Specialties Psychiatric
Published Sep 11
mhadvrn34, BSN, RN
13 Posts
About a year ago, I was hired as a staff nurse in a locked in-patient psych unit. Typically on any given day, we have one charge nurse, three staff nurses, one MHW and one break relief nurse. The nurse's role depends on seniority; those who have been there longer get patient assignments and the one with the least seniority either becomes break relief or gets floated. When I first started, I usually was an assigned nurse as one of the seasoned nurses was on medical leave. When they came back, I gradually became more frequently assigned as break relief/float nurse to the point where about half my shifts were break relief. Most nurses I work with despise being break relief because part of that duty is being assigned to do Q15 min rounds all shift, which can be exhausting. I shared that same sentiment but accepted it and never said anything as I am the type who usually does not speak up and hates conflict. In the past, there have been disagreements on who would be break relief and many times I would take meal relief to keep the peace. To make matters worse, as of last week, a nurse from a different unit who has been in the hospital longer transferred to our unit and now my seniority is even lower. If half of my shifts before were meal relief/float now with the new staff nearly all of my shifts will be break relief/float. It's like in basketball when a player was once a rotation player but then the team signs a better/more experienced player and now that nurse has been knocked out of the rotation. When I was first hired, I was hired to be staff nurse, not break relief/float. I am considering bringing this up with my manager. If anyone has been in a similar situation, I would be happy to hear some of your input.
B52, ADN, BSN, MSN, RN
231 Posts
My advice is for you to advocate for yourself the ame way you would advocate for a patient.