koreamax t1_j6o9k52 wrote on January 31, 2023 at 7:04 PM

Reply to comment by Wukong1986 in Mount Sinai investigating newborn’s death during NYC nurses' strike by CasinoMagic

I don't think you read what I wrote, and you repeated what was said before. The argument you're making essentially says that there is an unlimited amount of nurses ready to work, and the hospital has the budget to hire at a premium. I'm assuming the follow up argument will be that the hospital should stop paying administration so much, but that isn't what we are talking about.

Should there be fundamental changes in the pay structure in these hospitals? Probably. Is that relevant? No. Management doesn't just manage its staff, it manages its budget and is working with its limited funds to find replacement staffing. They don't have the power to just pay temporary staff whatever they want. If it goes over budget, that's an issue that is blamed on management. What exactly are they supposed to do if they are unable to staff departments with the budget they have allocated for them. And no, the answer isn't "change the budget." That falls on the board who set the relatively inflexible budget for the year.

Wukong1986 t1_j6ocsw4 wrote on January 31, 2023 at 7:24 PM

I didnt say there'd be unlimited budget or nurses. There are Other avenues like limiting or shutting down services.

If some McD workers quit but the manager says business as usual, and you got hungry angry customers, you gonna look to the Manager to fix or the ex-workers to fix?

You can give management all the slack you want, but no way are workers to blame. Even then, Management proposes the budget, in charge of swaying the board, lining up financing, figuring out budget, etc. They knew months in advance. Dont forget in most of the time, Management is close with the board; its not as adversarial /grilling the CEO as its supposed to be in an ideal governance scenario.

It literally comes down to who is in charge of making decisions and who made what decisions - and did those decisions work out for them (Management, Management, and no). Then Management fixes it.

koreamax t1_j6ojtku wrote on January 31, 2023 at 8:07 PM

I didn't blame the workers. Them not being there likely contributed to the death of the newborn, but they are striking and that's completely not their fault. You're making sweeping generalizations about what a management team is given the power to do and oversimplifying the process of reallocation of staff and funds. Especially when we're talking about highly specialized departments

Wukong1986 t1_j6on4ga wrote on January 31, 2023 at 8:28 PM

They lose a maternity ward - they hire specialized nurses. You mean a group of MDs in Management can't figure out who to hire? Get adequately staffed or reduce service. Can't have it both ways.

What is missing from Management's toolset? Spell it out for me. You make it sound like the CEO or anyone below him don't have the power to make tough calls, like reduce service to reflect inadequate staffing, or raise financing, or just overall powerless to watch this unfold. Will all avenues perfectly work out? No, then Management balances all the info. It was predictable there'd be gaps, so how did Management address the immediate issues?

At the end of the day, nurses were striking over inadequate staffing ratios (i.e., too many patients vs nurses), among other things, that Management was unwilling to fix. So it seems like someone/several people in Management need to wake up.

Saying inadequate workers to contributed to the death is literally the tip of the iceberg and not reflective of the root cause(s). Go down a couple levels of why and those are your root causes. And Management's task is to figure out how to solve that. Not the workers, not the board, Management's.