Retention ideas wanted (sorry long winded message)

Nurses General Nursing

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I am new to this discussion area. Like many of you I have strong feelings too about nursing. Yes I'd be a nurse over again. Have worked clinical and management back and forth for over 16 years now.

Anyway, I would like some ideas for retention to pass on to others at my organization.

We have increased pay recently. I feel we have reasonable nurse patient ratios (Med/Surg/tele unit 3-5 pts on days; 4-6 on nights- with nursing assistant support 1-4 per shift usually 2 or 3; 1-2 unit secretaries per shift; 1 charge nurse resource with no patient assignment; 1 monitor tech.Other med/surg floors have this support w/ 1-2 more patients per shift w/ at least this amt of support.)

Anyway, we are having difficulty recruiting permanent staff on the tele unit. We have lots of agency use- contract staff. We offer contracts independently as well too. I really want to decrease agency staff when I can- we have had some good ones help us through & some renew for a long while, but I want more permanency when we can.

Night staff seem in particularly in short supply all over the state.

Have to add there is **N0 mandatory overtime** and I have been supported by top administration to pay double time for night shift to cover during this period on one area w/ a high vacancy rate. Nurses do have to work every other weekend- that one is tough- but only 72 hours pay period w/ full benefits.

Anyway- we are still having troubles but slowly getting response.

I really want to implement some retention ideas to support the staff who have helped out so much during this time.

Any ideas would be appreciated.

Lisa

Originally posted by DHB:

Asking nurses to work in areas where they have no training or expertise is the demise of the professional nature of our job. The hospital is setting the RN up for failure, or at least for error.

I certainly think a 10 week training program and on floor preceptor program which is what we are now offering is anything but the above!! I would shudder at that too. Hope you are not in such an environment, I certainly am not.

And the charge nurse is experienced on all shifts and a resource with no patient assignment.

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