Skip to main content

Nursing: rapid change in who does what

As noted yesterday, there has been very significant growth in the number of nurses. Moreover, Registered Practical Nurses (RPNs -- or 'LPNs' outside of Ontario) are growing three times more quickly than Registered Nurses, with 22.8% growth between 2006 and 2010 versus 7.4% growth for RNs.

While over 60% of 'LPNs' work in just two areas ("Medicine/Surgery" or in "Geriatrics/Long Term Care"), those areas have actually seen slower than average growth (11% and 14.7% between 2006-2010). Really rapid growth was in other areas.

The big areas of growth have been in "Operating Room/Recovery Room" (152.1% growth), "Emergency Care" (128.5%), "Community Health" (59%), "Maternity/Newborn" (35.2%), "Home Care" (49.1%), and "Paediatrics" (40.5%).

Registered Nurses have grown in most categories -- the exceptions are "Geriatrics/Long Term Care", "Ambulatory care" and "Occupational Health" where there was some shrinkage. Above average growth was seen in community care (29.7%), Emergency Care (15%), "Telehealth" (56.5%), "Public Health" (56.5%), and "Oncology" (20.8%).

There appears to be a very rapid change in who does what in nursing, with RPNs moving into areas where they have not been in large numbers before. Still, this has not stopped significant growth in the numbers of RNs.

RN and LPN Workforce, by Area of Responsibility, Canada


RN
RN
LPN
LPN
2006-2010
2006-2011


2010
2010
2010
2010
RN
LPN


#
%
#
%
% Change
% Change
Direct Care
Total Direct Care
235,012
87.5
78,976
97.2
7.4%
22.3%

Medicine/Surgery
44,646
16.6
13,964
17.2
4.0%
11.0%

Psychiatry/Mental Health
13,503
5.0
3,802
4.7
4.1%
11.1%

Paediatrics
7,402
2.8
951
1.2
9.8%
40.5%

Maternity/Newborn
15,010
5.6
1,037
1.3
8.6%
35.2%

Geriatrics/Long-term Care
25,591
9.5
34,977
43.1
-3.5%
14.7%

Critical Care
19,472
7.3
148
0.2
7.3%
-59.2%

Community Health
14,133
5.3
3,217
4.0
29.7%
59.0%

Ambulatory Care
6,614
2.5
1,309
1.6
-13.9%
15.5%

Home Care
7,362
2.7
1,710
2.1
3.1%
49.1%

Occupational Health
2,746
1.0
179
0.2
-6.8%
22.6%

Operating Room/Recovery Room
12,797
4.8
1,654
2.0
11.6%
152.1%

Emergency Care
17,645
6.6
1,330
1.6
15.0%
128.5%

Several Clinical Areas
8,705
3.2
5,376
6.6
-10.7%
114.8%

Oncology
3,593
1.3
167
0.2
20.8%
145.6%

Rehabilitation
4,019
1.5
2,823
3.5
4.7%
17.9%

Public Health
7,482
2.8
1,298
1.6
41.2%
23.3%

Telehealth
1,236
0.5
271
0.3
56.5%


Other Direct Care
23,056
8.6
4,763
5.9
17.9%
4.5%

Comments

Popular posts from this blog

Public sector employment in Ontario is far below the rest of Canada

The suggestion that Ontario has a deficit because its public sector is too large does not bear scrutiny. Consider the following. 

Public sector employment has fallen in the last three quarters in Ontario.  Since 2011, public sector employment has been pretty flat, with employment up less than 4 tenths of one percent in the first half of 2015 compared with the first half of 2011.


This contrasts with public sector employment outside of Ontario which has gone up pretty consistently and is now 4.7% higher than it was in the first half of 2011.



Private sector employment has also gone up consistently over that period. In Ontario, it has increased 4.3% since the first half of 2011, while in Canada as a whole it has increased 4.9%.







As a result, public sector employment in Ontario is now shrinking as a percentage of the private sector workforce.  In contrast, in the rest of Canada, it is increasing. Moreover, public sector employment is muchhigher in the rest of Canada than in Ontario.  Indeed as…

The long series of failures of private clinics in Ontario

For many years, OCHU/CUPE has been concerned the Ontario government would transfer public hospital surgeries, procedures and diagnostic tests to private clinics. CUPE began campaigning in earnest against this possibility in the spring of 2007 with a tour of the province by former British Health Secretary, Frank Dobson, who talked about the disastrous British experience with private surgical clinics.

The door opened years ago with the introduction of fee-for-service hospital funding (sometimes called Quality Based Funding). Then in the fall of 2013 the government announced regulatory changes to facilitate this privatization. The government announced Request for Proposals for the summer of 2014 to expand the role of "Independent Health Facilities" (IHFs). 

With mass campaigns to stop the private clinic expansion by the Ontario Health Coalition the process slowed.  

But it seems the provincial Liberal government continues to push the idea.  Following a recent second OCHU tour wi…

Hospital worker sick leave: too much or too little?

Ontario hospital workers are muchless absent due to illness or disability than hospital workers Canada-wide.  In 2014, Ontario hospital workers were absent 10.2 days due to illness or disability, 2.9 days less than the Canada wide average – i.e. 22% less.  In fact, Ontario hospital workers have had consistently fewer sick days for years.

This is also true if absences due to family or personal responsibilities are included.
Statistics Canada data for the last fifteen years for Canada and Ontario are reported in the chart below, showing Ontario hospital workers are consistently off work less.
Assuming, Ontario accounts for about 38% of the Canada-wide hospital workforce, these figures suggest that the days lost due to illness of injury in Canada excluding Ontario are about 13.6 days per year ([13.6 x 0.68] + [10.2 x 0.38] = 13.1).

In other words, hospital workers in the rest of Canada are absent from work due to illness or disability 1/3 more than Ontario hospital workers. 

In fact, Canad…