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Why do most Hospitals and Long Term Care Homes take it easier on Casual Staff than they do with Full-Time staff?

by DK123 DK123 Member Nurse

Specializes in ACE.

I work at a Nursing Home casually, so maybe 5 times in a month I come in? I'm hearing stories where Full-Time Nurses are like dragged out by the Director of Care or the Pharmacy or Management on why they didn't document this, or they made a mistake on an assessment, and they have never said anything to me when I work or have given me a letter but I am not perfect and for sure deserve some feedback. I could be wrong but is it because the home will probably never really see me? Its probably easier to talk to the Full-Time staff to get things done since they are there almost everyday (every other weekend), than a casual staff who comes in once in a blue moon.

Also I'm not expected to do a lot of things like answer phone calls, or sign pharmacy stuff. Usually full time staff do it cause they know more about it.

They figure fill-in staff won’t take too much criticism before saying enough. They want you to return. Besides you can skate on something anyway if you know you aren’t invested in coming back next week and the next. Regular staff have to face the music unless they quit.


Specializes in Surgical, quality,management. Has 12 years experience.

So you work 5 times a month? Say you work the weekend night shifts Sat/ Sun you make an error that regular staff would get spoken to about. DON doesn't call Monday because your sleeping, forgets to call Tue / Wed. By then it is Thursday and she may figure no point too far away from the event to haul you over the coals, your casual, safe nurse, need you here more than the telling off.


Specializes in ACE.

Really? Thats probably why they get away with a lot of things. The people I hear get letters or warnings are usually full time staff. I think its because they don't think I'm coming ever again? I don't think they will bother casual staff


Specializes in ICU, LTACH, Internal Medicine. Has 8 years experience.

Because they know darn well that they need per diem staff more than per diem staff needs them.

Shoo one of agency nurses off with any of their " oh-soooo-important" shmolicies and other stupid things - she simply will not come back and for very much sure tell others to do the same. News like that spread like wildfire among local agency pool. Voila - you're stuck with too many beds and too few already overworked (by you) and demoralized (again, by you) staff nurses, nobody will come to help them, good luck.

I will remember to the end of my life the shock when I realized that the very same nurses who treated me like I was in Gestapo when I was new and staff suddenly became almost cloyingly sweet when I reappeared in the very same unit with an agency's badge. Out of the blue sky, my accent was not " important safety concern" anymore, and my persuasive knowledge of everything did not bother anyone, and that monster of NM was ever-so-polite. Everybody was just so nice and friendly and helpful - simply because they knew what it meant to have 4 patients per nurse in ICU, and that would be exactly their destiny without two agency nurses every shift.