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‘Chaotic’ Scenes Inside 2 New York City Hospitals During Nurses’ Strike


A nurse manager at Mount Sinai, who requested anonymity to protect her work, described conditions over the past two days in which she felt dangerous to patients. She said managers have been told to hire more temporary travel nurses to help cover the nurses’ strike but many of them appear to have failed to show up and working conditions. for substitutes is unsustainable.

Across the hospital, she said, nursing managers have been forced to work as nurses on duty, even those who have not been in direct contact with patients for a long time. Some people don’t know how to use all the equipment, she said, so they rely heavily on the travel nurses there, and the travel nurses aren’t familiar with all of the equipment either. .

Both hospitals are rooted in Jewish philanthropic efforts in the 19th century, and both have undertaken groundbreaking expansion efforts over the past decade. But they are very different organizations.

Across from Central Park, Mount Sinai attracts patients from both East Harlem and the Upper East Side, as well as from elsewhere in the city. More patients have commercial insurance than government-funded Medicaid, which means hospitals are paying better per patient than hospitals in other counties, where more patients tend to receive lower Medicaid reimbursement.

A decade ago, Mount Sinai merged with another hospital network that included Beth Israel and two St. Luke’s Roosevelt, emerged as one of the biggest hospital system in the city. The strike only affects Mount Sinai’s main campus.

Montefiore, the largest hospital system in the Bronx, has tried to emphasize that its financial position is very different from the financial position of other hospitals that are negotiating with the nurses’ union. There were strikes at three facilities, including the Moses facility, its main facility. Medicaid patients outnumber those with commercial insurance by two to one. In a statement last week, Montefiore’s vice president, Joe Solmonese, noted that the system lost $200 million last year, while several major hospital systems negotiated with the nurses’ unions were having interest.

But Montefiore has also expanded over the past decade, acquiring several hospitals in Westchester County and the lower Hudson Valley. More recently, jobs in Montefiore indicated that it is planning to open a “drug administration/administration” service, based in Hudson Yards, an expensive neighborhood on the West Side of Manhattan, to find more patients with commercial insurance. commercial.

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