I work on a VERY busy med/surg floor, 40 beds with tele. We average 20 admissions/discharges a day, and they are mostly done by the charge nurse because the staff nurses are way to busy to stop from their normal hustle, bustle to even do the d/c's and admissions.
We have repeatedly asked for another charge nurse, we used to have one for each side (20 beds each), but one got promoted to another position and they never replaced her. So instead of hiring a permanent charge nurse so that we have 2 on day shift, they would rather call people to see if they want to come in for OT and receive critical need pay (extra $10.00 hr) on top of what they already make. Does this make sense to you? Certainly doesn't to me and we've asked numerous times for another charge to help us out, but no, they would rather pay out tons of OT and critical pay. I'm stumped!
Any suggestions to take to upper mgmt would be greatly appreciated.