I am hoping someone can answer question for me, and excuse me in advance for the long post. I'm irritated and venting.
I work in a 180 bed hospital that has been very busy lately. We've also had major financial problems, and will be bought within the next 4 months or so by a yet-to-be-named corporation. My manager is a Master's prepared nurse who has ONE year of Med-Surg experience. She is the Director over MICU, SICU (where I work), Telemetry, and the Respiratory Dept. She has NO critical care experience.
Lately they've cut the respiratory staff, and their procedure count has been astronomical. Earlier this week there was only ONE therapist to cover the whole house, so they pulled one of the MICU nurses to "help out." Basically the RN did all of the treatments in the hospital while the RT covered ER call, did all the vents (including NICU), and ran all the ABGs.
Needless to say, both were worn out and a lot was left unfinished.
NOW, one of my coworkers (who works SICU with me) said last night that the manager had "fixed" MICU's schedule to make sure their core staff number was 3 (which pissed off a bunch of nurses AND 3 is NOT enough for an always full 13 bed ICU), and then asked her would she like to pick up any extra shifts working in MICU OR RESPIRATORY next week. It was also implied that the ICU nurses may be starting to get pulled to work as RTs when the hospital is short.
Is this legal? I know we are capable of doing our own treatments and whatnot, but what are the implications, other than staff dissatisfaction, of RNs working as RTs? I work in Louisiana.
Any opinion would be appreciated. Thanks for the ear.
Mar 28, '02
WELL...all I can tell you is "been there done that". I had a difficult
time understanding the legalities of the situation...would they expect an OB/GYN to cover NeuroSurgery?????? THEY are saving money by thinking WE are capable of being all things to all people. This is not JUST a nursing issue. All done in the name of "patient focused care". HAHAHAHAHAHAHA!!!!!!! Since nursing is so quick to re-name our multilple responsibilities, I re-named this methodology " administration - has - Fu@&ed-us,they don't care"...and they don't...bottom line is the almighty dollar...as long as we continue accepting these extra duties,we will be expected to perform. I now work in a facility where lab is lab, respiratory is respiratory and nursing is allowed to be nursing (although the managers have decided we must become ancillary housekeeping, jcaoh is coming next year ....here we go again....)
ADDENDUM....WERE THEY REALLY SAVING MONEY????? MANY CALL INS WHICH MEANT OVERTIME,THEN THEY HAD TO HIRE AGENCY NURSES TO COVER POSITIONS LEFT BY NURSES....
ABSOLUTELY DELIGHTED I AM NOT NOT THERE ANYMORE!!!!!!!! THEY CAN BITE ME!!!!!!!!!
I wish you the best of luck...heat up the hot plates,nursing's next assigned task will be meal preparation !!!!!!!
Last edit by suzannasue on Mar 28, '02