Quote from llg
As an old NICU nurse, I understand the OP's point. NICU nurses do not use the same equipment, do not use the same guidelines for assessment parameters, do not use the same documentation forms, do not function under the same policies for a lot of things, etc. Unless you have been oriented to the relevant equipment, policies, etc. of that unit -- a nurses (even a traveler) should not be expected to step in and take full care of a patient that is so different from the population she has been hired (and oriented) to care for. )
Fair point. I take care of peds cardiac patients. They once floated me to the trauma PICU and gave me a pair of patients that was about as far outside of my comfort zone as you can get in peds:
Patient A was a toddler with a shattered pelvis s/p surgery, with pin care and all that good stuff.
Patient B was a pre-school age neurosurgical case that was due out of the OR about 20 minutes after I got report.
Oh believe me, I was a VERY needy nurse that day. And agreed, I wasn't equipped to give the level of care that one of the regular PICU nurses probably could have given.
So, I guess I see both sides of the issue. I do recognize that I am a little biased, because as a pediatric nurse, I get floated to the NICU and so its just kind of become part of my nursing world. Generally, the perspective that I've seen from peers is that if "we" can float to NICU, then why wouldn't NICU be able to float to us? (My NICU orientation was, "This is the NICU, here are your babies. Feed them every three hours and don't touch them in between.")
It sucks, though, to be put in a situation that you don't feel like you've been equipped to manage. Valid point.