Split-Shift Floating

I'm not a traveler but I hate split shift floating.

However I can't understand the logistics of how you could be scheduled? Are you the only 12 hour nurse? How else would they work you into the schedule except for splitting a shift? I'm not trying to argue, my brains a little foggy and scheduling is hard.

Have a polite sit down with a manager or supervisor and tell them why split shifts is not working. Offer solutions to them. Are there other 12 hour nurses can you rotate with them? (Don't know if that would prevent splitting units?)

Can you change to 8 hours? I assume you prefer 12's but just to finish up this assignment.

Talk to your travel agency, let them know this current posting isn't working can they help?

Tread carefully "Other duties as assigned" can come back to bite you. And blacklist you.

Kaiser (the dominant chain in California) is notorious for floating travelers, often every four hours. That is just how the math works for them when all staff work 8 hour shifts, and all travelers twelve. Obviously this is not optimal for patient care, but it sure makes nurses efficient at being ready to report off every four hours. Which if you survive, makes you stronger and better organized.

Cali has mandanted max staffing ratios of 4 to 1 I believe. That would be fine. I am talking about 8 here.

Yes, I'm on 12s and staff is on 8s.

Cali has mandanted max staffing ratios of 4 to 1 I believe. That would be fine. I am talking about 8 here.

Are you in California?

Kaiser (the dominant chain in California) is notorious for floating travelers, often every four hours. That is just how the math works for them when all staff work 8 hour shifts, and all travelers twelve. Obviously this is not optimal for patient care, but it sure makes nurses efficient at being ready to report off every four hours. Which if you survive, makes you stronger and better organized.

Yes, and it's the patient who pays for it. Stick to your guns, Kid.

Report this to your recruiter, he/she should be able to help. If not talk to the nursing supervisor and explain to them the safety concerns. Once you address the issues of safety with them, they will find an alternative solution for you. Maybe this is something that needs addressing in reference to their entire system . Why would you be the only floating nurse in the hospital? Are they looking at instituting staff at 12 hr implements? It is a concern for your license and your and the hospitals patient base. Please address this issue now, it will become your problem if you do not address it with the people in charge of the facility. They probably do not even know what's going on ! Good luck, address it and stick it outí ½í¸Š

I have been floated mid shift and like you do not feel it is safe. I don't quite understand why you are going because regular staff don't like that particular unit. Are they coming in extra and that was what they demanded prior to agreeing to come in, if not then it should not always be just you (at the very least the per diems should be going to that other unit). I would talk to the unit manager and also your agency to see what can be done. Is it possible to have your schedule changed to an 8 hour schedule so you would not have this constant trying to fit your 12's into the hospital 8's. Did you know they were on 8's prior to accepting the position, kind of strange they would do that. Either way I don't see how you can change the floating unless you just talk to them. I have actually been floated 3 times in a 12hr shift, when I told them I don't feel safe (and why) sometimes the unit would just allow me to be resource for 4 hrs etc without accepting a patient list myself. If you are not able to come to an acceptable understanding then I would let the recruiter and manager know how you feel and that you will not be coming back there. You may have to finish your contract but your recruiter may be able to get you out of it. Good luck!

I hate when they do this to me. It sucks. That said, it's part of traveling, most places, to float first, often (though not everywhere) for 4 hour increments. As far as central staffing is concerned, we are often not real people, only "Traveler Apples," and "Traveler Oranges," to be plugged in to any open space q4.

Though my current facility has a written policy to NOT automatically float travel first...guess what? I have done 4 hours in CCU, 4 hrs in IMCU, four hours in med surg...and NO ONE else on the unit floats. They just refuse. The charge calls them and says, "Hey, they're going to float someone...do you want to call off, and we'll float a traveler?" Yep.

That said, I'm making 50$/hr to staff's 27, so...I take deep breaths and suck it up.

I am LITERALLY on the schedule listed in a separate section under per diems as "Travel Oranges"...good luck!

This has not happened to me, but I have heard about it. A PRN nurse was floated between 2 hospitals about 10 miles apart during her shift. Work the first 4 at Hospital A and then get sent to Hospital B for the next 4 or 8. Hospitals A and B are owned by the same company. I can't even imagine trying to do something like this. Plus what happens if you are in an accident between hospitals. What is nursing coming to?

Your post brings back bad memories: I have worked at two hospitals that informed me that, "as a travel nurse, you can expect to get floated to another unit before a permanent nurse will get floated".

At Hospital#1, I was unprepared for how aggravating that rule would become. This particular hospital actually had nurses charting in three, yes *three* separate places: in the computer, on a chart outside the patient room and in a chart at the front desk. This assignment also found me caring for a patient who had meds due every hour and was in Contact Isolation so I had to don gloves and gowns every hour and it made it hard to care for my other four patients. I was assigned this patient for three days straight (which spared the permanent staff). My assignment was changed once his isolation was stopped and his med frequency lessened. Then came the dreaded float day: four hours into my shift, I was getting floated, so I had to catch up my patient care, chart in all three places, give report to an oncoming nurse, go to the next unit and get report on five new patients...and four hours later, you guessed it: I had to catch up on what I was doing, chart, give report to another nurse, float to yet another unit and get report on a new group. I had enough of Hospital #1 and it was the only time I cancelled an assignment before my 13 weeks was completed.

Four years later, at Hospital #2, I was again told that I would be first to float as a travel nurse. Over three months, there were only two occasions where I worked back-to-back shifts on the same unit and, at least once every other week, I got floated in mid-shift, usually to replace a nurse who had only picked up an 8-hour shift. Fortunately, all the charting is electronic and peers had shown me "shortcuts" to charting by exception.

I have a background in Psych and have learned that "Frustration = Expectations minus Reality". So, keep your expectations low: remember that that if your unit was *the bestest place to work in the entire world", nurses would be flocking to work there and they would not need travel nurses. I keep my expectations realistic so as not to become frustrated with the hospitals. Thirteen weeks can go by very quickly.

So decide how you will do three things every shift:

1) Arrive with a smile on your face

2) Make at least three other people smile during your shift and

3) Leave with a smile on your face.

Then you will find that you can handle anything they throw your way.