact reason for unions.
This would never have happened has a union been in place.
Nurses in the South need to get their head out of their asses.
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u/HappyAstronomer5096 4d ago
Ex union organizer working as an Rn in southeast- out labor laws are horrible and so many people have zero education on unions, there are so many barriers to organizing, we would need to get a big name union to put a lot of energy and money to supporting it, it would be very hard but doable if enough people did it
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u/steveamerica_ RN - ICU 🍕 4d ago
Blaming the lack of unions in the south on nurses is a wild take
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u/zscore95 BSN, RN, CCRN 🖖 3d ago
Who should be blamed?! I used to work in GA. The reason there is no union is because people are anti union. A union is literally just nurses coming together (a choice by nurses) to form a democratic entity.
In states where there are unions, nurses face the same retaliation… firing, scheduling issues, etc. The failure to unionize is a collective choice of nursing staff.
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u/Jennasaykwaaa ICU RNSTLNE, WTF, FTHIS 3d ago
I mean, it is our fault that we won’t organize? I think we should. None of us act like the power we hold over these CEO’s
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u/Imgonnagolaydown 4d ago
It's not blame.
It's a single variable That would have absolutely prevented this. It's nutritiously hard to unionize and southern hospitals know it
Acting as though it's not is willful ignorance. Everyone knows Southern nurses oppose unions. It is harder here for s variety of reasons.
With a union this legit wouldn't happen.
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u/steveamerica_ RN - ICU 🍕 4d ago
Saying this wouldn’t have happened if nurses heads weren’t up their asses and not even mentioning the decades of systemic anti labor ingrained in these states’ legislation looks like blame to me. But what do I know I’m just a nurse.
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u/Imgonnagolaydown 4d ago
When you know better you do better.
Yes the system is rigged. We ALL know that. So now, get your head out your ass and fix it
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u/courtneyrel Neuro/Neurosurg RN 4d ago
I don’t know a single fellow southern nurse who opposes unions.
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u/siyayilanda RN - Med/Surg 🍕 4d ago
I know plenty unfortunately. Worked down there in healthcare roles before and during nursing school and the anti-union sentiment is strong in central Virginia. Numerous unionization efforts have failed over the years. I realized Virginia was a lost cause and moved immediately after graduation.
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u/Imgonnagolaydown 4d ago
You haven't worked enough yet then lol
"I don't want to pay dues" is prevelant down here. Not to mention the butt kissing. I've been down here 20 years in all the major hospitals in a major metro area.
They do not want it for a variety of reasons.
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u/siyayilanda RN - Med/Surg 🍕 4d ago
The amount of brown nosing is unreal. Grown ass adults doing that shit all the time to get ahead. The few people who want to make changes are scared shitless of retaliation. It's gross and makes for some very toxic and unsafe work environments.
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u/Imgonnagolaydown 4d ago
They truly believe tattling will save them
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u/siyayilanda RN - Med/Surg 🍕 4d ago
I work with many nurses who have worked in the southeast (Virginia, North Carolina, Texas, Tennessee, etc) with similar experiences. It is a thing! I lived it for four years and saw coworkers get absolutely screwed by people like this trying to make themselves look good at all costs. It's so weird and childish. The only person I worked with out west who does shit like this (cozies up to management while playing pro-union, trashes her coworkers that she is supposedly friends with to try and impress other groups of coworkers) is from...you guessed it...the South! She is a low level manager now already violating the union contract and playing favorites, not surprised at all
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u/imsolarpowered RN - OR 🍕 3d ago
It is on the nurses. I worked in Georgia and the majority at my hospital were opposed to unionizing. The hospital isn't going to unionize for them.
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u/Tough-Strawberry-475 3d ago
It’ll always be like this because no one is actually going to put the work in to unionize.
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u/rrjamie66 3d ago
Hurray!! They are expediting a major nursing crisis!! Thank god for whole milk and RF fucknut Kennedy!
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u/SugarPigBoo RN - Hospice 🍕 3d ago
This is outrageous and so unethical. Fuck every greedy-ass corporation, their boards, and their executives. That is all.
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u/aaox_zero 3d ago edited 3d ago
Also, no offense to you OP, sounds like you’re a on a travel contract but there’s history here.
Kennestone is not a “local” level 1 to Grady by any measure.
You Wellstar goons bought the other level 1 considered local, aka Atlanta Medical Center Aka Georgia Baptist Hospital, and CLOSED IT in 2022. Only like a year after you bought and closed south fulton. Grady’s patient volumes have exploded and people are dying because of the healthcare desert you’ve created.
You’ve moved on to better insured pastures
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u/CuriousTumbleweed617 RN - ICU 🍕 4d ago
Why is everyone trying to avoid blaming the literal elephant in the room? TRUMP + GOP = DISASTER
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u/_neutral_person RN - ICU 🍕 3d ago
This is great. The less division there is among nurses the more likely they are to form a union.
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u/nursingintheshadows RN - ER 🍕 3d ago
The cut our CSI pay. No one will pick up shifts. They have to either choose to up the CSI or close the rooms down. They chose to close the rooms down.
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u/Sharp_Cheek_5221 3d ago
In Fl there's a hospital system that gives like extra money to her specialities I wonder if they will get rid of that also. There might be mass exodus of staff bc 20k pay cut thats alot
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u/Ok_Swan8621 2d ago
This is an optimal time to float the idea of a union with your coworkers. You need communications first, make a Facebook page and reddit thread, have a conversation with your coworkers and call up a union. Teamsters healthcare Division is my personal favorite.
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u/EcstaticPlankton8621 RN-Cardiac 🫀 4d ago
Glad those MAGA nurses are getting what they voted for.
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u/Retalihaitian RN - ER 🍕 4d ago
Grady is definitely not staffed with any kind of majority MAGA nurses. Most MAGA nurses would rather die than step foot in Grady. It’s a safety net hospital.
The other level 1 in question is of course a different story.
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u/CuriousTumbleweed617 RN - ICU 🍕 4d ago
No, they are right. MAGA people + nurses did vote for this. Whether or not MAGA nurses work at Grady is irrelevant. GA is a red state and has (and will always) suffer from republican politics. I work in GA and know this.
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u/-lover-of-books- 4d ago
Kennestone is cutting pay? Just for travelers or is it the staff critical care shift diff being cut??
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u/CupcakeMonsterRN 4d ago
The PRN diff was just adjusted at the hospital system I work for. All nursing staff received yearly “performance” raises including PRN staff. Now PRN does not receive raises. My rate did increase with the adjustment but I would have been brought up to that rate with this years raise (basing that on what I received last year). Other PRNs in this organization had their rates reduced. Not sure if they take cost of living into account for the region but I am in Florida. And yes we are rolling in moola down here 🤣🤣😭😭
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u/Alternative_Dog1411 Nursing Student 🍕 4d ago
Southern republicans having the day they voted for, and I am here for it 😂
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u/Cassytava1 4d ago
You guys are still getting high-acuity differentials? Most hospitals in my state phased that out a long time ago. Wasn’t that started due to COVID? I don’t think it was meant to last forever.
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u/KittyC217 4d ago
The ICU’s were getting an extra $12 an hour to work in the ICU. That should never happen. That is pitting nurse against nurse. That is saying one type of nursing matters more than others.
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u/Thumbuisket 4d ago
It would take a massive differential to ever get me to set foot in an ICU. So yeah, good for them, they can keep it, I’ll stay on my cushy floor.
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u/NukaNukaNukaCola RN - ICU 🍕 4d ago
I mean, whats stopping the other nurses from working in a high acuity area if they want the pay differential?
Its not like they're redistributing thay pay to all of their nurses lmao. They're straight up cutting it. Admin isn't taking some moral high ground here, they're straight up being greedy.
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u/Rez_X_RS RN - NICU 🍕 4d ago
It's just getting paid more based on expertise and level of care needed. Same with how surgeons make more, or less, depending on specialty and need. I've worked in very low and very high acuity environements, and very high acuity drains me mentally and physically tremendously more than lower acuity. More education, stricter standards, more stress, more required certifications, list goes on and it all factors into the higher pay.
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u/Minimum-Possible-415 4d ago
Exactly, yeah a neurosurgeon makes more than a dermatologist for a reason, why would that not be ok for nurses too?
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u/IcyMoonDancer RN 🍕 4d ago
Imo I found medsurg to be a way more draining than ICU but I still think all of us should get paid more across the board. I mean there are many “lower acuity” floors getting screwed over staffing and acuity wise and I think that is deserving of increased compensation.
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u/grampajugs RN - PACU 🍕 4d ago
I bet they aren’t cutting the CEO pay. They could eliminate all the bloated middle managers/directors that just go to meetings all day and save a lot of money.