cost cutting unlimited
nursing students be warned: don’t be surprised if one day, you’ll wake up and you see “laundry 101″ in your prerequisites.
i’m just saying…
my husband works at the behavioral health unit of a large county hospital. for cost cutting purposes, last sunday, as announced a few months ago, the nurses started washing and drying the patient’s clothes.
they have other patients but most of their patient population are homeless who are picked up from the streets by the police. most of them only have the clothes that they are wearing on admission.
previously, the hospital provided a pair of scrubs looking clothes for the patients to wear. after years of doing this, the administration figured out this is such a big waste of money, so they decided to stop supplying the clothes. since it is obviously inhuman to just let a patient wear the same clothes everyday, it was decided that their clothes should to be washed every other day.
so yeah, on top of the usual psychiatric nursing scope of practice, my husband and his colleagues are now required to collect each patient’s dirty clothes, loading the pair of pants, underwear and shirt to the washing machine, and loading them to the dryer.
one load per patient. 5 to 9 loads per night.
i do not know too much about numbers, but just looking at this picture up front makes me think there is no way this practice is saving them some money. the nurses became creative by thinking of ways to trick themselves to imagine that this is something they enjoy doing, yes. but cost cutting? please, can somebody with more mathematical or accounting brain cells explain this to me?
is it just us, because we are ignorant, that we thought this is something out of the ordinary? or does everybody agree with the adminstration and believe this is such a brilliant idea?
i’d love to hear your two cents. thank you.


I totally agree with you! Wow!
Comment by SeaSpray — May 15, 2008 @ 7:58 pm
Hey, I was quite shocked with this entry. How did your husband take this new addition to his duties and responsibilities?
I hope the facility where I’m headed won’t ever think of cost-cutting this way.
Comment by CyNurse — May 15, 2008 @ 9:42 pm
It’s a bad idea and it won’t last long. However, it may somehow end up being a prelude to a staffing adjustment.
Comment by shrimplate — May 15, 2008 @ 9:50 pm
May:
I worked rehab, and since our people were on the unit longer, they were asked to bring clothes.
Now, some were occasionally incontinent, which meant we’d have to look for scrubs. This particular hospital kept people from stealing them from OR or same day surgery by putting in machines to dispense scrubs and each nurse or tech got an allotment of so many per month. One day, I needed a set and got lucky when an OR nurse gave me one of her sets for my patients.
I did lots of laundry, because lots of my techs would forget and either not wash the clothes or leave them wet in the shower in the room, if there was one. That drove me nuts.
I think I did laundry for one man (who was with us for a month) for at least two weeks straight. One day, a forgetful tech put all his clothes in the room of a patient who came with none. The patient thought the clothes were then his, so I had to negotiate out of a sticky situation to get the clothes back. He had already put on one pair of pants, so I left them there and took the big stack of other stuff to the correct patient.
I ended up buying some clearance shirts for the patient who needed them (and a pair of shorts) and replaced the pair of pants for the other patient. It was just silly.
I love the VA where I am now…we have PJs (or gowns) for everyone!
Comment by RehabRN — May 16, 2008 @ 3:47 am
wow. i didn’t know that doing patients laundry is part of a nurses job description. =/
Comment by Zee — May 16, 2008 @ 8:13 am
Ah, the irony of paying $50k for an education to do what I’d been doing in my old rehab position.
Comment by Undergrad RN — May 16, 2008 @ 2:49 pm
I am apalled. Next, they will probably be asked to wash the linens and scrub the toilets.
Comment by Melissa — May 17, 2008 @ 10:13 am
I have seen this sort of desparation in my travels around the country. But please consider not blaming the hospitals; the adminisatration is just doing the best they can with what they are given….which ain’t much! Especially in behavioral health!
It would be far more productive for nurses (and all healthcare professionals) to look at the bigger picture and go straight to the source of the decrease in dollars. Insurance companies, Medicare and more likely in the case of bahvioral health, Medicaid and other government type contributions. (Or more accurate, government CUTS in reimbursement.)
It would behoove us to figure out how to influence major lobbying organizations and political representatives to put more VALUE on healthcare in the form of actual dollars.
It is as frustrating for administrators as it is for nurses. And I would venture to say that if the nurses have great ideas on how to make ends meet with what reimbursements are allowed these days, they would be very happy to hear those ideas!
Comment by Nurse Globe Trotter — May 17, 2008 @ 9:17 pm
I never heard that. How is it saving money? It will obviously take time from the nurses, so they will have to higher more nurses. It would be cheaper just to higher some laundry workers.
Comment by Awake In Rochester — May 18, 2008 @ 4:44 am
Uh, what?!!! I wonder who washes their clothes every other day on the street? They must have a lot of washers and dryers for this to take place every other day. I could see washing their clothes ONCE if they are exceptionally dirty or smell, but every other day? Why is the RN responsible for laundry, nursing homes usually have someone who just does the laundry, why not get someone like that for the hospital? Last time I checked, you didn’t need to be a nurse to do laundry. In the psych unit of the inner city county hospital where I work, patients are responsible for taking their meds on time (with the RN dispensing them, of course), why not make the patients responsible for washing their own clothes? What if their clothes have holes in them, does the nurse have to fix that too? I know psych is different from med/surg units but if they don’t have clean clothes why can’t they just wear gowns like in every other unit? Do the nurses on the other units have to wash their patients clothes before they are discharged? And, what are the patients wearing while their only set of clothing is being washed?
Comment by mn rn — May 18, 2008 @ 6:09 am
are the nurses supposed to iron the clothes after washing, too?
Comment by rygel — May 18, 2008 @ 6:21 am
cy nurse: he was not very happy, just like everybody else, and is actually considering looking for another job. it’s not just the washing, it’s the fact that this doesn’t really make sense.
nurse globe trotter: i do not blame the adminstration for trying to cut costs. what i am kind of confused with is the fact that this idea doesn’t seem to save money at all. i mean, just imagine the electricty and water expenses in washing and drying a shirt, pants and underwear the whole night when you can have them wear the supplied clothes in one load by a laundry person or agency.
mn rn: in his particular county hospital, they have a washing machine and dryer for every behavioral health unit. this was because some patients do not want to wear the scrubs provided and it is considered their right to make that decision. when the decision was made to stop supplying the scrubs they used to wear, i assume the washing responsibilities went to the RNs because it might cause problems if the process is disorganized and patients can just wash and dry anytime they want.
rygel: no, they’re not. but i will not be surprised if they will cater to a patient’s request if that situation arises.
ALL: thanks for your inputs.
Comment by may — May 18, 2008 @ 9:31 am
May:
I agree with you…a RN as a laundry attendant is VERY expensive!
Comment by RehabRN — May 20, 2008 @ 2:36 pm
So much for critical thinking huh?
Comment by alwaysmrsghost — May 21, 2008 @ 2:10 pm