I have a question re: staffing in other ER's... I work in a level 2 trauma ER in a big downtown. In the winter, we run our rears off, but in the summer we slow w-a-y down. (I left at 2200 tonight, and we had 21 pts. in the book for the day). Some days, though we see 40+. The patients that we do see seem to be pretty sick; not a whole lot of fast track kind of patients.
What administration is doing to us has been to cancel our unit secretary (normally only works 12-8p anyway), and cancels the "middle" rn (either a 12-8p or 11-11p shift). I should mention that we have 13 beds in the unit. This leaves one dr. and 2 rn's..and that is it! The 2 rn's have to be rn/unit clerk/everything. We think that this is unsafe, #1...plus we have been told that there "is no on-call pay". So what they have done in the past is call us at home and say, "we don't need you now, we will call you if we need you". Welllll....we have finally, I think, come together as a group with this no on-call pay. We now tell them to cancel us for the entire shift. We are hoping that somehow (maybe someone will die, isn't that awful
) that this will help get them to realize that they should be paying somebody on-call pay...just in case. What we are wondering, is whether or not other ER's pay on-call pay, and what that pay scale is. We refuse to sit at home, and wait by the phone all day just in case they need us. Our unit director is new, and she just plain stinks. She doesn't stick up for the nurses at all. We have complained to her that this is unsafe, and nothing comes of it. We have had nurses float to us from affiliated hospitals who have even written letters to administration telling them it is unsafe, and nothing comes of it. The Dr.'s stick up for us, and they have complained to admin. multiple times...and nothing has happened. We have actually resorted to "taking our time" "to hell with them, I am not going to bust my a** if they don't care about us" The morale is pretty crappy. Two nurses is just really not enough, given our pts acuity. We can't be triaging, and running downstairs to the pharmacy while we are taking care of putting orders in the computer, and then carrying out those orders ourselves! I am rambling...any suggestions? Is on-call pay out of the ordinary for ER's? or is it just our cheap hospital? Any thoughts, any suggestions welcome. BTW I have applied for a transfer to one of our sister hospitals (same owner), but with much better staffing than our own. On the evening that I oriented they had seen about 65 pts by 2300, had 6 rn's, 2 dr.s, a 24-hr. unit secretary, 2 registration clerks, a PA, a tech, and a resident. What gives?
Aug 31, '02
Fisrt of all they shouldn't be canclling any one. Do they pay firemen only when they fight fires? Call pay is an alternative and not out of line for an ER but if you were hired for x number of hours a week you should be paid for x number regardless of census. At our facility we can not be cancelled, at least the RNS CAN'T.
Last edit by OC_An Khe on Aug 31, '02