Oh my gosh!!! (found the rural nursing forum) - page 4

by efiebke

10,033 Views | 39 Comments

I JUST found this forum! (Got to get away from the "Off Topic" forum more often!!!!) I'll be posting here more often. (Be afraid. Be very afraid.) Just for the books. I work for probably THEE smallest hospital in... Read More


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    Sorry but when you talk small rural hospitals I think we Aussies might have you beaten. I worked in one place that had just two beds but was basically an outpatient department - if someone was admitted to a bed one of the staff did overtime for the nightshift. We have places that are just nursing stations with one nurse and that is the only medical help for hundreds of miles - except of course for the flying doctor. Check out some of the Aussie links I posted if you want to see how small we can make a "hospital".
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    Wow...some of you folks are 'really' rural in comparison to me. I'm only 20 minutes or so without traffic from the nearest 'big' hospital.

    glad I found this forum and nice to read everyone's posts...food for thought.
  3. 0
    OMG! And to think all this time I thought I worked in small hospitals (89-97 beds)!

    I guess you have me beat! I do enjoy the smaller hospitals though. You can get a lot of good learning there. In a bigger hospital where you have so many specialties, the experience is VERY specialized. In the smaller hospitals you get a little bit of everything! After talking over the years to people who have worked in bigger hospitals, they say I would work well in a bigger hospital because of the broad range of experience. Thanks to rural hospitals!

    Lisa
  4. 0
    Quote from efiebke
    I JUST found this forum!

    (Got to get away from the "Off Topic" forum more often!!!!)

    I'll be posting here more often. (Be afraid. Be very afraid.)

    Just for the books. I work for probably THEE smallest hospital in Massachusettes! We've just been designated a "Critical Care Access Facility". No one knows what the heck that means except that we get full %% in Medicare reimbursements. But because of this, we can only have 15 acute care patients in the hospital at one time. . . including the med/surg floor, the maternity floor and the ICU/CCU (where I work).

    Total beds in our hospital??? Let me count in my head (which really hurts by the way!). . . . 32 beds including the E.R.

    Yep! We're a small, rural, community hospital. And I'm still surprised to find that we all have a job there because. . . because. . . because. . . there are days when we have less than FIVE patients in the whole facility! One time, not too long ago, we only had one!

    I love my job! Can't ship the really sick ones out fast

    enough!

    Cheers to you all!



    Ted
    My faciltiy just applied for crit. care access - one stipulation is that you live in an area that gets more than 80 in. of snow per yr. (FYI) :uhoh21: Unfortunately my area beats that number threefold so just try to get to the hospital when you need too
  5. 0
    I also work at a rural hospital in Northeast Missouri and we are also designated as Critical Access. I am the ER Supervisor and so I work the ER when I'm scheduled to work. We are not union so we have call offs when the census is low as it has been recently Our CEO requires that 4 nursing staff bee on at all times but that includes the ER, OB, ICU and the floor..We are the closest hopsital for approximately an hour so we get hit hard in the ER usually. Working in a rural hospital seems to have it's own challenges..the most frustrating is that people in the community seem to think that when they hit the door to the ER they should be seen immediately...oh well such is life in a small community..
    it is nice to know that there are other people out there that work the way we do...thanks for sharing
  6. 0
    Now see, Im like the other poster and thought that the hosp that I work at was small. We have 152 beds. I guess it is small in comparison to the one I can from was a major teaching hospital here in the state.
  7. 0
    Quote from CardioTrans
    Now see, Im like the other poster and thought that the hosp that I work at was small. We have 152 beds. I guess it is small in comparison to the one I can from was a major teaching hospital here in the state.
    Hey everyone!

    I too work in a small rural hospital. There are 2 other hjospitals in this county. I came from a Large teaching facility in the State capitol. What a change!

    I would like to see the three hospitals come together as one and expand the services
    We do the critical access thing. But we have only 5-6 acute care beds and 40 LTCU beds that have bascally kept the place open for many years. It is too bad the Acute care nurses do not appreciate The LTCU. there is a great deal of strife between the 2 units. Most of the nurses that work here have grown up here and never worked any place else. We don't even have 24 hr lab operations. And XRay doesn't like to come in on the weekends.

    But I guess things are supposedly improving. We have 2 new Doc's (who came from the same facility as me in the state capitol). Hopefully the Boy's Club that already exists will not hinder the new doc's from progressing this place.

    Pray for us.
  8. 0
    I also work in a small rural hospital..... 22 beds 2 of which are designated OB, 2 of which are used for storage but can be cleaned out if needed for high census. We have a 2 bed ER but have triaged in the hall & placed in old ICU rooms. We have a lot of nursing homes in our community so we generally have a few swing bed pt's. I've worked the big hospitals & have done home health so I'm thinking I can handle anything that walks thru the door but now I'm cross training for OR. I got a $6.00/hr raise to come here from HH. We have 2 RN's 1 LVN & 2 CNA's usually on staff so pt load is rarely over 5-6 pt's. I can't complain. I do miss the ICU setting but we have our share of excitment that rolls thru the door....lol. This town has 1100 people most of which are nursing home residents. I have had a gunshot wound & was suprised he came to us but come to find out he was trying to "loosen the piston in a motor w/ a 12 gauge shotgun" & had a forearm full of buckshot...........lmao. I'm thinking you might be a redneck if you've ever done engine repair w/ a shotgun............
  9. 0
    Quote from rondafan
    I'm thinking you might be a redneck if you've ever done engine repair w/ a shotgun............
    Reminds me of my small hospital who's ER was always hoppin' on Saturday Night...where we could always count on seeing at least one 1 or 2 drunk cowboy rednecks who got too close to the kicking end of a bull or horse... :uhoh21:

    You can tell we're both from Texas... :chuckle
  10. 0
    HI ....

    I work in VERY small rural hospital ..... 13 mixed beds .... mostly med/surg .... and a 24/7 ER .... usually very close to full .... and you never know just what will come into ER ..... riding accidents.... MVC's .... cardiac .... Have only been an RN for three years ..... (went back to school as an "old lady" ) .... and the learning curve has been steep!! .... but .... VERY interesting! ..... we are enjoying our summer here in northern Alberta, Canada .... soon ..... the snow will be a flyin'!! ..........We all belong to UNA .... United Nurses of Alberta .... a great union, with the best interest of nurses in Alberta in mind ........


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