One nurse supervisor at Mount Sinai, who requested that her identify be withheld to guard her job, described situations over the previous two days that she felt had been harmful for sufferers. She stated that managers had been informed that extra non permanent journey nurses could be employed to assist cowl for the putting nurses however that lots of them apparently didn’t present up and that the working situations for these filling in weren’t sustainable.
Across the hospital, nursing managers have been pressed into service as flooring nurses, even those that haven’t dealt immediately with sufferers for a very long time, she stated. Some don’t know learn how to use all of the gear, so they’re leaning closely on the journey nurses who’re there, she stated, and the journey nurses will not be accustomed to all the gear, both.
Both hospitals originated from Nineteenth-century Jewish philanthropic efforts, and each have undertaken breakneck enlargement efforts over the previous decade. But they’re very totally different establishments.
Facing Central Park, Mount Sinai attracts many sufferers from each East Harlem and the Upper East Side, but in addition from elsewhere within the metropolis. More sufferers have industrial insurance coverage, moderately than government-sponsored Medicaid, which implies that the hospital is paid higher for every affected person than hospitals in different boroughs, the place extra sufferers are likely to have lower-reimbursing Medicaid.
A decade in the past, Mount Sinai merged with one other community of hospitals that included Beth Israel and the 2 campuses of St. Luke’s Roosevelt, emerging as one of the largest hospital programs within the metropolis. The strike impacts solely the principle Mount Sinai campus.
Montefiore, the most important hospital system within the Bronx, has tried to emphasise that its monetary place may be very totally different from these of different hospitals negotiating with the nurses’ union. There are strikes at three campuses, together with the Moses campus, its important website. Medicaid sufferers outnumber these with industrial insurance coverage by two to 1. In an announcement final week, a Montefiore vice chairman, Joe Solmonese, famous that the system had misplaced $200 million final 12 months, whereas among the main hospital programs negotiating with the nurses’ union had been operating at a revenue.
But Montefiore has additionally expanded during the last decade, buying a number of hospitals in Westchester County and the decrease Hudson Valley. More lately, job postings at Montefiore have indicated that it’s planning to open “a concierge/executive medicine” service, primarily based at Hudson Yards, an expensive neighborhood on Manhattan’s West Side, searching for extra sufferers with industrial insurance coverage.