Suggestions??????? - page 2

i am a manager in an er for thos eof you who don't know me. here is a situation i am trying to deal with right now. in april we opened up four more beds, for a thru-care/fast track area. it... Read More

  1. by   -jt
    <The one valid point someone brought if I move these people will use up many of the dayshift holes.......which either could force the prns to pick up evenings, or force them to leave period. >

    so you are holding up your REGULAR staff just so you dont upset the PRN staff??? In my hospital you would not be able to hold up their move for more than 1 schedule - after that, they go to their new positions. Move them & you will have eve holes instead of day shift holes - so what? Then you post the eve hrs & if those prns dont want them, you'll hire other prns, agency, or offer OT. If these eve holes end up being such a problem, maybe it means you need MORE STAFF on that shift & need to open another position there. If it turns out you need more staff & wont open another position, you can rob Peter to pay Paul from here to eternity & you will still have these staffing problems. Your REGULAR employees should not be made to bear the brunt of the hospitals short staffing practices. Move the nurses & deal with the effects. You cant know what people will do until they do it.

    Most places here utilize MDs or NPs & LPNs or PAs in the fast-track area - which is not set up with beds but is more like a walk-in doctors office.
  2. by   prmenrs
    What was your gut instinct BEFORE you asked everybody? You know the individuals better than anybody else. I think you should do whatever that was!
    I liked MollyJ's analysis best, tho, and I would come down on the side on the permanent staff rather than perdiems/PRNs.
    You are in a tough position, and I'll just bet they're not paying you anywhere near enough!!

    And you're STILL on my rosary list!!
  3. by   canoehead
    About those prn nurses using up all the day shift slots, why not post your schedule for the regular staff to fill in holes for a week and then open the sign up sheet to prns. You'll give your most valuable people the first crack at shifts they want.
  4. by   Mijourney
    Originally posted by hoolahan
    Rick, can't you tell the prn's that you have no day spots available? They will have to work eves, or nights, or not get any time. It may seem cold, but I say take care of your FT/PT people first. PRN's are supposed to fill in the holes, not make holes for FT/PT staff to fill, right?
    Hi. Excellent point in my opinion! I've done prn many times and have been hired only for evening, nights, and weekends.
  5. by   MollyJ
    keep us posted.
  6. by   nurseleigh
    Communication is the key! I have not dealt with this in the nursing profession, but i have in a warehouse position. In the end, you are the best person to make this decision. Also, in my experience, the employees that are kept informed on why they havent been moved are usually happy to stay where they are. Well, for a little while anyways. I sure wouldn't wait any longer than I had to though. I am sure you will make the right decision. Good luck.