We get whatever the supervisor thinks is "appropriate" which can be just about anything they can't find room for elsewhere. We routinely get angiogram patients, cardiac cath patients, pre- procedure and for recovery. We have had them place MRSA and VRE on our unit without letting us know beforehand. We have managed to insist these patients be taken off the floor but they keep trying. We have had geriatrics with frac hips, CVA's, GI bleeds, and the adult post ops, which is what we feel more comfortable in taking care of.
We are a 16 bed unit staffed for 8 patients and don't always get more help for more census, no float pool, short staffing throughout facility and we are losing nurses like crazy. Administration feels all the nurses should be "generalists" able to work anywhere in the hospital, that just doesn't fly and we don't retain. They just don't get it. And they do not understand how we can be wildly busy with just 6 pediatric patients!!!!!!!
Staff: ( on paper, not in reality)
3 RN , 1 NA, 1 secretary 7-3, our nurse manager position was just obliterated, a nursery nurse manager will now cover our unit.
2 RN, 2 NA, sometimes 1/2 shift secretary
2 RN, sometimes 1 NA on 11-7
And they LOVE to pull from us, if unit down must float, cannot take day off, yet when census up expect all part timers to work more, have even threatened to not allow summer vacation if won't work extra.