What an RN Really Earns

The all-in cost of a full-time, direct care hospital registered nurse in the United States averages $98,000 a year, or $45 an hour, KPMG LLP reports. Of that, $55,739—$25.84 an hour—represents base wages. Fully loaded payroll, which includes base wages, employer taxes and paid time off represents 76 to 78 percent of the total cost of the RN labor force at facilities. The balance comes from nonproductivity, insurance, recruiting and other costs. The actual cost per hour for a full-time RN is on average 176 percent of the base hourly wage, says KPMG, which conducted the survey for the National Association of Travel Healthcare Organizations. "These are important factors in evaluating whether to add staff, increase overtime or use contingent nurses to meet patient needs," the report asserts.

Why Nurses Look Elsewhere

Most registered nurses who are thinking about moving to a new employer communicated job-related concerns to someone in authority at their current workplace and no action was taken, according to a report by Bernard Hodes Group, a staffing company, and Katon Direct, a database marketing solutions company. Many RNs surveyed also said they did not receive an accurate description of the work environment prior to being hired; 36 percent found that the reality of the work experience and culture did not live up to their expectations; 25 percent said management was not supportive; and 21 percent cited unfair treatment of employees. For information, visit www.hodes.com.

'Bed Czar' Keeps Emergency Department Flowing

Emergency departments benefit when one person is responsible for monitoring patient throughput and identifying bottlenecks and delays, says Deb Delaney, R.N., senior consultant with Blue Jay Consulting. The bed czar—also known as a flow facilitator—oversees everything a patient needs for discharge, freeing up the bed in a timely manner, and then makes sure the bed is prepared so an ED patient can be admitted. Delaney says bed czars reduce admitting delays, cut ED walk-out rates and improve patient and staff satisfaction.

Health Care Popular With Job Seekers

Nearly one in three American adults have worked, now work or would like to work in health care, a PwC report finds. Jobs in health care increased 65 percent between 1990 and 2009, while the rest of the workforce increased only 16 percent. The report details the growing interest in the health care industry, not only by job seekers, but also by Fortune 500 companies looking to stake a claim in the sector. Visit www.pwc.com/us/goldrush.