Float pool, ideas on making it better

suzanne4, RN · Dec 18, 2006

Even if you could get a float pool in place, it may not do away with required floating when the need arises.

Would the shifts be guaranteed or subject to cancelling when the census is down? Would they have to float between different shifts and that be mandatory for them? Requirements for weekend and holiday scheduling.

Just some things to consider.

lsyorke, RN · Dec 18, 2006

I'm in the float pool at my hospital and have been for 3 years. Our pool consists of ALL per diem nurses. We don't get benefits, but our hourly rate is considerably higher than a staff nurse. We float to all areas of the hospital, but usually it's med surg that requires the extra help. We do get cancelled, but there is a list that they use to assure that the same people don't get cancelled all the time. We are required to work two weekend days out of a 4 week matrix. There are two levels of float. One guarantees 6 days a matrix, which gets you more money. The other level is 4 days a matrix, which is a slightly lower hourly rate.

The one big factor for someone staying in the float pool is that you can work whatever shift and hours you want.. as long as there's a need. Many choose the float pool because they want to work 8 hour shifts.

We are required to work one summer and one winter holiday, but we do get cancelled alot on the holidays(we do qualify for time and a half on those days)

Creamsoda, ASN, RN · Dec 18, 2006

The way our float pool works, is there are various part time to full time positions, no casual positions. And some staff float either just surgery, or medicine, and a few do both as they have been their a while. I stared off my nrusing career in june 2005 in the surgery float pool. I loved the float pool at first because we were pretty much always granted vacation when we wanted it. Our manager was great Eventually though I started to have more split shifts. 8 hr on one floor, then your told way too late that they need to put you somewhere else for the last 4 hrs, so your rushing to get all your charting done on time because you didnt know you were goin somewhere else.

In my experience and all the other floats feel this too, is we get dumped on. We always get the isolation pt's who are on a million anitibotics, combined with all the total care patients, the needy/demanding patients. But you get them every floor you go to because your not regular staff on that particular floor. So I would really recomend you talk to all the floor managers about this potential issue if you want to keep your staff.

After working 9 months in the float pool, I was really just not liking surgical nursing so I applied for a job in our ICU, and took the course for it, and now im a ICU/CCU float. Ive been doing it for 6 months now, and i love the work, but I hate the float aspect of it. Same issue as before. I always get dumped on at each unit. I could just apply for a permanant in ICU, but our ICU is smaller so I want to get more experience to I applied to a larger hospital, and I am not doing the float pool anymore.

One other main issue I have as well is now I never get my vaction requests. I am either scheduled for ICU or CCU and if im needed in just one of the units I cant get the vacation. I only have 4 people who are in my float pool that I can trade with. Not exactly the best set up.

So needless to say im leaving!

Cher

zudy · Dec 18, 2006

I am not in our pool now, but I have been in the past. One of the things our pool does is have "Mother's hours" where nurses work 4-5 hours relieving others for breaks,lunches, etc. They might work,for example,1000 to 1400.

They also have a class for nurses they have now been practicing, but want to return to nursing. I think these are two things that have made our pool successful.

NurseeTee · Dec 18, 2006

I work on a trauma floor where we utilize float pool nurses and aides frequently. They ALWAYS say they are dumped on, but it's simply not true. The whole entire floor is heavy and the assignments are evenly distributed for isolation, acuity, etc.

santhony44, MSN, RN, NP · Dec 18, 2006

In my experience and all the other floats feel this too, is we get dumped on. We always get the isolation pt's who are on a million anitibotics, combined with all the total care patients, the needy/demanding patients. But you get them every floor you go to because your not regular staff on that particular floor. So I would really recomend you talk to all the floor managers about this potential issue if you want to keep your staff.

When I worked float I found this to be true on some floors as well. Other floors were grateful to have the help and tried to make it as easy on the float nurses as possible.

Another problem was that on some floors, the staff wasn't helpful with finding supplies, knowing the routines, etc. Believe it or not, "routine" vital signs weren't the same on all floors, and things weren't kept in the same places, and the way things were done varied some too. Nobody likes to be treated like an idiot because you can't remember where the 4x4's are kept- you've only been on several other floors or units in the three weeks since you were on their floor!

I think having a variety of shift options and a choice of being regular staff or per diem would be a good way to get float nurses. Making sure that they're treated decently helps a lot, too!

AfloydRN, BSN, RN · Dec 18, 2006

When I worked float pool the most attractive option for me was self scheduling. We were still obligated to do 2 weekends but could pick the ones we wanted as well as holidays. We chose which nursing clusters we wanted to do...ER/ ICU , Med- Surg, OB- Peds etc.. We chose where we went.

Ruby Vee, BSN · Dec 19, 2006

self scheduling and always getting my vacation time would be great draws for the float pool! at one hospital i worked, we also got "float pay." it was an extra $2/hour on top of our base pay for floating. all the other staff got that, too, if they were required to float, but floats got it all the time. we were oriented extensively on several units -- and those were our home base units. usually, we went to the units we'd been oriented on. of course, we had to go anywhere there was a need. we got to know most of the staff on our home base units really well, and weren't dumped on at all. plus, our expertise was varied. if the ccu had to take a patient with a bolt, the ccu staff were delighted to see an icu float coming! a little bedside inservice does wonders for rapport! best of all, we were aware of but got to sidestep the nasty politics!

lsyorke, RN · Dec 19, 2006

After floating for 3 years you establish a relationship with most of the other nurses on the units that you float to. There are always going to be some that, for whatever reason, don't like floats. I've been greeted with "Oh, I hate to see you coming, because I know you're only here for 8 hours!". A quick "Well you can have me for 8, or no one for 12" ended that conversation!

Pompom · Dec 19, 2006

I believe that self scheduling is the top incentive, well maybe second to pay.

wjf00 · Dec 19, 2006

Even if you could get a float pool in place, it may not do away with required floating when the need arises.
Would the shifts be guaranteed or subject to cancelling when the census is down? Would they have to float between different shifts and that be mandatory for them? Requirements for weekend and holiday scheduling.
Just some things to consider.

The float pool by contract would have regular staff, and per diems. The regular staff fall under the no cancellation clause in our contract, so work is guaranteed, as is a regular schedule that cannot be changed by management. Per Diems can only be cancelled 72 hours prior to thier shift. All float nurses would be assigned to only 1 shift, but per diems can work any shift if they so choose.

Thanks for everyones responses. The float pool at our hospital has never got off the ground, no one seems interested. By contract, once the float pool is established, no one would be floated involountarily, in THAT part, everyone seems interested. I am on a committee that is meeting with management to get the float pool up and running so I realy appreciate all the ideas.