We do it that way at our facility, but we are a small rural hospital with not a lot of peds admissions. After a 9 million + dollar expansion of the hospital, which in fact lowered our beds, we combined Peds with Med Surg. We basically have a Med surg unit that used to be 2 units, think of an H type configuration, with a 6 bed ICU in the middle of the H.( separate unit)
There is also a neuropsych unit, OB, and Same Day Surgery. Guess what, that means all med surg admits come to one unit!!!
Anyway, back to the subject, I do not like having a combined unit, but then again I am one of the 3 Peds nurses on 3-11 and I'm not a real big kid person, got roped into it unwillingly. We usually only have 0-2 kids at any one time, unless its RSV season, and yes, we have already had one confirmed case on 9/10/01. we usually also have 3-5 other adult pts. We do get charge pay when doing Peds and supposedly are totally responsible for all our own pts, calling Docs, taking off orders, etc. I personally think if we can't do Peds properly and safely, we should not do it at all but then we are the Only hospital in a 40 mile radius. I guess I just do not adjust to change well, and after 25 years in the same facility, I can remember the good old days when it really was fun to come to work and we had good benefits, etc. Whine, whine