"Floating" rears its ugly head again

Nurses General Nursing

Published

Once again I found myself in the position of charging and being told one staff member (not specified) would have to float to another unit. This was not floating to a like unit - it was going from ours (psych with a med-surg component) to a cardiac floor.

One staff member has worked there on several occasions, having been oriented to float throughout the house. The other nurse and myself have never worked on the other floors. I said the logical thing would be to send that staff member. She was upset (understandably, I think - few people like to float) and called the house supervisor. Claims that the super told her we would need to "take turns" floating. I told her she could do what her comfort level allowed, but I would not be accepting an assignment on a unit I had no familiarity with and endanger pt's due to my utter lack of experience in that specialty. Period.

She wound up not having to go there (went home instead - said that on further inspection they decided that they in fact had the correct number of staff without her, and that she'd like the day off.) I should add that I later found out that the original situation arose because the house super had called off a person on the other unit (who wanted a day off) to float our much less experienced nurse (our census was low.)

Who here has refused an assignment, and with what reaction? Is this common *everywhere* to try and force you into roles you are not equipped to fill?

I know what you mean, Labornurse...when I float out of ICU I don't like to take an assignment either, cuz when a patient goes bad in house or one comes into the ER, it will be mine. So... it's less complicated for everyone for me to task rather than take a full assignment, knowing I can get pulled away any minute... :)

If I can help out in another unit without compromising safety, I generally will try to help them, because next time it may be ME needing help in ICU and I want them to reciprocate. :) Now granted, this is in MY OWN FACILITY where I have a certain comfort level...and this comfort level may not exist everywhere...so again it becomes an individual decision IMO.

Hoolahan, you may be right about the legal risks....any legal nurses out there who can advise us???

Trouble with only 'helping out' when floated, is that most of us don't have that choice. And you can't operate beneath your license. For instance an RN cannot work as an LPN. You are fully responsible for everything under description of the RN license.

We don't have that support from managment. It still boils down to them against us and 'their' licenses are not on the line. Once asked mine if he was going to court with me should I make a mistake and get sued. No answer.

That says it all.

Specializes in O.R., ED, M/S.

This is why I went into the OR. No one can float in because it is a highly specialized unit so I don't float out. Besides are union contract only specifies the OR floats to L&D and then only to help them on emergencies. I did do some floating when I first got into nursing and worked on a M/S floor. I felt very uncomfortable about this and refused to go anywhere but the other M/S floor.This is one of the few things a union contract got us, the pairing of units into "modules". You cannot float outside of your modules.This is another reason hospitals do not want unions, your ability to have a CHOICE! Mike

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