Private sector offer programs and services that are cost effective for licensing and overseeing medical professionals.

CATO Institute The CATO Institue has an excellent article by Professor Shirley Svorny, Chair Department of Economics, California State University.  She writes "One version is that state licensing of medical professionals assures quality....licensure not only fails to protect consumers from incompetent physicians but, by raising barriers to entry, makes health care more expensive and less accessible.  Institutional oversight and a sophisticated network of private credentialing and certification organizations, all motivated by the need to protect reputations and avoid legal liability, offer whatever consumer protections exist today."  She goes on to highlight the need for state legislatures to use caution with medical professional organizations "...be alert to the self-interests ...that may lie behind the licensing proposals brought to the legislature for approval."  

In The National Audit Office, England www.nao.org.uk presented a report to Parliament in November 2003 on the annual cost of exclusions which was twenty nine million pounds.  They found that if exclusions were over within six months an additional fourteen million pounds per year would be available.  

Managing investigations (21)

The report called for a written letter to the clinician within two weeks informing them of the charges and discussions with the accused staff.  A systemic approach would identify weaknesses in the work environment and thus taking the full focus of the investigation off the clinician.  Accountability would be broader for the organization and others involved and could help to improve the system.

Nursing Residencies

USAtoday raises concern about the large exodus of new nursing graduates stating 1 in 5 quits within the first year.  The best practice outcomes for retention called the Versant plan (2004) VersantPlan has been implemented in 70 hospitals in the US.  Baptist Hospital, S. Florida has experienced a drop in turnover rate from 22% to 10% in the 18 months since it was initiated.  The program for new graduate nurses costs roughly $5,000 per year whereas recruiting and training a replacement nurse would cost $50,000.  I believe this program will appeal to hospitals because of the return on investment.  The new graduate nurse would observe a rookie nurse for eighteen months then roles are reversed and a 60-item check list is completed.  

However, the National Council of State Boards of Nursing are considering a standardized transition program which usually lasts only 3 months with classes along with shadowing a preceptor nurse.  Then the nurse is left on his/her own and may feel overwhelmed by situations that call for a more experienced nurse to help handle. 

The national nursing shortage is predicted to reach 500,000 by 2025 a concern expressed by Professor Peter Buerhaus, Vanderbilt University.  David Williams is a policy writer for Dr. Kevin.com  http://www.kevinmd.com/blog/2013/02/nursing-shortage-good-time-nurse.html and he is sceptical about the nursing shortage predictions.  He finds it curious when new graduate nurses are unable to find work despite the outcry by academia about the nursing shortage and wonders if perhaps nursing schools benefit.  

I am excited to find Dr. Svorny's writings on licensing and credentialing which could be overseen by the private sector and it seems that hospitals are taking a conservative and responsible approach in selecting nursing residency programs which will hopefully be tracked and linked to future investigation/disciplinary actions. 

My best wishes are with all nurses undergoing state board discipline.  I will share information about licensing and encourage those who have been charged by the state board of nursing to look on this event as an opportunity for self-growth.

Positive thinking is key to drawing the resources you need:

Napoleon Hill was a positive thinker and successful businessman who said "Opportunity has a queer way of stalking the person who can recognize it and is ready to embrace it."  The Rev. Ian W,F. Hamilton writes on the topic of contentment.  He advises to practice to "give thanks in all circumstances," as St. Paul taught. When you are able to praise God and feel it in your heart - the Bible says that God will listen to the bird songs and babbling water brooks ~ so let Him hear your heart felt prayer.  Paul said "I have learned the secret of being content in any and every situation."  He'd known what it was to be deprived of food, clothes and shelter, and had been beaten and imprisoned many times.  Know like Paul, you are safe in God's hands despite evidence to the contrary. 

The Law of Attraction:

I recommend meditation so that you will connect with your heart and soul and spend time listening to your Higher Power.  As you do so you will develop intuition that will guide you.  Deepak Chopra says "The true solver of problems is intuition, not reason."  John Assaraf writes in "The Secret," "We're all connected.  We just don't see it.  There isn't an "out there" and an "in here."  Everything in the Universe is connected.  It is just one energy field."  

(p.162)  ...negative thoughts about someone else will return to harm only You.  You cannot be harmed unless you call harm into existence by emitting those negative thoughts and feelings.  You have been given free will to choose...negative thoughts and feelings [separate] yourself from the One and All Good.  

...The Universe is the Universal supply and supplier of everything.  Everything comes from the Universe, and is delivered to you through people, circumstances, and events, by the law of attraction...When you emit the perfect frequency of what you want, the perfect people, circumstances, and events will be attracted to you and delivered!!

Please feel free to contact me at lawrencerita511@gmail.com