"Whether you agree with it or not, managed care has taken a lot of the cost out ofmedicine and made it more fficient." Ironically, many hospitals now can't fill the nursing positions they have available because experienced RNs are finding jobs in other areas of nursing without high levels offrustration. One of those places is in resource management. In response to managed care's insis- tence that admissions and discharges be carefully monitored and reviewed, hospitals have set up departments of clinical resource management, hiring registered nurses who act as liaisons between the hospitals and insurance comparnes. "There are nurses employed in the Clinical Resource Management Service who review admissions," Karen Coley said. "They talk to other nurses and octors to obtain information about why the patient was admitted so they can communicate this information to insurance companies. Insurance conl- panies hire nurses, too, to do the same thing on their side because nurses understand patient care. "It's all about money. There is a person on both sides of the issue trying to do the right thing for their clients." Another factor creating a shortage is that skilled nurses at the bedside are growing older, right along with their patients. In North Carolina, the average age of more than 58,500 nurses employed in 1998 was 43. 1 years old. The demands of the job (particularly by shift work) made on physical well being and personal time causes skilled nurses to rethink their options. At 56, Coley is among a large group of nurses who will retire in the next 10 years. When she entered UNC in 1961 as an 18-year-old woman, nursing was one offew options she
had at UNC.
The nursing program then was in
its infancy, having admitted the first
17 students only 11 years earlier. As a
freshman, Coley lived in a dorm with
other nursing students, taking "Intro-
duction to Nursing" that year."We
were all 18 years old, unmarried," she
said. "There was only one of us the
to get married."
In Coley's early career, the starched
white cap, dress, white hose and shoes
were her uniform."I was in charge of
45 patients with one nursing assistant,"
says Coley, who hasn't worn her
nursing uniform in years. "We didn't
do all the technical things nurses do
today. Our main goal was to look at
the patient, do a hands-on assessment
and give them medicines. There were
arder to Achieve Than:Others
You may already be a ii;:teigryt of th 20.
members of the USA Wome s WorlcfCup'~ occer on
Founilation i elude building world-
Team - the world champions -gt'<I~Lhe c~h
University of North Carolina. That is 40% of the team!
providing a world-class education to
What you may not know is that every ~ne of those w?men
many deserving men and women
recmed a scholarship from The Educational Foundation
for their education at UNC.
nt-at ete: we now support,
These women not only contributed to Carolina's
championship Women's Soccer Team over several years, but
also focused national attention on the overall outstanding
athletic programs at UNC. They have all become
exceptional role models for girls around the country, and
given a big boost to women's collegiate sports in particular.
Their individual efforts norwithstanding, none of this
could have been achieved without the direct support of The
At the same time, the efforts of The Educational
Foundation are futile without the generous support of
alumni and other friends of Carolina Athletics. The
Foundation currenrly supports 400 student-athletes in 25
varsity sports. In recent years, nearly half of these
scholarships have been for women. Your donations are
critical to the ongoing success of Carolina's student-athletes,
in particular, those in such sports as field hockey, women's
soccer and women's basketball, all national champions.
th scholarship costs totalmg over
Please comider how you can help
those goals. Contact
The Educational Foundation
at (919) 945-2000,
pledge your support to
outstanding Carolina Athletics.
CAR0LINA ALUMN IREV
in this issue
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