If you have a closed unit (ie, do not have to float out...)
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How do you manage it?
Currently, the nurses in our CCU float out to 3 other departments. One of those departments used to float in to help us out, but the nurses who always got stuck floating to us decided that they didn't want to anymore, so now they just don't have to!
It's very frustrating for us to not get days off because we have to float to cover other units. It's especially frustrating because no one ever has to float to help us out! When we're short staffed, we hop on the phone and start calling people in, getting people to stay over, etc. It always ends up working out in the end. We know we have to work a little harder sometimes and help ourselves since no else will. We accept it as part of our job and there are lots of people who are willing to pick up the slack.
I feel like the other units rely on us way too much. If they know we'll have extra nurses, they don't try to call their own staff in. I'm tired of having to bail them out. We all are.
Some of us want to try to make our unit a closed unit. Since no one floats in to help us out, we don't want to have to float out either. Has anyone's unit gone from a floating to non-floating unit? How did you convince management to allow it?
Even if your unit has always been closed, what do you do with extra staff? Do they get the day off? Do nurses just accept that they may be forced to take time off during low census? Do some float anyway just to get hours?
Tell me how it works.