I am a labor and delivery nurse and have been ever since I graduated from nursing school.
Now and them our unit has no patient or very few. Since we are over staffed and the hospital can not send us home since we have to be stand by, our supervisor send us to medical floor to work. I never worked in medical floor and never had orientation. With my type of background I feel hospital is putting me in a very dangerous situation. What do you think?
Oct 27, '99
I also am a labor & delivery nurse. I have been in that situation and it is not a fair one. Our unit stood together and worked to get a closed unit. On our unit we have to be crosstrained for L&D, PostPartum, and Special Care Nursery (Level 2). I think that is enough to be proficient in! We accomplished our closed unit by agreeing to make an availability list so that if our unit was very busy, we would be able to cover it. That way we can staff with less people per shift, knowing that we have more people available if needed. Less overstaffing and no floating (except very occasionally to pediatrics - our sister unit). My advice is - see if you can work out a similar plan at your hospital or at the very least you should be able to have a proper orientation to the unit that they are floating you to. Turn down an assignment that you know is dangerous - it's not fair to you or to your patients.
Oct 30, '99
This floating thing again *smile*
Do YOU like to work extremely short handed? Talk about unsafe!
In nursing school, you learned all the varied fields of nursing. It's true you may get rusty, but the knowledge is in there.
My institution has a float policy we have found workable....if one has to float out of division...ie from women and children to med surg....we go as a "helper" and do "tasks", rather than assuming responsibility for an entire patient assignment. Vital signs, assisting patients with personal care, all things you would do with your post-partum patients.
None of us like to float...but we all live through it, and most of the time, it's not all that often. Just think how grateful your peers are when you go to help them with a cheerful attitude! It means so much.
Last year my peds unit went through a reorganization (ugh!) and staff bailed out in droves. Even with MANDATORY overtime we could not meet our staffing needs. This year, on night shift, we gave a party to thank all the units and staff that helped us though those tough times, and they appreciated our gratitude. Sure helped out staff relations between units.
And as for the units one must float to...BE KIND!
(Yadda, yadda, yadda....*LOL*...I'm