I am a relatively new manager of a cardiac surgery step-down unit. We have "regular" staff, pool staff, part-time staff, local agency staff, and travel nurses. Usually our staffing and census are such that floating is not an issue, but when it is, it comes with some headaches and some problems that I am not sure how to address. Their traditional way of doing the float thing is to just look at the "float book" and see who has to go this time. The problem is that I have ended up with my reliable, skilled nurses leaving to work a shift on another unit, and nothing but pool, travel, or agency nurses on my unit. I do not think this is a wise practice and it is not acceptable to me as it concerns patient safety, quality of care, and retention of my regular staff.
I am thinking of instituting a no-float policy for the regular staff, and having the pool, agency, part-time, and travel nurses float first. I am just not sure I can get away with it. The in-house politics may make it difficult.
I have made a start on changes, but any great ideas as to how to institute new policy on this, and how to present to staff would be appreciated.