Quote from nurse educate
You've received excellent advise thus far. I wonder, what do your patient's parents think of this? Immsyre they realize this. I would think their influence may be of some help.
I don't know if they realize, and those that do have been vocal about it, but in my hospital, the Peds unit, its patients, parents and staff are the bastard, unwanted child. The biggest problem is at night, though all shifts really suffer from it. While I may have been alone during the night, or have had a CNA (the few nights I do), the day shift has an LPN or even another RN. It's rare, but it does happen. So it's so inconsistent that I don't know if anyone really cares.
As a former peds nurse who lives in your geographic location, I can honestly say that I have never been completely alone on a unit, even with a low census or low acuity. I've worked on 4 different peds units/hospitals in the NYC/ long island area. I've always had at least an ancillary staff member. I used to work on a bmtransplant unit, max 4 beds. One night, I had 3 patients. I definitely could have used a 2nd nurse. But I had to compromise with 2 PCAs. I took it, and they questioned why I needed 2. Glad I had them both. We had an emergency on the unit. So yeah, we don't always need another nurse, but we cannot function 100% independently.
How do you even go to the bathroom?
Tell me about it... a few nights ago I (alone), was juggling a kid on IV antibiotics who lost his IV line and I had to restart it (he only let me try once because he was terrified of the needle), a baby in respiratory distress whose mom pretty much left him to us because she had to go back home to do whatever, a kid with a broken arm hooked up to maintenance fluids and another child in status epilepticus. I will honestly say I got through the night with no disasters by the sheer grace of God. Literally. Administration thinks that just because there are 2, 3 or 4 kids I don't need any extra help, but that night proved the obvious fact that whether there are 2 or 6, one RN cannot run the entire floor because a kid can go south on you at any moment. But no... I'm the newbie, I'm the one complaining, it's always been done like that, etc.
Thanks for your response,