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The fees out of each paycheck, including rent extracted for using the app, is just awful. For facilities that use these apps: are these the only game in town?

The fees out of each paycheck, including rent extracted for using the app, is just awful. For facilities that use these apps: are these the only game in town? Where are we on the slope to nurses in a region having no other way to get shifts? Why is it that nurses are down there with, maybe below, teachers? Perhaps because they are not expected to have a long-term relationship with their customer.

lazide 2y ago
Nurses care, so they are used to getting shit on, so put up with things most other people would consider insane. Same with teachers, usually.
- FireBeyond 2y ago
  Welcome to the world of EMS, where things such as these are common: "Staging" in your ambulance for an entire 24 hour shift. Fuck your comfort. Not on a call? You can hang out in the rig. But not in the back. Oh, when I said 24 hour shift, you can be mandatorily "held over" for 12 hours if your replacement is sick/calls out. Oh, when I said up to 36 hour shift, the last private EMS company I was at allowed shifts of up to 60 hours, at which point you could be assigned to another shift after 8 hours break. But at least that means a good amount of overtime. Shame EMTs often make around $10-11/hr in a lot of places (if that).
  - onemoresoop 2y ago
    2 shift for 60 hours? I put 40 hours in a week, I guess I should never complain. But is it humane to have people up for that many hours? It seems like a health risk too
    - c22 2y ago
      Also perhaps a risk to the patients. Or, if you need to operate that rig on the public roads, everybody.
      - lazide 2y ago
        Clearly if you screw up it’s because you weren’t good enough/not trying hard enough. (/s, but I wish mgmt was sarcastic when they said shit like that).
      - FireBeyond 2y ago
        Adrenaline helps ... for a while. But it can't substitute for rest, or clinical judgment. More than one ambulance has crashed because a driver fell asleep. It's not healthy for patients, and there's a few reasons why it's "tolerated" (not agreeing with these) - "We always have done it this way", and around here, being a unionized city/county fire-paramedic is the top tier for income, and around here, there's few enough paramedic schools that several of them have minimum EMT field experience in time or patient contact numbers, so it's considered a grind until you can get through. And EMS companies know that because of that, there's a steady pipeline of young people willing to "go through the wringer".
    - euroderf 2y ago
      I've always assumed that long shifts for interns are to exhaust them in order get them accustomed to making life-and-death decisions without having to experience persistent regret. But that mechanism would make absolutely no sense for people working out in the field.
yzydserd 2y ago
In my country, there are no apps like this. Instead, there are agency cartels that charge the hospital twice what they pay the nurse.

lazide 2y ago

Nurses care, so they are used to getting shit on, so put up with things most other people would consider insane. Same with teachers, usually.

FireBeyond 2y ago
Welcome to the world of EMS, where things such as these are common: "Staging" in your ambulance for an entire 24 hour shift. Fuck your comfort. Not on a call? You can hang out in the rig. But not in the back. Oh, when I said 24 hour shift, you can be mandatorily "held over" for 12 hours if your replacement is sick/calls out. Oh, when I said up to 36 hour shift, the last private EMS company I was at allowed shifts of up to 60 hours, at which point you could be assigned to another shift after 8 hours break. But at least that means a good amount of overtime. Shame EMTs often make around $10-11/hr in a lot of places (if that).
- onemoresoop 2y ago
  2 shift for 60 hours? I put 40 hours in a week, I guess I should never complain. But is it humane to have people up for that many hours? It seems like a health risk too
  - c22 2y ago
    Also perhaps a risk to the patients. Or, if you need to operate that rig on the public roads, everybody.
    - lazide 2y ago
      Clearly if you screw up it’s because you weren’t good enough/not trying hard enough. (/s, but I wish mgmt was sarcastic when they said shit like that).
    - FireBeyond 2y ago
      Adrenaline helps ... for a while. But it can't substitute for rest, or clinical judgment. More than one ambulance has crashed because a driver fell asleep. It's not healthy for patients, and there's a few reasons why it's "tolerated" (not agreeing with these) - "We always have done it this way", and around here, being a unionized city/county fire-paramedic is the top tier for income, and around here, there's few enough paramedic schools that several of them have minimum EMT field experience in time or patient contact numbers, so it's considered a grind until you can get through. And EMS companies know that because of that, there's a steady pipeline of young people willing to "go through the wringer".
  - euroderf 2y ago
    I've always assumed that long shifts for interns are to exhaust them in order get them accustomed to making life-and-death decisions without having to experience persistent regret. But that mechanism would make absolutely no sense for people working out in the field.

yzydserd 2y ago

In my country, there are no apps like this. Instead, there are agency cartels that charge the hospital twice what they pay the nurse.