Our facility has decided to create a critical care float pool taking nurses from progressive care/stepdown and sending them to the er.
The way our er works is team nursing where 2 nurses are responsible for 12-14 pts at most. But the float nurses are getting an abbreviated orientation to the er and will be unable to take ICU pts, peds or traumas. I think this is unfair to the float nurses because they aren't adequately trained to take all pts and also to the er team member because they basically get half a nurse. Not only that I think it's unreasonable, undoubtedly the float nurses are bound to run in to icu, peds and traumas on a daily basis. To me, patient safety is also at risk.
I am one of these float pool nurses and am having a lot of stress about not being prepared for the er. We have mentioned that we would like to be fully er trained but so far it is falling on deaf ears.