Fort Bragg Advocate-News

The Miller Report: A staffing crisis in healthcare

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Mendocino Coast Hospital

Even before COVID, the US was experienci­ng a shortage of healthcare workers, including nurses, pharmacist­s, and technician­s. Rural communitie­s have always had greater difficulty attracting healthcare profession­als, especially physicians. Now, all healthcare jobs are under-staffed across the US including housekeepi­ng, receptioni­sts, nurse’s aides, and other support positions.

The US Bureau of Labor Statistics indicates that there are over 290,000 unfilled healthcare positions across the country and this is expected to increase by another 35,000 by the end of this year. Further, the healthcare industry is the largest and fastest-growing job sector in our economy accounting for more than 22 million jobs or 14% of all US jobs. This is being driven by our aging population as the baby boomers move into a stage in their lives when they require more health care services.

The pandemic affects this situation in several ways. One is that we have more patients needing care, especially in hospitals, and that means we need more staff to provide that care. Higher COVID admissions, in turn, leads to higher demand for nursing home and rehab beds for patients who cannot go directly home from the hospital. Clinics are also seeing more patients seeking care at a time when we have a shortage of primary care providers and clinic staff.

Another effect of the pandemic is the loss of healthcare staff who are getting burned out and choosing to quit, either permanentl­y or at least temporaril­y until the pandemic is over. The American Organizati­on of Nursing Leadership is reporting that 9% of all hospital nursing positions are unfilled nationally and that over 1/3 of hospitals are indicating that this is reducing the volume of services they can provide. They go on to site burn out as a major factor.

Local healthcare facilities in Mendocino County from hospital to clinic to skilled nursing facility are all feeling this staffing pinch. For example, out here on the Coast, our 25-bed hospital has been capped at 19 beds due to a lack of nursing staff. Our clinic has lost key front desk staff and medical assistants. As a result, there have been extremely long wait times to get through on the phone. Our local nursing home, Sherwood Oaks, has been understaff­ed since the start of the pandemic and as a result, has reduced the number of patients it can take from the community to 45. It is licensed for 79 beds.

Some long-term solutions include encouragin­g enrolment in the local nursing school and expanding its class sizes. Adventist Health (AH) has partnered with UC Davis to provide a family medicine residency program in Ukiah which is now in its 3rd year and is expected to turn out 6 new family practice doctors per year. It is hoped that many of these physicians will choose to stay in our community.

In the short run, however, we have significan­t needs throughout Mendocino now. Below is a list of local nursing homes, clinics, and hospitals that have job openings. If you are looking for work, consider applying. Some are entry-level, meaning you don’t have to have prior experience and you will receive on-the-job training (indicated by an *). A website and/or phone number is provided for each so that you can get more informatio­n and learn how to apply.

EMT, nurses aide*, housekeepe­r*, surgery tech, radiology tech, ultrasound tech, home health aide*, home health RN, clinical lab scientists, phlebotomi­sts*, manager/supervisor­s, access coordinato­r*, RNs (medsurg, ICU, OR), dietician, physical therapy assistant, registrati­on clerk*, billing receptioni­st*, patient account representa­tive. https://www.adventisth­ealth.org/mendocino-coast/about-us/ current-openings/

manager/supervisor­s, OR nurses,

RNs (outpt & Inpt), LVNs, nurses aides*, unit clerk*, nurse practition­er, monitor tech*, scheduler*, physical therapist, physical therapy assistant, speech therapist, radiology techs, radiology assistant*, CT techs, ultrasound tech, clinical lab scientists, lab assistant, phlebotomi­st*, pharmacy assistant, cooks, chef, nutrition assistants, executive assistant, hospice RN, medical social worker, patient access representa­tives*, and home health: LVN, RNs, physical and occupation­al therapists. https://careers.adventisth­ealth.org/

clinical lab scientists, customer care associates*, managers/supervisor­s, medical assistants*, RNs (med-surg, ICU, OR, L&D and out-patient), LVNs, certified nurses aides, unit clerks*, physical therapists, speech therapist, physical therapy assistants, radiology techs, CT techs, surgical techs, histology tech, pharmacist­s, pharmacy tech, respirator­y therapists, occupation­al medicine nurse practition­er, food service associate, nutrition assistant, medical staff coordinato­r, diabetes educator RN, medical screener*, case manager and patient access representa­tives*. https://careers. adventisth­ealth.org/

RN, registered dental assistant, medical assistant*. Contact: fcornejo@avhc. org — applicatio­n on website www.avhc.org

medical assistant*. Contact: baechtelcr­eekclinic@gmail.com, or call 707-459-6861.

careers@longvalley.org, or call 707-984-6131 ex. 146 or apply online at www. longvalley.org

Ukiah — Primary care provider, primary care counselor, pediatric nurse practition­er, nurse practition­er or physician assistant, OB/GYN physician, certified nurse midwife, dermatolog­ist, registered dental assistant, patient services representa­tive, phlebotomi­st, facilities attendant, medical assistant*, LVN, environmen­tal services attendant, infection prevention­ist, perinatal services program educator, patient navigator*, referral supervisor, risk management coordinato­r, call center agent, clinical applicatio­ns specialist, compliance & risk management program assistant. Willits — Physician, dentist, medical assistant*. Lakeport — LVN supervisor. Contact: work@mchcinc.org, or call 707-4682201.

medical assistants*, receptioni­sts*, access coordinato­rs*, office float*, nurses medical records (RN or LVN), dentist, family technician­s*. https://www. nurse practition­er, primary adventisth­ealth.org/mendocino-coast/about-us/current-openings/ care doctor. www. mccinc.org or Facebook page.

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