M/S, PCCU, Womans Center-Very Confused

[duce2]

At my current job I am a Med Surg nurse (TX). Just some information we get Med Surg and telemetry patients (two sister floors and one is only M/S, M/S tele and the other is the M/S, M/S tele, Ortho, PCCU now). When Covid happened they had to adjust the floors some and over flow onto one of our floor PCCU (no drips but still PCCU patients). 

On the only PCCU floor they get 4/5 patients. On our floor with the PCCU patients we get 6/7(relevant for later). Which yes I have brought this up to Director directly but her response to me was we get the less critical PCCU patients, which necessarily isn't true mixed with our M/S patients.  I am telling you all this so you understand my reason for the next question. 

Here is why I'm writing. We have woman's center, to which I personally have never floated to. They are closing down the woman's center (I don't know why). It is being said that once they close it down this month any woman's center patients will now be coming to Med/Surg. So now they are going to start putting the woman's center patients onto our floor also. It isn't clear as to which M/S floor yet or both but either way both floors do 6/7.

My question is am I in the wrong for being upset about this? For having concerns about this? Am I in the wrong for feeling like any type of woman's center patients is a specialty and now they are trying to throw it onto the M/S floor? Then on top of that it's already frustrating because of the patient load 6/7 consistently and throwing this population in there too. How do I go about approaching this professionally? Should I say anything?

[Cricket183, BSN, RN]

I'm assuming the Woman's Center patients would include gynecological & breast surgeries.  I would anticipate some additional training in those areas and maybe some meetings with the surgeons as far as their postoperative expectations the same as  when any new surgical service comes on board a unit.  There's a bit of an adjustment period until you get use to each other so to speak.  I don't see them (woman's center patients) being any more complex than your standard post-op M/S patient if that's what you are asking?  In most small hospitals that don't have a separate Woman's service department, they would be on a standard M/S floor with your other surgical & tele patients.  I think asking for additional training regarding the new patient population is absolutely appropriate.  Expressing concern about the nurse patient ratio, will unfortunately, likely not get you anywhere with upper management, no matter how appropriate your concerns actually are.  Sad but true.