Quote from meandragonbrett
I REFUSE to float to any other unit outside of an ICU and accept a patient assignment. I will float around, do accu checks, give meds, help with vitals, etc. but I am NOT taking a patient assignment. If they are demanding that I take an assignment I'll delcare it unsafe and go home.
I don't know why administratio and other non-critical care nurses think that because we can manage 2-3 critically ill patients that we can manage 7-8 medsurg patients. It doesn't work that way. I cannot turn the critical care nurse off and the medsurg nurse on. I am certified as a critical care nurse and am trained in that fashion. I have *no* training how to function on a medsurg/stepdown/tele floor and I shouldn't be expected to carry a patient assignment when I've not received a proper orientation to that unit.
Wow. I am not even sure how to respond to that, and most of what I could say is merely assumptions about your hospital and would be unfair generalizations. So I will refrain from trying to fully negotiate this post.
I guess I can just state from a charge nurse perspective on our floor how we treat our floats:
-Our heaviest patients always go to a home floor nurse for continuity of care. Therefore anyone who would really be complicated a float nurse would never have.
-No one has more than 6 patients and has a balanced mix of lighter and heavier patients. (This is on nights, 4-5 on days)
-That night they did respect the wishes of that nurse, until the floor got slammed and the charge nurse was nearing patient seven and SHE herself wasn't from our floor. (We still aren't sure how that schedule got so out of whack to have 3 floats and new grad on that shift.)