Any Peds nurses out there? I have a few ?s to ask... - page 2

by RNAngelus

3,457 Views | 20 Comments

As stated in the thread title, I'm looking to ask a few questions to any peds nurses out there. If you're in NYC, that'd be even better. I am currently finishing my first year as a pediatric nurse in a hospital in NYC. I... Read More


  1. 0
    Quote from nurse educate
    BTW, is this a staffing issue (not enough staff), or is it that they don't feel the need to staff the unit? Or are they pulling your second nurse to float?

    There is no second nurse, :-P Just me. Everything else is a combination of both. Officially, as part of the unit, there are only four of us. Two for day shift (can't remember the last time they left two RNs there), one for evening and one (me) for nights. There are other RNs and LPNs trained for Peds throughout the hospital, but their units are so short staffed as is... you see where I'm going. And then they also don't feel the need to staff properly. Apparently they think I have super powers and can split myself in three. Granted, there have been nights where the two or three kids are stable enough that yes, I could handle it on my own. Doesn't mean I should, but I could. Then there are nights like the one I described above where four kids were enough for 10 given the acuity.
  2. 0
    I don't have any advice to offer you because I'm just a CNA, but I imagine how stressed you must be. Our nurses are on the floor by themselves to take care of SIXTY residents. They are constantly stressed and nothing is ever done about it. As I am finishing up my pre-reqs and applying to nursing school in January, I often find myself giving it a second thought. Good luck to you.
  3. 0
    We always have 2 RNs on the floor, even if there is only one or two kids. We do have another side that takes a few adults and we usually will split the floor, one stay on Pedi and one on adults but we are two pedi RNS right there. No adults and one 1 child-still two RNs. I would never be the only nurse on a pedi floor. What if you are in the middle of an emergency and there is no one to scream for to help?
  4. 0
    I am so sorry that you are so stressed and understaffed. I am a new peds nurse too. It doesnt matter how many patients you have, as a new nurse left alone to handle the situation on your own, it is very stressfull. After my shift last night, I think I am loosing my hair. When I finally called my sup for support, she made me regret calling her at all. I think that is what she wanted. At least now I know when I am on my own, nobody has my back. Why did I want to be a nurse again? I hope you find a safe way to protect your patients and yourself.
  5. 0
    KareBear - Don't say "just" a CNA. We couldn't work properly without you guys. Believe me, I know, because I've had to do it and those end up like one of the worst nights ever.

    kcksk - Goodness, can I go work where you are? Always having two RNs on the floor is a dream...

    Lyssa - You know, I also question why I ever became a nurse... But I try to remember those few and far between patients who just truly appreciate what we do. ANd I don't mean the kids because most of them just want to get better and go home and realize when you're trying to help, I mean the parents.

    Things are getting worse at work... managers still leaving us alone on the floor, sending us to other units to do NA jobs and leave our floor alone because they took the NA away and now the nurses in the other unit are rightfully overwhelmed... accusing us of insubordination when we refuse to do stupid things like that... it's getting bad... really bad. People with 10+ years in that place are dying to get the hell out of dodge...
  6. 0
    I'm not in NY, but we are in a similar situation sometimes. I work in a small Peds unit and we too float when we have few (or no) kids. The unit used to be the way you describe, only one RN was even scheduled at a time but when I was hired in January I was told it was to change this to always have two RNs on for safety reasons. However, now if we have one or two patients, we both come in but often one nurse is required to float to another unit and their argument is another Peds nurse is in house. Safety is still a major concern! The time it takes for someone, anyone, to make it to our unit while I'm there alone (and I've only been a nurse for just over a year, Peds nurse less than) could make a major difference. And my own safety - family dynamics are a whole different world in Peds and we are a locked unit. I am a small person...if someone were to come at me (parent, visitor...even many of our teens are larger than me) what am I going to do? What if I can't make it to the button or the phone? Even if I can get out, I can't abandon my patients. Another issue was brought up recently that many of our parents do not stay and patients of any age are left alone. Say a teen concocts a story of some kind of abuse - who is there to defend you? It isn't unheard of.

    I don't have any advice...we plead our case and budgets are thrown in our face. I don't think any nurse, ever, should be left entirely alone with any number of patients. Good luck!
  7. 0
    Nenja - I wish you the best of luck as well. Call me naive, but I wish administration would just drop the budget ******** and actually remember what all of this is really about. But that's just too much common sense I guess...
  8. 0
    Quote from RNAngelus

    Things are getting worse at work... managers still leaving us alone on the floor, sending us to other units to do NA jobs and leave our floor alone because they took the NA away and now the nurses in the other unit are rightfully overwhelmed... accusing us of insubordination when we refuse to do stupid things like that... it's getting bad... really bad. People with 10+ years in that place are dying to get the hell out of dodge...
    My heart goes out to you, it is terrible to see the children placed in an unsafe environment
    due to poor staffing. It seems like you need to get the resume moving and get out fast
    before something terrible occurs. I will send you a PM with further thoughts on this...

    In the meantime, best wishes finding a safe working environment that you can enjoy caring
    for your patients...
  9. 0
    Thank you, jahra, Your words are encouraging. I'll be waiting for the PM.

    I have my resume ready, I think, heh, but I wish I had someone to look at it before I send it out. Does this site offer that?
  10. 1
    I work in peds (at a large pedi hospital) on a 26 bed unit. If we had one patient on the floor, there would STILL be 2 RNs on overnight. It's not safe to have just one.

    I believe it came about because there was a time when they kept only one nurse if there were so few patients that only one was needed. But if there are 2 patients (both of whom are potentially VERY sick) and the one nurse has to rush one to an emergent CT in the middle of the night, who's there for the other one when he starts seizing?

    I would not stay in a place that didn't provide safe staffing. As others have said, your job isn't worth losing your license.
    RNAngelus likes this.


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