Originally posted by darn1219
As a full time staff RN in a community hospital, I just wanted to add my experiences with agency nurses. I work in a small 10 bed ICU on the evening shift. We use agency nurses VERY frequently due to staffing shortages and actually have policies on how they are to be "treated". For example if there is a need to float someone from ICU to another area in the hospital, they float "regular" staff and keep the agency RN in the unit. True that a scheduled agency RN will be cancelled first if census changes mean we need less staff. As far as assignments go, we try to maintain continuity of care so the RN who had the patient the day before will get the same one(s) back leaving the agency RN to pick up the assignment of a nurse that isn't there that particular day. If agency RN's are being treated poorly in our facility it's more likely a clash of personalities I suppose though I know that they start off with biases due to the fact that the salary of an agency RN is often double than what the staff RN's are getting. But please, all you agency RN's, keep coming! We couldn't manage without your help and the varying experiences you bring with you.
I must say that is hospitals that are organized, with written policies about how agency will be used, I have been treated better than those that aren't. Some hospital don't even bother giving agency nurses any kind of orientation, but expect them to walk in cold, and
perform.
When you spend part of your shift trying to find everything, and have to bother other staff to find out, how you do this or that, this takes away from that nurses time of actually doing pt. care.
Yes, I can walk in and function with zero orientation, but how much more effective could I have been if I didn't have to waste time searching for this or that??? Especially the hospitals that use pcs. One hospital decided that I could be oriented to their pc system, at the same time I was taking care of 6-7pts, with one of them post-op!! They took up almost
3 hrs of my shift with me sitting in the nurses station, with someoone trying show me how to use this awful system they had!! Now that make real good sense. Their response ...no one else had a problem with it!!! Yeah right....that is why a traveler told me, that the hospital was on the DNR of most nurses in the area, and asked didn't anyone warn me!!! I never went back!!
I'm sure with your response here, your hospital will have less nurses who vote with their feet. Good post...
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