Forced to float? - page 3

I am curious - how many of you are forced to float off of L&D/PP/NSY to another floor when you have low census? So far, in 13 yrs I have only been forced to go to Peds a handful of times, but nowhere... Read More

  1. by   prmenrs
    I had an EXCELLENT preparation in the basics--i.e., med-surg. 33 years ago!!! Jami, you mean to tell me nothing's changed?? Hmmmm.
  2. by   valene
    Our OB department is now closed. I created a contingency staffing plan which I presented to administration. Now our nurses and nursing assistants do not get floated in times of low census. The nurses all agreed to sign up for a total of 12 hours every two week schedule for on call availability (no on call pay).
    Now if we get busy there is a nurse readily available to come in and help. ( the obligatory time to get to work is 40 min)
    When the census is low those nurses who have worked overtime are offered to be called off first, thus getting their time back. Has worked well so far. The med surg floors now do not depend on us and are forced to do their staffing without us. It was quite unfair to the med/surg nurse who had ob help instead of what he or she really needed which was another assigned med/surg nurse with her. (ob nurse called back as soon as pt comes in labor)
  3. by   dachsygirl3
    Originally posted by fiestynurse
    CEN35--Your comment about not wanting to "look at prego crotches" all day is offensive. Be careful how you refer to female patients and female anatomy.

    I was a maternal-child health nurse for many years and got floated all over the hospital. It never got easier, only harder. Some of my floating experiences were awful! I agree with fergus51, that med-surg has become a very specialized area and is no longer considered to be the "foundation" of nursing. Floating, was at the top of my list of reasons why I left bedside nursing a few years ago.

    Jami--I think you will find when you become a L&D nurse, that it is
    a nursing speciality that is like no other. There is so much to learn and I know you will throw yourself into it wholeheartedly. Every CEU class will be geared towards fine tuning your L&D skills. Mark my words, there will come a day, after many years of working as a L&D nurse, that you will walk on a med-surg floor and feel that you are in foreign land. It's not so much the med-surg skills, but the whole med-surg routine and environment.

    I really think that hospitals need to have very specific floating policies that are geared toward safety and respect for nurses and what we do. A nurse is a nurse just isn't true. I have always like the idea of sister units, where 3 somewhat related units are grouped together and floating is closed to the staff on those 3 units. So, you are not randomly floating all over the hospital, but just to your 2 sister units. That way you become somewhat familar with atleast 2 other units in the hospital besides your own.
  4. by   dachsygirl3
    I have primarily been in Ob since the early 80's. However I havw mostly worked in facilities that were small/rural and we had to work all areas of OB & assisted on other units when census was low. BUt, i was never asked to take an assignment if I was not comfortable until I came to FL. I have left 2 hosp. in the Tampa area because I was TOLD I had to float. In 1 facility,( which I might add no longer has OB,) I was floated to M/S by the supv. & when I arrived, I was told I would be helping with meds. I was then directed to a LPn who handed me numerous UNLABLED syringes & told these meds needed to be pushed via a central line,( hadn't seen one of those in ages.) I refused to give anything I didn't draw up myself, & refused to give anything via central line. What did I get, but "a reprimand" from the supv. Needless to say i pushed this whole issue to admin. & stood my ground. I did not stay there long. The next place I left in the area was at a large teaching facility when I was told it was my turn to float to a sister unit, peds. I know my limits & taking care of peds pts. is beyond it. Of course I called the house supv. & told him I felt it was an unsafe assignment, & his response was as follows; you are an RN, you are trained." And I might add I had not been oriented to peds not that it would have made a difference. Of course I did the correct documntation & things were supposedly changed. However I do not feel it is necessarily safe to float to some sister units. Perhaps staff should be given choices in the large facilities as to which sister units they will float to. May I ask this, do you feel you would want your child who is a pt. in PICU to be taken care of by a RN who has worked in LD/PP/NSY for15+ yrs. I think not. I don't!
  5. by   debbyed
    First off I'll state that our hospital doesn't have L/D so when that "Popping Peach"(no disrespect intended) shows up at the ER door we have the pleasure in the ER. Are we trained for it? Not exactally, We have the required inservices but since we only get a few a year that are too close to delivering to transfer we are not proficent. Hey, we all do the best we can.

    Our hospital has made some advances in taking the fear and frustration out of floating.

    1. There is a resource nurse who has received orientation in all areas of the hospital who can respond in emergencies. Yes she/he makes bigger bucks, but she/he deserves it. You know, like when the staff member decides to have an MI prior to the end of her shift.

    2. We also have SWOT (Staff without territories) nurses who are either Med/Surg trained, or Critical Care/ER trained who are unassigned until 2 hours prior to their shift start. They fill those Call-out holes. They are also higher on the pay scale.

    3. In addition there are pull territories.

    Med/Surg can be pulled to other med/Surg units and to PCU(progressive Care).

    PCU nurses can be pulled to Med/Surg or CCU. CCU nurses can be pulled to PCU or ED,

    And ED nurses can be pulled to CCU and PACU (Post-op) {not that that ever happens, we're never overstafffed}

    4. In the event a nurse has a preferrence they can be cross-trained at the expense of the hospital. We have several Med/Surg nurses that like to come down and do Fast track in the ER once in a while.

    Since these programs were started about 5 years ago, there has been much less frustration on the part of the nurses when they are pulled. Each department also has specific guidelines regarding what a Pulled Nurse can be expected to do.

    By-The -Way this program was developed by nurses, for nurses at the request of nurses.
    Last edit by debbyed on Sep 11, '01