Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Split-Shift Floating

I am currently on an assignment where I am sometimes asked to switch units mid-shift (4 hours on one unit, 8 hours on another). Sometimes, I am asked to do this not out of an emergent need, but rather because an 8-hour shift staff nurse or per-diem nurse picking up a shift prefers not to work on a certain unit (and this facility has been short-staffed frequently as of late).

The split is done between a step-down unit, and a telemetry unit where the patient ratio can go up to 8 patients at night-- and that is the floor where nurses do not want to pick up shifts, so I have been asked to float there to pick up 7 patients and then receive an admission, after taking care of step-down patients for the first 4 hours.

I do not feel comfortable doing this again, as it is simply too much, and there is too high of a risk that something will be missed. I cannot properly assess and care for 8 telemetry patients (one of whom is always an admit) when I am always getting there late due to completing duties in step-down (and I refuse to cut corners, as this facility does audits). This floating mid-shift is never done by staff (I am on 12 hour shifts and they are on 8 hour shifts), and as there are no other travelers on my night shift, no one else is doing it.

My contract does have a float policy, but it does not specify mid-shift floating. I am planning to refuse the next time I am asked to float mid-shift to care for 8 patients because a staff nurse or per diem nurse coming in for their shift does not want to work that unit, and I am even prepared to be sent home for refusing (and also I don't think they would do that due to short staffing), as I feel strongly that it is that unsafe with those ratios. Have any experienced travelers encountered a similar situation? Any advice would be appreciated!(and please not just 'suck it up', as that is what I have been doing, and it is just unsafe to continue.)

Featured Replies

  • Author

Thank you for the great response! Things are going a lot better now.

Congrats on surviving! You are now a stronger nurse and traveler.

I am so glad things are better for you!

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a Comment

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.