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California scrambles to deal with post-pandemic nursing shortage

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California scrambles to deal with post-pandemic nursing shortage


California needs more nurses, according to the Registered Nurses Professional Association.

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“It is seriously bad,” says Allan Kamara, president of the Registered Nurses Professional Association.

This, they say, is a post-pandemic problem: there are too many early retirements and not enough new nurses graduating.

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“What I can tell you is unlike any other time, this time nurses are leaving the profession faster than they can get in,” says Kamara.

One study by the Hospital Association of Southern California puts the nurse vacancy rate in hospitals at 30%, compared to 6% pre-pandemic.

Santa Clara County’s hospital system is faring better.

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“We have been working on hiring and training new graduates. We recently had a job fair for our critical care nursing division to help recruit nurses,” says Kim Johnson Director of Inpatient Acute Nursing at Santa Clara Valley Medical Center.

They’ve also been working on retention strategies. As a result, their vacancy rate went from 11.4%, back down to 7.8%.

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“Which is really low compared to the average. And so far it seems like things are working within our system,” says Johnson.

Still nursing schools say they need to graduate more students to keep up with demand statewide.
And they need to hire more faculty, but money is a constraint.

“The salary that I make in the hospital is twice as much as what I make working at the college. But I work at the college because it’s sort of a way to pay back and help the up-and-coming nurses,” says Gardenia Angeles, an instructor at Gavilan Community College.

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The nurses union is pushing for a legislative solution to the shortage and there are a few proposals in the works.
They say this is a problem that cannot be ignored.

“Our hope is for someone to do something about this, but it is going to be bad,” says Kamara.

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So far there appear to be competing views on what sort of legislation could make a difference here. However, there is additional money in this year’s state budget, intended to help with nursing school capacity.

 



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Six earthquakes hit Southern California in one week. Does that mean ‘The Big One’ is coming?

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Six earthquakes hit Southern California in one week. Does that mean ‘The Big One’ is coming?


In recent days, Southern California has experienced one earthquake after another. A 3.6 in Ojai on May 31. Two of a similar magnitude under the East Los Angeles area of El Sereno. Another three quakes near Newport Beach and Costa Mesa.

While these quakes were far weaker than historic temblors like the 6.7 Northridge Earthquake of 1994, which caused an estimated $20bn in damage and killed over 57 people, do they herald the arrival of the so-called Big One in a state sitting on multiple, highly active faultlines?

There’s the notorious 800-mile-long San Andreas, which runs from near the Mexico border, east past Los Angeles, then up the coast north of Sacramento.

Aykui Alaverdyan walks over rubble after taking some of her belongings from her Hollywood Boulevard apartment building in Hollywood, CA, 20 January 1994, which was destroyed in the Northridge earthquake (AFP via Getty Images)

Aykui Alaverdyan walks over rubble after taking some of her belongings from her Hollywood Boulevard apartment building in Hollywood, CA, 20 January 1994, which was destroyed in the Northridge earthquake (AFP via Getty Images)

Major quakes occur along the fault every 180 years or so, and the San Andreas hasn’t had a majorly powerful one since 1906. The US Geological Survey estimates it has a 60 percent chance of causing a magnitude 6.7 or greater in the Los Angeles area in the next 30 years.

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Of even greater concern is the Cascadia Subduction Zone, which runs from Northern California to British Columbia, Canada. It’s overdue for an even larger quake compared with historical averages.

So, are the recent earthquakes an ominous omen of something larger, or business as usual in a state with an estimated 35 quakes a day?

Earthquakes remain stubbornly difficult to predict in advance (Bay Area News Group 2022)Earthquakes remain stubbornly difficult to predict in advance (Bay Area News Group 2022)

Earthquakes remain stubbornly difficult to predict in advance (Bay Area News Group 2022)

The El Sereno quakes, for example, happened just under the Puente Hills thrust fault, which runs beneath downtown Los Angeles and Orange County. The 10-mile deep fault angles like a ramp and gets closest to the surface near the LA campus of the University of Southern California. If a quake along this fault hits the loose earth of the Los Angeles Basin, it could amplify the intensity of an earthquake by up to ten times compared to areas located on bedrock.

The Newport Beach-Costa Mesa temblors, meanwhile, took place near the Compton thrust fault, which could raise the LA River by up to 5 feet in a strong quake, wreaking havoc on city sewer systems. There have been six quakes above magnitude 7 along the fault in the last 12,000 years, according to geologists.

Scientists argue that instead of focusing solely on the largest quakes by magnitude, the key consideration is how much damage they could do to densely settled areas. The San Andreas, despite its famous reputation, runs for large sections through sparesly populated desert.

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“In some respects, the ‘big one’ in terms of damages and deaths would be ones running through town rather than one that’s a long distance away,” Dr. Pat Abbott, professor of geology emeritus at San Diego State University, told KSWB last year. “There’s the size of the earthquake, and then also where you are situated compared to where the fault’s moving.”

The San Andreas Fault is a tectonic boundary between the Pacific Plate, which is moving to the northwest at three inches each year and the North American Plate, heading south at about one inch per year. (AFP via Getty Images)The San Andreas Fault is a tectonic boundary between the Pacific Plate, which is moving to the northwest at three inches each year and the North American Plate, heading south at about one inch per year. (AFP via Getty Images)

The San Andreas Fault is a tectonic boundary between the Pacific Plate, which is moving to the northwest at three inches each year and the North American Plate, heading south at about one inch per year. (AFP via Getty Images)

He pointed to major quakes like the 1857 and 1906 San Andreas earthquakes, as well 1994’s Northridge earthquake, all of which were under the 8.0 magnitude contemplated in “Big One” scenarios but which still caused “horrendous” damage.

“Unfortunately, earthquake prediction remains an extremely challenging endeavor,” according to the California Governor’s Office of Emergency Services website. “While scientists can monitor fault lines and detect patterns of seismic activity, they cannot predict exact earthquakes reliably.”

Instead, scientists deal more in the realm of long-term probability, which can inform what high-risk areas can do to prepare for the day when the hard-to-predict prospect of a major quake arrives.

For instance, the USGS estimates that there’s a 72 per cent chance a 6.7 or greater magnitude quake will hit the San Francisco Bay Area in the next 30 years.

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Multiple fault lines run through or near major parts of the Los Angeles metropolitan area (Copyright 2024 The Associated Press. All rights reserved)Multiple fault lines run through or near major parts of the Los Angeles metropolitan area (Copyright 2024 The Associated Press. All rights reserved)

Multiple fault lines run through or near major parts of the Los Angeles metropolitan area (Copyright 2024 The Associated Press. All rights reserved)

Finding a greater level of precise prediction is the “holy grail” of earthquake science, University of Washington seismologist Harold Tobin wrote last year.

“Science has not yet found a way to make actionable earthquake predictions,” he wrote. “A useful prediction would specify a time, a place and a magnitude – and all of these would need to be fairly specific, with enough advance notice to be worthwhile.”

In the meantime, until that magic predictor code is unlocked, governments can push for preparedness measures like digital alert systems, practice drills, and building retrofits, while individual citizens are advised to have emergency kits in place and drop to their knees, cover their head and neck, and hold onto something stable when a quake begins.



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Michigan Pot Market Surpasses California in Sales Volume

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Michigan Pot Market Surpasses California in Sales Volume


Michigan has overtaken California as the largest cannabis market in the U.S., at least in terms of sales volume, according to data collected by multiple market intelligence firms. Both firms show Michigan surpassing California over the winter in cannabis product units sold.

Sales volume is the total number of units sold by a business over a specific period of time, such as units sold in a month, quarter, or year. A “unit” can mean several different things but in this case, it refers to a single or multipack cannabis item that is purchased, big or small.

But this is in terms of units, and California is still a larger cannabis market than Michigan in terms of dollars sold—by billions of dollars. California sold $5.1 billion in adult-use cannabis products in 2023, while Michigan sold about $3 billion in adult-use cannabis products.

Prices for cannabis products are much cheaper in Michigan compared with California due to recent oversupply issues in the Great Lakes State. That means that even if consumers buy more products in Michigan, the total amount they spend is less than what they’re paying in California.

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Detroit Free Press reports that since December 2022, Michigan has sold more total grams of flower and units of other cannabis products, called equivalent unit sales, in both the adult-use and medical cannabis markets compared with California, according to data collected by BDSA, a cannabis market intelligence firm that tracks sales via point-of-sale data from a panel of participating cannabis retailers.

But it’s not just BDSA making these claims: Headset, another cannabis market intelligence firm that’s recognized in the cannabis community, compiled data showing that Michigan sold more units than California. Headset defines units as a single item that a customer buys, such as a pre-rolled joint, a multipack of pre-rolled joints, an ounce or one gram, since June 2023. Headset’s data indicates that in May, Michigan sold 24.2 million units, compared to California selling 17.3 million units.

“There are a lot of issues on the ground in California … it’s always been expensive to do business there,” Michael Arrington, a principal analyst at Colorado-based BDSA, said on a BDSA market forecast update webinar in March.

According to BDSA data, Michigan sold 56.8 million equivalent units of cannabis products in April, compared with 44.6 million in California during the same month.

In terms of units sold, BDSA arrived at slightly different numbers than Headset, however both firms found that Michigan was selling more units of cannabis products than California in recent months, such as in February and March. Michigan’s unit sales first passed California’s in December, BDSA data shows.

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This could mean more Californians are buying in bulk or in larger units while Michiganders are buying cannabis in smaller units. 

In Michigan, prices for cannabis plunged after adult-use cannabis sales started because of an oversupply problem, which led to lower prices for consumers but tougher margins for cannabis retailers. 

Michigan Sales On Steady Climb

A recent set of data released by the Michigan Cannabis Regulatory Agency (CRA) shows that the state has once again set a new record for adult-use cannabis sales.

According to the CRA, the state collected $286.8 million in adult-use cannabis sales in March, which made up for 99% of all sales. In terms of product popularity, flower still reigns supreme with $131.4 million in sales. A total of $54.4 million was sold in vape cartridges, as well as $33.9 million in inhalable concentrates, and finally edibles at $26.3 million.

The CRA splits Michigan up into five distinct regions: upper lower/upper peninsula, mid lower, southwest, east/southeast, and Wayne.

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Among these regions, the east/southeast region collected the most in total adult-use cannabis sales with $128,929,767, followed by $79,432,048 in the southwest region, $31,845,920 in Wayne, $29,373,053 in upper lower/upper peninsula, and lastly, $17,209,468 in the mid lower area.

In total medical cannabis sales, the southwest area led with $141,535, followed by Wayne with $945,992, east/southeast with $809,515, upper lower/upper peninsula with $81,273, and finally mid lower with $79,695.

The latest figures leave more questions than answers. Michigan’s population is about a quarter of the size of California’s population, and California’s history of a medical and adult-use cannabis market stretches back further than Michigan’s. But the prices of pot play a large part in the outcome of units sold in both markets,

Michigan’s fifth anniversary of adult-use cannabis sales in the state is coming up, and the state is proving its viability, even compared to California’s enormous market.



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Big-box chains are funding a California ballot measure to crack down on retail theft, setting up clash with progressive lawmakers

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Big-box chains are funding a California ballot measure to crack down on retail theft, setting up clash with progressive lawmakers


With retail theft increasing, California Democratic leadership is clashing with a coalition of law enforcement and business groups in a fierce political fight over how to crack down on the problem. State lawmakers are trying to preserve progressive policies and stay away from putting more people behind bars.

The two most likely paths under consideration this year are a ballot initiative to create harsher penalties for repeat offenders, and a legislative package aimed at making it easier to go after professional crime rings.

Leaders behind the two efforts have accused one another of misleading voters and being unwilling to work toward a compromise.

How did we get here?

Both sides agree on the need to crack down, especially on large-scale thefts in which groups of people brazenly rush into stores and take goods in plain sight.

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At the center of the escalating political fight is Proposition 47, a progressive ballot measure passed by voters in 2014 that reduced certain theft and drug possession offenses from felonies to misdemeanors — in part to mitigate overcrowding in jails and prisons. That includes nonviolent property crimes such as thefts under $950.

It has made it harder to arrest and punish people who shoplift, law enforcement said. Researchers told lawmakers there’s no evidence linking the proposition to increased violent crime rates.

How are the two solutions different?

A coalition of district attorneys and businesses, mostly funded by big box retailers, is pushing for an initiative to bring harsh penalties for shoplifting and drug offenses. It would make theft of any amount a felony if the person already has two theft convictions.

Possession of fentanyl would also become a felony, and those with multiple drug charges would be ordered to get treatment.

The ballot measure would still need to be certified by the Secretary of State before it could be placed on the ballot later this month.

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California’s Democratic leadership, backed by Gov. Gavin Newsom, wants to keep the tough-on-crime measure off the November ballot. They worry the ballot measure’s proposal would disproportionately criminalize low-income people and those with substance use issues rather than target ringleaders who hire large groups of people to steal goods for them to resell online.

Instead, lawmakers are fast-tracking a legislative package of 14 bills that would go after organized online reseller schemes and auto thieves, and provide funding for drug addiction counselors. These proposals could become laws as early as this month.

Do the efforts conflict?

If voters approve the tough-on-crime ballot initiative, Democratic leaders plan to void most measures in their own legislative package, citing potential conflicts.

Lawmakers were short on details about how the two paths conflict earlier this week. Later, they said they fear if both efforts succeed, law enforcement would be able to stack penalties and send more people to jails, leading to mass incarceration and overcrowded jails.

About a third of the measures in the package pose possible legal conflicts with the proposals in the ballot initiative, according to lawmakers.

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The ballot initiative campaign accused lawmakers of holding the proposals hostage to break up the coalition. Local district attorneys who backed the ballot campaign said both efforts could work together, with the ballot measure overriding the legislative package in case of legal conflicts.

What happens next?

Backers of the ballot initiative said they’re still open to working with Democratic leadership but will only consider any solutions that involve rolling back Proposition 47.

“We still stand ready to sit down with anybody in leadership to talk about the measure, but I don’t want to compromise,” Greg Totten, a retired district attorney and a leader of the ballot initiative campaign, said during a news conference this week.

Newsom and Democratic leaders have until June 27 to negotiate to get the initiative off the ballot. Meanwhile, lawmakers have plans to deliver the legislative package to Newsom’s desk by next week for signing, despite growing concerns from moderate Democrats.

“When you look at the package that we put together, it’s very comprehensive and it addresses a number of details in the existing framework of the law,” Assemblymember Rick Zbur, author of a retail theft bill, told reporters. “It was never intended to be something that was stacked on to a ballot measure that removed the underpinnings of the basic law that we were trying to reform.”

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