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How is the floor/hospital census lately?

Nurses   (6,034 Views 28 Comments)
by rn undisclosed name rn undisclosed name (New Member) New Member

rn undisclosed name has 4 years experience and works as a RN.

5,445 Visitors; 351 Posts

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I work in a medium to large size community hospital and we are literally busting at the seams. Putting patients in areas where we don't typically house patients. Opening up units that were previously closed. There are no beds in the ICU.

My hospital is offering incentives for staff to work extra shifts and are actually offering double what they normally offer. It is insane. I have been doing nursing for almost 7 years and have never seen anything like this. I have also worked at 5 different hospitals and was actually at my current hospital last holiday season and it was not like this.

Earlier this year we were closing units because there was not enough patients and we were being told not to come in due to a lack of patients. Sometimes this happened 2-3 times a pay period. We did a restructuring of staff as well because we thought that things were changing and there would be less inpatients.

I'm just wondering how things are throughout the US and why this is happening. I thought maybe because it is near the end of the year and people have deductibles they want to use but the admitting dx of my patients does not support that. Only one pt had surgery that you could say was elective.

BTW I work on a cardiac unit (tele/step down).

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Altra works as a staff / charge RN in a teaching hospital - I work .

40,083 Visitors; 6,255 Posts

In my region of the country an increase in admissions during the winter is typical: flu, pneumonia, injuries from falls and accidents, etc. Holidays also bring an increase in psychiatric and substance-abuse related admissions. And, I have to say it, an increase in staff absences because of holiday activities can lead to closure of beds, increasing census in other better-staffed units.

Edited by Altra

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blondy2061h has 15 years experience as a MSN, RN and works as a Oncology RN.

1 Article; 37,096 Visitors; 4,094 Posts

We're a tertiary care center that only takes patients from referrals. We don't have an ER. We constantly have a waiting list for patients to be transferred to us from other hospitals for specialized care. Due to this, we never very rarely have empty beds. We occasionally have patients in clinics for extended time waiting for a bed to be available.

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That Guy has 6 years experience and works as a RN.

32,616 Visitors; 3,421 Posts

We had 4 beds left in our hospital the other day when I left...all ICU. Tis the season for respiratory cases!

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netglow works as a RN.

33,465 Visitors; 4,412 Posts

Insurance plan year ending.

People prefer not to take time off work for needed medical care - so they do it just before and during holidays and use that time to recoup. I don't know anybody in the corporate world who takes vacation/sickdays. Taking vacation/sickdays in the corp. world puts you at risk for layoff in this economy.

People know that next years insurance benes changes will cause increase in out of pocket costs - want to get things checked now, and if that requires tx, then do it this plan year.

Hospitals have cut back on nursing staff and are not prepared for anything.

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1 Follower; 16,279 Visitors; 1,006 Posts

We have been VERY full lately. A lot of people are doing elective surgeries this time of year to use up their deductible and we have a big flu outbreak right now, too. Nice to have them all mixed together, fresh post op and flu. Way to go bed department!

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tokmom has 30 years experience and works as a CMSRN.

47,622 Visitors; 4,568 Posts

Ours is unaturally low at this time. It doesn't help that two surgeons are out on medical leave themselves. I heard our flu season hasn't hit yet. I'm sure in a month or so we will be turning people away and every room will be isolation!

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VICEDRN has 5 years experience and works as a Registered Nurse.

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We are a large public access hospital in the southeast. We are busting at the seams. No icu, tele or step down beds. Limited med/ surg. Flu and respiratory complaints.

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Nursetastic has 4 years experience and works as a RN- Med/Surg, ICU/CCU.

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People at my hospital are getting flexed, put on call, or straight cancelled. 45 bed ICU/Stepdown had a total of 14 patients when I left work Saturday. All OT is being denied.

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wooh works as a RN & Critter Mama.

1 Follower; 1 Article; 37,392 Visitors; 4,383 Posts

Tis the season for snot and coughing...Fa la la la la, la la la la.

Census full but still they're coming...Fa la la la la, la la la la.

Don we now our protective apparel... Fa la la, la la la, la la la la.

So our lungs don't face such peril... Fa la la la la la la la laaaa....

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TheCommuter has 10 years experience as a BSN, RN and works as a Case Management RN.

1 Follower; 228 Articles; 315,625 Visitors; 27,607 Posts

I work at a specialty rehab hospital. Census is unusually high and has been this way for the past six weeks. However, we're short-staffed because of multiple call-offs combined with employees taking time off during this season.

In past years census has plummeted to bare-bones levels during the holidays. This year seems to be a major exception to past trends.

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kool-aide, RN has 5 years experience and works as a New grad RN, CNA of 5 years.

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My hospital is stuffed! Full of resp pts, and LOTS of elective surgeries.

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