Floating nurses - page 3
I have an issue I really need to get input on. I manage several large telemetry and PCU type areas. Staffing is usually tight...however, once in a while the clouds part and the census in the ICU... Read More
Sep 2, '03I had to float alot at the hospital when I worked there. ICU had that bump thing going on too. WE did not. I never felt bad about floating actually it was nice as when I did most of the time I was treated very nice. I did not mind most of the time.
Sep 2, '03I feel like I'm the designated "Yo-Yo" on my shift..last night started off on med/surg with 5 pts..was moved to Geri-Psych about 2230..then moved again to CCU around 0200 due to 2 new admits.Normally I don't mind working different areas.I like the change of pace.But 3 diff areas in 1 night..geeeeeez..didn't know if I was comming or going.Oh, and I'm the only one who seems to get moved around..which is unfair..If I can be a YoYo why can't others take turns doing the same ? -sighs-
Sep 4, '03I'm here again, guys....
Our story is like this....L am a pediatric ICU staff nurse, if our census is low, we'll be assigned in another unit. Fortunate for us if we'll be designated in another pediatric area. But sadly, most of the time, we'll be assigned to Adult ICU's. It always brought us uncomfortability, and even anxiety.....because basically its not our unit. It's not our place, and its very hard if you are not working in an area you're not familiar with. Anxiety would trigger low self-esteem among us. This somehow would cause us not to be happy when the time comes for us to report on duty. Instead of enjoying to giving care to our patients, we tend to loose interests in doing so.
Good for you, renarian. You are being treated well. But here, we're not, cause if we are, I think you'll here anything from me.
Its very sad that our managers here continue to ignore our predicaments regarding the matter.
Well, I'm now working on my Research papaer.....and its about floating or pull-out. After this, I'm planning to present this to our administrator. Hoping that they will emphatize and much more do something about this.
Sep 4, '03Me again,
Sorry, just have to correct some things......renerian, not renarian, and...."But here, we're not, cause if we are, you'll hear nothing....."
Sep 19, '03I worked as a traveler for 2 years, and it was expected that we would be first to float, and I personally agree that this is the way it should be and agree that a policy to float temp staff first is the proper and acceptable thing to do.
Floating permanent staff first causes friction between permanent and temp staff, and it is already tough enough to go into an unfamiliar facility and work well with the staff sometimes when they are happy!
Sep 25, '03Had a situation come up last night that reallyyyy peeved me..as I said in prior post I have floated to many other units within my hospital, and never complained toooo much..seeing as how I was the only staff member who was floated..I understand that we must remain a bit flexible so I have always just 'gone along' with it. The only area "I" do not feel comfortable floating to is the ER..to me it's a whole different specialty area and totally diff way of nursing.We were told last night we ALL had to float to the ER or take days off WITHOUT PAY.I do not feel comfortable with this at ALL.To be thrown to the wolves so to speak...say something bad comes in..myself not knowing the diff protocols/procedures ...but am expected to perform as an ER nurse...it just seems like a lawsuit waiting to happen to me..to me ER is an area that you need special training before being thrown there, and I feel my liscense would be in danger for agreeing to handle an area that I have no training whatsoever. I opted for day off without pay when my TIME comes up.It just angers me to feel pressured/bullied into a situation I don't feel comfortable with....grrrrrrrrrrrrr
Sep 25, '03Mandy, do you not have any recourse? Most hospitals I was in had to at least provide training if they expected you to float and take a patient assignment. Are you expected to work the same assignments as regular ER nurses without any orientation?
Sep 26, '03No special orientation period or anything to that effect..work same as the reg ER nurses whenever they want to slap ya' down there...a 'learn as you go kinda thing' with all the responsibility ethically and legally..guess I'll have to find another job if they make me take too many days off without pay... although a day or so off would actually be nice considering I've tried to get a day off for 5 months now to no avail...2 of the other nurses on my shift have agreed to work there even though they do not feel comfortable with it either..just seems a point where sometimes you just have to say NO..no matter how unpopular it makes you :/
Sep 26, '03We have a float book policy, but the ones that do not get floated in regards to the book are the nurses with more seniority. I think this is a good idea. On the med-surg unit I work on, there are only 2 nurses that have 6 years experience. The rest of us have been nurses for one year or just graduated this year. OB occasionally needs floats. I got floated last night, and thorougly enjoyed it. But then again, I pick up extra shifts in that department frequently and I feel pretty comfortable there. And besides, I had been given a hellish assignment in med-surg on Tuesday and Wednesday that I was dreading going back to. I also requested that if OB is shorthanded with staff tonight and I am sure they will be (with 15 on the floor, and only two scheduled, and one calling in sick last night) there is a very good chance I will get floated if census is lower in med-surg.
Sep 26, '03...and it looks like I am getting floated again and going in four hours early for a 7p-7a shift. OK with me considering I will get weekend bonus of 10 extra for that four hours and overtime.
Sep 28, '03I don't mind floating..it's NOT that...I do mind floating to an area that I don't feel confident in but would be legally responsible for.
Sep 28, '03LauraKo ,nowhere here did I see anyone state that one type of nursing was 'more important' than another. Rather, the point was well made that nursing consists of many "different' areas.
That old refrain "a nurse is a nurse" has been imposed on us by the purveyors of health care business as far back as I can recall. It may be good for business but it just simply is not true. If you feel comfortable shifting from area to area then that is about *you*. It's *your* gift and does not automatically mean that nurses are not 'flexible'. Nothing could be further from the truth. Our daily setting and job demands extreme flexibility but working outside our knowledge zone is dangerous. Would be a folly to agree to do so.
I am not comfortable working with and being responsible for a balloon pump and I won't allow that patient to suffer for my lack of expertise. And YOU shouldn't want me to be the nurse for your family member who has one. And you don't me birthing no babies. As someone else on this board stated they went to a specific area of nursing for a specific reason (NICU r/t injury) now, would we rather not have that person in nursing at all rather than letting him do what he knows he can do best! Hogwash!
You know a well as I do that the profit margin rules in hospitals. Of course they want to move us around like chess pieces rather that spring for extra staff.(MandinMS floating to THREE different places on one shift - using us a pawns!)
I often wonder what their response would be if told "Ms. Nursing Supervisor you will be "supervising" maintenance today, they are short. Or, Mr. MBA Accountant your MBA expertise is needed Computer Dept. today, get going. Or Mr. DON, the DON of our sister Nursing Home is out sick you'll be covering her this week!
They have got to get a grip. The old adage A NURSE IS A NURSE just doesn't get it anymore.
babsRN since you consider your staff "professional" for putting on a 'game face' and floating (and making themselves liable in any untoward situation) I would hope you would consider me 'professionally assertive' for not doing the same. I know my limitations. While I consider med/surg one of the hardest areas to work, I do understand that a PCU nurse would handle that more effectively than am ICU/CCU/ER nurse - who's job has a completely different focus.
One last thing, it would be a cold day in Haiti when I floated over a per diem, pool, or part time nurse. What other advantage do I have for being a full time employee? None that I know.
All that said, I AM a team player, I DO understand the predicament, I DO jump in to help - BUT so am I very tired of laying down and letting everyone walk all over my back. Old age, do you think?