News Scrapbook 1979
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SAN DIEGO CLIPPING SERVICE
SAN DIEGO CLIPPING SERVICE
SAN DIEGO CLIPPING SERVICE '=VENING TRIBUNE OEC . 3
CARLSBAD JOURNAL OEC, 1 197~
THE NURSE AS F EE-LANCER Continued from Flnt Pace
SAN DIEGO UNION
1979
DEC. 2
I etcham conducts master chorale in music con erts
Aztecs, Toreros open busy week There is a busy wei>k of basketball activity ahead for San Diego's colleges. San Diego State and Fri>TE5it);' gr San Die.o kick off the week tomorrow night at the Sports Areua. After playing each other, both the A and the Toreros go on the road. will be at University of Pacific Thursday night wh e an Diego State has games at Idaho State Thursday and at Kansas Saturday. Point Loma College has two games at home this week, playing Claremont Friday and Cal Lutheran Saturday. All the San Diego schools were winners over the weekend. San Diego State crushed visiting Fort Hays State 101- 77, ~andled Samford 93-81 and Pomt Loma walloped Laverne 137-72. UCSD raptur d lts own ba ketbail tournament, squeezing by Sonoma State 77-76. U.S. Internauonal l:mversity defeated hammade in Hawaii 62-60. Presnell Gilbert hit two free throws in the fmal three seconds for the winning margin. The 137 points by Point Loma was two short of the school record . The Crusaders scored 139 in 1954, when the school's name was Pacific Lutheran.
TOP SAMFORD 1 93-81 Poised Torero Ca_gers Triumph By AILENE VOISIN Speoal To The San DietO Unin For a season opener, it wasn't too bad. The l]P1vecsi1y of Sag OiQf!o, leading by 11 at halftime held off a Samford rally In the second half and went on to take a 93-81 win last night at !J1:f.,- It was ].fill.'.s first win as a 1vision I university, and one Coach Jim Brovelli was fairly satisfied with. He had reason to be - several reasons, actually. -The Toreros committed only nine turnovers, their opponents, 15. -Despite Samford 's height advantage, con- trolled the boards durmg the Crtt1cal minute . Evans, who led all scorers with 28 points and rebounders with 11, added a fey, slams and offensive
But money is not the only gripe among nurses. "Money will not be the final solution," says a San Diego health care manpower expert, who asked to remain anonymous. "Grueling rotating shifts - that's another complaint," she added. "Another big problem is paper work. Federal and state governments now require so much paper work on. utilization rates and quality assurance. Plus, all the medical insurance reimbursement mechanisms - they require so much paper work. Also, nursing has become more clini- cally focused. No longer is the highly trained staff nurse as willing to move freely from one kind of nursing unit to another. I feel the nurses' demands are not strident de- mands. It's just a standard workers' trend toward better working conditions. "And I say there is no nursing shortage. The nurses are there. The proliferation of nurse registries here in San Diego tells you thal It's wiser to call it for what it appar- ently is: a recruitment problem. I perceive it as a manage- ment problem. And it's a serious one. No question about it." Dr. Palmer of W12 estimates that more than 30% of a typical nurse's time today is spentdoing paperwork. Several co~ty hospitals, including Sharp Memorial, Mercy and Cl111remont Community, have set up their own part-time pools, hoping to compete with the commercial registries. But even these efforts have doubters and critics, includ- ing the American Hospital Assn., which issued a prelimi- nary ~rt on the problem last month. "Although tempo- rary registered nurses meet some patient care needs, there are far-reaching and serious concerns about their use; among these are poor continuity of care, lack of commit- ment, difficult communication, increased errors due to lack of knowledge of policy and procedure, lack of advanced nursing skills, unreliability and greater expense," it said. James F. Bray Jr., executive director of the Cabrillo Medical Center and Doctors Hospital, put it this way: "Temporary help, no matter how expert, can't come into a hospital and be expected immediately to understand how a particular hospital works, its procedures, even where the bathroom is. That's just not an efficient way for a hospital to operate." The local manpower expert added, "Just imagine your- , self - whatever yout: iob may_be - ha..ving to work with new faces every day. I think that puts great pressure and stresses on your existing staff. But as far as the quality of care goes, I don't think it is affected - because most pa- ;,.;,:• VA Hospital has had to advertise for· nurses for the first time. tierrts often see different nurses while in the hospital any- way. "The real problem Is this: The temporary help doesn't do the paper work, so the staff nurses have this additional bti!den to carry. They get overworked and maybe they'll qmt, too, and go sign up with a registry so they can work only when and where they want - without all the hassles. This could be a vicious circle." Hoping to avert such a circle, Palomar Memorial's Kleiter met with his nursing staff recently to explore possi- ble solutions. "'l'.he nll!8es suggested the differential increases. We COllS!dered 1t and it seemed like a good idea," he recalled. The early results are encouraging. "There have even been days, I'm told, when we haven't had to call for pool nurses at all," Kleiter reported. For registered nurses at the 300-bed FEondido facility the monthly differential pay for the 3-to-11:30 p.m. shift was raised a month ago from $56 to $150 and for the 11 ~.m.-to-7:30 a.m..shift from $84 to $250. For licensed voca- tional nurses, thell' monthly differentials went up from $41 to $100 and from $62 to $180 for the same shifts. "I think it's worth it to us to provide continuity and bet- ter and complete patient care this way - with our regular staff," Kleiter said. _But at Brawley's VA Hospital, the nursing crisis presents still another dimension. "We're not allowed to use nurse pool registrie~ - _it's prohibited by regulations," said ~~etHams, chief.of nursing service. "So we use over- t1:1'1e mstead. But thats not a totally satisfactory solution, either, because the staff gets tired and overworked. And that creates absenteeism." The brand new surgical intensive care unit has not been the only fully equipped unit at the hospital to go unused be- cause of the nursing crisis. "We've_ also had to _close the coronary care unit. That was ba~k mJuly. And 1t has only been reactivated periodi- cally Since. A few weeks ago, we had it open for several days, staffed by overtime," Mrs. Harris said. Because there are not enough specialized nurses willing to work, she added, the hospital for the first time has had to advertise in local newspapers. "And we used to have a lot more applications than we needed," added a wistful Mary Wallace, aVA nursing supervisor. Hospital officials first noticed their nursing staff problem only SIX _mo~ths ago. Until then, Brawley said, the hospital was paying its nurses more than other San Diego hospitals "But the ~ormation I have is that the private hospitais no~ are paying more. But we're starting to pick up nurses agam. Unfo~unately most of them don't have the compe- tency to go mto the ICU (intensive care unit). So we have to hold classes and train them. And that takes three months. But b3rriD:g ~Y unforeseen events, I expect to have our new surgical mtensive care unit open after the first of the year," Brawley said.
Concluding the San Diego 1aster Chorale program will be a selcct10n of 16th century Renaissance composi- twns by G,ovanni Gabricli. His music rctkct the majestic surroundings of Venice'· t Mark's Cathedral. For rurthcr 111format10n call 239-4662/
('C'lt·bral mg th · l'om1ng Chr1stma c,1 on the San Diego Master Chorale will pn sent two DPccmbe1 programs ofsacn
SAN DIEGO CLIPPING SERVICE 3LADE TRIBUNE DEC. 3 1979 USD''- Evans Star-Of-Week SAi'< FRA! 'CISCO (UPI) - Joe Evans. a llmyers!ty Qie~ center, was nam the West Coa,t Athletic Con- ference player of the week, the league announced Sun· day The 6 loot 9, 225-pound sophomore won the award for his play in San Diego's 93-81 win over Stamford Saturday night He scored 28 points and grabbed 11 re- bounds in the team's opener. USU. wtl.1 m t an Dl:!go State Tuesday nfght at the Sports Arena San Diego tate also won its opener when It defeated Fort Hays State aturday which gave new head coach - Dave Games h!S first victory as an Aztec.
SAN DIEGO CLIPPING SERVICE EVENING TRIBUNE
-The Toreros who re- turn la t year's sta ting lineup, learned they could relv on their bench for points, defense and rebounding. And perhaps most unpor- tantly, USD's five dPmon- strated uiey could pla; with poise - a must 1f the Toreros are to be competi- tive in next Tuesday's meeting with San Diego State and upcomi g West Coast Athletic Conreren games. ' That was very encour- agmg,'' Brovelli said after- ward ' It s difficult to play well when you've got a big lead. nd we made some mistakes. We took a few bad shots and weren·t as strong defensively when they made their run at us. "But for a first game, I think we played very well." lJSil.:,5 starting five - Mife Stockalper , Earl Pierce, Joe Evans, Russell Jackson and Bob Bartholo- mew, scored all the team's points in the second half, but shared the offensive load in the first. The Toreros held leads of five and seven points dur- ing the early phase of thi> game, but were caught and passed by their rivals from Birmingham, Ala. at 22-21 with IO minutes remaining. Bulldog guard .Marvin Stewart, who had an excel- lent first half, scored most of his 19 points during that stretch. But uso·s front line, par- ticular"vans (6-8) and newcomer Brad Levesque (6-7), began outrebounding Samford's Robbin Bumbry, Sam Lee and 6-10 center Steve Khan.
tips, and JlfilLmo.ved to a 53-42 leactanhe half Off the bench, Levesque and Rusty Whitmarsh contrib- uted eight, and 5-10 guard Darryl Barbour three ~threatened to break the game open early in the second half a Jackson, scoreless in th imtlal half, made three quick baskets, Evans several scoring drives, and Pierce three Jong Jur. 1pers. With his team ahead, 77- 69, and nine minutes remaining, Brovelli went with a spread offense. The Toreros held the lead for about five minutes, then made a few of those mis- takes their coach men- tioned , Samford capitalized, and closed to 78-73 with 3:49 left This time it was Lee and Bumbry, a 6-7 power forward, outrebounding Bartholomew, Jackson and Evans. But ~s~. with its offense dll'ecte y the 6-0 Stock- alper, controlled the tempo from that point on, and cap- tured the win. Stockalper had 14 poir t' and four assists, Pierce 14. and Evans, an excellent shooting night - 10 of 1~ fram the field.Stewart :me Bumbry led Samford ith 19 and 18 points, respect ve scmtord till Stewart 91-219, Aus, 2 0-04. Borke< l '•l I' Sumbry ll • IL Ro013'd O 2-2 2, Newton 0-0 o, Sk09!IS 20-H. Francis n 2 4. .ee 6J.S' Kahn00-10, mOO-OO. To!Ols:Wll·lll Uill93) "Sroc~lper 5 14, Pitrce SI 5 l. Jac~soo 2OH 6ortt101crnew60-012. E1'0!1S 10 8-12 lS, Borbour I 1-2 3, CUM nghcm I 0-0 2, Y I morsll40-08, Levescioe32·21 Totols371l-26 9J llSILIJ, Samf0 SAN DIEGO CLIPPING SERVICE DEC, 3 197~ SAN DIEGO CLIPPING SERVICE READER JOCHUM SET FOR PENN; WINS PAIR Chris Jochum, a member of the Upixecsi\r cf r- • n tennis team, quali- fied for the Penn Grand Prix Tournament at Ran• cho Bernardo Inn Saturday and Sunday when he cap- tured two victories over the weekend. Jochum topped Henry Brandon 6-4, 5-7, 6-4 Satur- day, then eliminated .Mark Alba 6-3, 6-3 yesterday. Among the eight quali- fiers was Mario Rauch, an 18-year-old net champion from Amberg, West Ger- many who will be living in this area for the next five months. He beat Bryan Turner 6-1, 6-1 yesterday Others qualifying were Ron Bormberg, Kip Hutchinson, Lyle Chamber- lain, Kenya Nairobi, Randy Hippenstiel and Kevin Sverduk, the latter a 21· year-old former San Diego City College star. SAN DIEGO CLIPPING SERVICE DEC6 DAILY 8tc-.lF0f~~N Medieval Renaissance Christmas Music for voices and instruments will be performed by the Early Music Eru.emble, Sunday, December 9, 8 p. m., St. Peter's Episcopal Church, Parish Lane, Del Mar; and Saturday, Decemher 15, 8 p.m., Founders Chapel, vso. 755-1408. SAN DIEGO and Aztecs, Toreros fight for city supremacy San Diego's two NCAA Division I ba~ketball teams. San Diego State University and 1 r 1ty of an Q1ego. squar off tonight in the Sports Ar r at 7.35. Both teams ~pl'ncd th 1r Sl•asons Saturday with convincing victories. SDSU deleated Fort Hays State 101-77 while~ stopped Samford 93-81 This is lJ,SJ.l'.S first year as a Division I team after compiling a 41-14 record in Div1s10111 play over the last two vears, including appearances 111 post-season play T~e 1977:7s team made it lo the £inal four m the playoffs while la:t vear's team lost out in the Western Regionals . ~etums its ' starling five from last yea~ and has former !IAont Vista star Rusty Whitmarsh coming of the bench 1;1 his ·ophomore year. Against Samford, Whit• mar, Ii ontnbuled eight points. tops for the Torero reserve· . SlJSU will be looking £or its' second win of the sea on with a totallv restructured team under new Coach ~mokey Games San·Diego Stale rurrently holds a 9-5 senes lead SAN DIEGO CLIPPING SERVICE s ,.zts17'i CHORAL CONCERT The UniversitR of §wt 8kegp ' w1il ost a ristmas choral concert at 4 p.m. Sun- day. Dec. 9 in the university's Founders Chapel. For in- formation, phone 291- &180, Ext. 4296. G.,.,....I SAN DIEGO CLIPPING SERVICE TIMES- ADVOCATE DEC 6 1979 I CLIPPING SERVICE READER 197~ OEC6 "A F d Carols," a Christmas choral c::. cert, w,11 rake place on S d December 8 8 . atur ay, De ' P· m., and Sundai• Chcember 9' 4 p. m. • Founder~ 29 /f:~o x~ Alcala Park. SAN DIEGO CLIPPING SERVICE · J estrva of Lessons "EARLY MUSIC ENSEMBLE" Performs medieval and Re- naissance Christmas music for voices and instruments, 8 p.m. Dec. 9 at St. Peter's church, Del Mar and 8 p.m. De?, 15 .at Founder~ Chapel, BLADE TRIBUNE EC 6 1979 D . READER DAILY TRANSCRIPT "'lhl Beethoven Cycie-;;- ·.:.:'"Piano co cert featurmg Beethoven's Op. 7, Op. 90 and 0p 57 (~ppassionata), 4 p.rn. Sunday, Dec. 16; Canuno Theatre, lkJ1xetsilM of San Diego Alcala ~-ark. Admission: $3.50; students'. ~ru~r citizens and military, $1.50. lnforma- DEC 6 B1979 1979 C . OE LA JOLLA LIGHT 5 or 10 Mile Cross Coun to benefit th fJfil) DEC 6 1979 Early Music Ensemble - J . try Ru hon. 291-6480. The Siena Vista Swingers, a group of 16 square dancers will perform on Sunday at 2 p.m. in the Universjty of San Piego·~ More Hall. The program is sponsored by the Mf .D Student Chapter of the Council or Exceptional Children. performs medieval & December 8 9p ace on Saturday.' Center to' 'ta.~., ta,sports 291-6480 x427;co ote Canyon. Renaissance Christmas music in- strumental) Sun. at 8 p.m. in St. Peter's Episcopal Church, Del Mar. & Dec. 15 at 8 p.m. i ' Founders Chapel. $3. 755-1408 or 488-9524. (vocal & SAN DIEGO CLIPPING SERVICE LOS ANGELES TIMES . . .. tC 2 1979 U SES GIVE HOSPITALS what hospitals or wards they will work. The hospitals, when strapped, have little choice but to call such registries. "Nurses can quit for six months and go off to Hawaii, then come back and have 30 hospitals bidding for their services," Brawley says, shaking his head. "The girls are getting smart." Because registries are commercial ventures, temporary nurses often can cost hospitals 25% to 30% more than permanent staff nurses, according to one hospital execu• live, Theodore E. Kleiter of Palomar Memorial in Escon- dido. The nursing crisis had become "critical" at Palomar Memorial before sharp increases in everjng and night differential pay stopped the exodus. Typically, a full-time staff nurse in a San Diego hospital might make about $7.00 an hour. But the cost of a tempo- rary nurse hired through a registry is $13 or more an hour, according to Sunny Saunders, administrator of College Park Hospital. "Your average nurse just out of school makes around $1,200 a month_ The experienced nurse makes up to $1,400 amonth" Please Tum to Page 5, Col.1 ---- Tl MES-ADVOCATE DEC. 6 1979 ,~. to be shut down from time to time until enough "free- lance" nurses decide to show up and earn some quick cash. This practice has raised serious questions about the ef- fects of such erratic hospital functioning on the quality of patient care. But surprisingly, few can agree even on just what the problem really is or what to call it - much less how to solve it. Brawley sunply throws his hands up in the 311' and says, "I'mnot aware at this time that anyone has any answers." Several San Diego County hospitals indeed are trying to boost their depleted nursing staffs. Yef despite early signs of success, skeptics continue to warn that such efforts will not only fail but also make matters worse in the long run. Meanwhile an entire new industry - nursing pool regis- tries - has mushroomed, with the registries acting as mid- dlemen for beleaguered hospitals and increasingly asser- tive nurses. The nurses sign up with registries, often specifyingwhat days and hours they are available; some even designate nation for several years now, and one'that some call a criti- cal issue facing the health care industry in the 1980s. urses in unprecedented numbers are, in effect, declar- ing themselves free agents - changing jobs by moving from hospital to hospital, chasing higher salaries and better working conditions, especially more convenient hours. Arecent survey of California hospitals showed they have an a erage nursing vacancy rate of more than 16%. In one qinrter alone, the turnover rate of registered nurses was 44%. n'his is a major concern to all of us," said Dr. Irene Pallller, dean of th~versity Qjegn nursing sdlooL "I think hospi sneed to loo a½Jiy this has hap- ~ned. Most of them have always seen nurses as a source of c eap labor." be unpredictable mass movements of nurses have left hospitals little choice but to improve salaries and working conditions, however begrudgingly. But even so, many h tals, such as the VA Hospital, sometimes still cannot find tnough nurses. And so entire hospital units often have BY EDWIN CHEN Tlmn $1aff Wrllff At the Veterans Administration Hospital in La Jolla, a seven-bed surgical intensive care unit is still awaiting its firSt patient two months after completion. And juSt when the sparkling new unit will come to life, nobody seems to know. "Maybe sometime after the fll'St of the year " says Dr. Robert W. Brawley, the hospital's director. But Brawley's problem Is not a lack of candidates for surgery. He can't attract enough nurses - especially highly trained one - to join the hospital, and then, once there, to stay put. Without skilled nurses. no hospital woqld dare operate its critical care fac1lities for very long. "lt's a horrendous problem," laments Brawley. But the dapper, mustachioed hospital administrator is not likely to find much sympathy among his counterparts in the area. For one thing, Brawley is a latecomer to a prob- lMn that has plagued hosp1 als in San Diego and across the LOS ANGELES TIMES EC. 3 1979 READER SAN DIEGO CLIPPING SERVICE ntc s Music 1979 NAVY DISPATCH ~acred Choral Music, Bach's ~agnihcat,., Ramirez's "Misa Cnolla,u and Renaissance music by Gabriel,, will be performed by the San Diego Master Chorale Thurs- day, Decetnber 6, 7:30 p.m.; and Sunday, December 9, 2:30 p.m., the lmmaculata, USO, Alcala Park. 239-46rr - LA JOLLA LIGHT 1979 DEC 6 Dec. 16 "THE BEETHOVEN CYCLE": Piano concert featuring Beethoven's Op 7. Op. 90, &Op. 57 (Appassionata). 4 p.m. Sunday, Camino Theatre, Unlverslty of S3p ~ go. Alcala Yark Adm1ss1on: $3. ; students, senior citizens & military, $1.50. In· formation: 291-6480 STAR NEWS DEC S Lynn Schenk (clas,q of '70), JJep. Secretary of California's Business and Transportation Agency; and Bob Wil- son (class of '68) state senator from San Diego. The banquet will also commemo- rate the 25th anniversary of the law school and honor the first graduating clas,q of 1958. 1979 YSJ2_DINNER TO TOAST 3 LAW ALUMNI OEC6 197 Awards Banquet Dec.16 at the Atlan- tis aestauranl The event will honor outstanding alumni of the law school for 1979. ThCYare: Robert J. Coon,y (class of '58), Murucipal Court judge San Di~o; Sportscaster Howard Cosell will be the keynote speaker and former Charger football star Ron Mix will be master of ceremorues at the tJlljYP· mt;rJi'ia" Jli,:en School of Law's Th nnual Distingllished Alumru SAND DIEGO MASTER CHORALE: Program features- Bach's "Magnificat", Ariel Ramirez's "Missa Crlolla," and Music for Multiple Choirs by Giovanni Gabriell; 7:30 p.m. tonight and 2:30 p.m. Sunday; T~ ITT?Cllw.J" (church), Universi ty pf Seo Pi !•: .Aloe/a ~k. Admission: $6'.50/$5. Ton ght and Sunday The San Diego Master Chorale - performs Bach's "Magnificat" in D major, Gabrielli's M,usic for Multiple Choirs & Ariel Ramirez' Misa c1;ona in The Immaculata ·Jlni . ~go. Today at 7:30 p.m. & Dec. 9 at 2:30 p.m. $5 & $6.50.
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