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!
Jun 12, '03
by Ted, BSN, RN
You'd think more people would love to work at a place like this too! Interestingly, we've had "staffing crisises" (sp?) at times when a co-worker would leave!!! ($100.00 per night shift bonuses and all! And this is on top of the overtime!!) We're near another staffing crisis now with one full-time evening position and one full-time night position unfilled!
It just seems that people don't like to work for small hospitals! For sure, there are more interesting cases to see at the bigger, busier hospitals.
It's a great place to work, though. I'm staying here until they "lock the doors". I call it my "vacation career" and I'm enjoying it while it lasts.
But I'm telling you. . . I still check the newspapers to see what's out there in the nursing field. . . . just in case!
P. S. Please don't get me wrong!! Life is not like this 100% of the time here! The poop does hit the fan every now and then. I'd say, though, it's a good 40% of the time when I can say, "My one and only patient is safely sleeping with the heart a-beatin' " and do "paper-work" projects, clean & stock the unit, do self-tested inservices, re-arrange the book-work, do some QA, and surf the net.
Last edit by Ted on Jun 12, '03
Jun 15, '03
by Ted, BSN, RN
Oh yea! The paper work involved, I understand, is quite incredible! (One NEW reason why I'm happy in my little ICU/CCU.)
There are several nursing home and rehab. homes in the area. So far, I haven't heard of any patient admitted in one of our "swing beds". The med/surg nurses are dreading the use of the swing beds.
With regards to going over the "magic 15". Do you ever experience this? I guess this happend recently. There were tons of reminders about reminding the MD's to admit patients as "observation" and to keep tabs on the number of "acute care" admits in the house (I guess this is a new "task" we all seem to need to be sharing. . . . .
Don't know what the outcome of that situation was. And no one seems to know what the ramifications are for having more than 15 designated "acute care" patients admitted at one time.
We're new to this "Critical Care Access" thingy. . . as you probably can very well tell.
Last edit by Ted on Jun 15, '03