I work in a teaching hospital...we just got magnet status a few months ago. There was a huge fuss about it while we were trying for it, then when we got it, they spent a little time congratulating us, then a few months later told us that, despite the fact that we were only 2 or 3 months into the new fiscal year, we were down $6.7 million (eww, long sentence, sorry!). We are now expected to work at 103% productivity (as of last count, my unit was at 104%), cut our supply budget, etc. Some departments will be losing staff, but we won't be affected because we are variable staffing...we'll just have to work a person short "now and then". Wonderful!
Our caseload did not change at all...I work on a busy heme/onc floor with no monitors, and we have 5-6 pts each for days and eves, and 8 each for nights. We have 3 techs on days/eves and 2 on nights. We have an average census of 30-35 with a max of I believe 38. Our acuity fluctuates but is normally on the high side, sometimes very high. But, since we don't have tele (yet, they're trying to get us 8 tele beds), if someone needs frequent monitoring, you have to do it yourself. VS q15 min? Okay, then go take them by hand q15 min. Have 3 of them at the same time? Good luck doing anything else!
I've worked on the same unit for 4 years, but have some experience on a few others, and it's pretty obvious to me that the units that make money (L&D, Mother/Infant, the new Cardiac floor) get a much better deal than the rest of us. I'm not complaining about 5 pts, mind you, I know it could be a lot worse, but at the same time, I feel like they should share the wealth, you know what I mean? And I'm not talking about just for staff either. We have volunteers who bring around cookies and coffee for patients and family members, which everyone loves. In 4 years, I have seen it on my unit ONE TIME. We actually have to buy the coffee ourselves and families who want it have to pay 25 cents per cup. The patients can have instant or else have to wait for it to come up from dietary or pay for it. Is that not ridiculous???
Sorry, didn't mean to change the subject, I'm just sayin' that I don't think that magnet status really means anything!