Floating? I need your comments! - Page 3Register Today!
- Jul 8, '12 by DafabbEditor2rn I can give you some insight here(LVN)as I have floated to almost every floor in a large hospital. ICU,CCU,TELE,M/S,Ortho,Neuro,PP,nursery,Oncology,rehab. Some of these are not specialty but when you go to their floors some routines need to be checked to make sure they do not do things so different. Others are specialty and as such I always wanted my foot in the door and I will tackle anything. When they need you they will usually be nice to you. Take CCU when I first started going there. I am not bashful. I always tell them I have never been. I could do all medical things as a M/S Pt but did not know monitors etc. The charge nurse was always available. If I had to do something I had never done they taught me. I would get the Pts. that were getting ready to get moved out. So learning could be over days or weeks. I was comfortable. ICU-Cold Turkey there.Charge Nurse had begged me to come help for about 2 yrs. I worked upstairs and she was my neighbor at home. I always refused when they called the floor(NOT QUALIFIED) Finally one day I said ok. Understand I am a strong nurse,know my limits and have no problem speaking out. Most of these people I knew some better than others. I simply told them I know nothing and if they want me down there not a negative word will be said or I will never come back. The Head Charge nurse took me under her wing and taught me everything I needed to know. They shadowed me whys and wherefores. I ended up working my 40 hrs down there for 11 mos along with my reg floor(workaholic in those days. All the rest were similar but never did anything I wasn't comfortable with until I became comfortable. When I quite they cried in the office. Apparently there were 4 of us who did all of this out of 800 nurses. Through the 80's 90's I continued all these places and was always comfortable. I started agency in 92 and went all over the state(500 mi radius) and worked in many of these areas also. But now here is the but. I am, along with thousands of my constituents , the exception to the rule. Most nurses feel very uncomfortable outside of their realm. Today it will be much worse then back then. Then the nurses were very willing to teach and help you start from scratch. Today NO. So if you do use a float pool. Get what preference they will feel comfortable with and have those specific people float to those specific areas. It is their right to decline any assignment they feel not qualified for. But unfortunately most are too afraid to stand their ground for fear of reprisal. It takes a strong nurse to get out of their comfort zone. Those charge nurse of those units need to understand they have to guide them the first few times as their routine will be a little different in most cases. You don't take an ICU nurse and put her on the floor and expect her to perform up to par, Although I have known 1 that did. Sorry this is longer than you wanted..I just couldn't put this in a couple of sentences.))
- Jul 8, '12 by woohWoot, I bet my load will be easier than the crap I get on my own unit! (And it usually is.)
It's all about attitude. I can do anything for one shift. I'm not afraid to look stupid and ask questions, and usually get to learn a little something by seeing how other units do things differently from my own.
Only thing I don't like is I'll usually end up turning in circles because my body is oriented to going one way for this and one way for that on autopilot. I've done multiple spins in a hallway trying to figure out where to go.
- Jul 9, '12 by minnymii was assuming that you were talking about a nurse who is employed by the hospital and just happens to get pulled somewhere else.
however, the hospital where i used to work as a nurse intern had an agency that staffed nurses just to float or fill in gaps where there was a need. the nurse might be on our floor for one day or she might be there for several months. either way, i was shocked at the way they were treated.
for example, i had one of the agency/float nurses ask me to fetch one of the "regular staff" nurses to help her do something. when i found that nurse and told her the agency nurse needed help, her response was:
"i have my own work to do. she's getting paid twice as much as me so she can get her own stuff done."
they really were the black sheep. nobody really talked to them or socialized with them during lunch. they were downright jealous that they were doing "the same job" and getting paid less. i was always extra nice and helpful to those nurses because i saw how they were treated and they were always grateful to have at least one ally. i once asked one of the agency nurses why the other nurses didn't just go and work for the agency and "get paid double" and i found out that many of them WANTED to, but the agency had an agreement with the hospital that they wouldn't hire any nurses who had been employed by the hospital until they had been separated from the hospital for at least one year. it made sense because if that rule wasn't in place then the hospital would lose it's nurses in a heartbeat!
i'd HAVE to get paid double to be an agency nurse that floated. besides all the instability....they'd have to pay double just for me to put up with the way i'd be treated! it really was elementary.
- Jul 9, '12 by jadelpnMy initial reaction? My goal is everyone still be alive when I leave!! Need more coffee.
In all seriousness, FML non-withstanding, the "who" questions are great ones, and
we had a "survery" as part of our performance reviews on who wanted to cross train
and where. If a med surg nurse has a deep seeded desire to be in the ED now and
again, it was the time to say it, and get oriented and cross trained. So to present to
"floating" conjures up anxiety in some, but "cross train with the ability to float when needed" is
- Jul 9, '12 by brownbookThoughts to myself.....
Someone, a nurse, doctor, patient, needs help.
Yikes, I hope I can handle it, okay take a deep breath you can do it, we are NOT talking life and death, critical care patients here, you can do it, think of it as a challenge.
That which does not kill us makes us strong. (I hate that phrase, some key losses, regrets, in my life have definitely not make me stronger, but it does apply here.)
yikes I hope I can handle it, okay take a deep breath, etc.
- Jul 9, '12 by DafabbLOL that's funny to still see that attitude. I know when I was full time before going agency you had on occasion someone like that where you worked. The majority of the time we are thankful that they came and appreciate it. If they were not there it would be a much larger load and then WE would have something to complain about. Most of the time it is the positive outlook they see whether City agency of Travel. Now the last 17 yrs I have done agency and have to say 95% is a good attitude. I did literally walk into hospital and get told they hate agency as they are incompetent and don't last long. Of course I changed the subject. They do get paid a higher salary but it is not double or even close. I am sure there are exceptions to that rule somewhere. I am from the south. I am also an LVN. But at all my agencies over the yrs. I do know what salaries are. In 03 here they dropped several dollars from when i left in 02. Tenet came in a put a number on it and if you didn't comply you were left out of a great number of hospitals to staff. We have no home,we have no insurance through them. First to get canceled and they always overbook. So stability vs instability. If they like you then you work mostly full time. They still can cancel often. It's a choice and not as prestigious as people think. So I am glad I have done well and had very little of the "hateful" issues.