Re: Floating?Candide wrote:
> Love it? Hate It? Will you do it only if threatened at gun point? *LOL*
I spent a little over three years in the permanent float pool of an 800 bed
teaching hospital. I got pulled to every unit in the hospital except the ED,
OR, L&D and the cath lab. Any other unit was fair game. I was most comfortable
in med/surg and orthopedics; unhappy in peds and NICU and most stressed and
overwhelmed in CVICU.
The hospital was a hotbed of unit politics but I was above the fray since I
didn't belong to a particular unit. Sometimes I was abused because I wasn't
from *their* unit but that wasn't very often. All I had to do was whine to the
nursing office about how I got shafted and I would no longer be available to
that unit when their staffing fell through. So sad, too bad. Treat the help a
little better in the future.
The experience sure rounded my education out as a floor nurse. If I got pulled
to a neuro or a urology floor, I became their biggest asset when it came to
cardiology problems, because I usually was the only one there who could read
strips. When I went to a cardiology floor, I instantly became the biggest moron
on the unit, because I only worked there sporadically, as compared to their
regular staff. But then I was the only guy there who knew what to do with a
total hip.
> Just wondering how everyone feels about floating off their assigned
> unit, and or if anyone still signs up for on call floating shifts, where
> one signs up to be called in to go where ever staff is short.
My present hospital doesn't require me to go to other than another med-surg
unit, although the PCU types are starting to show up on our unit every now and
then. I know the ICUs exchange staff with the PCU as needed but we never see
ICU nurses on my unit just as we never go there.
Now, my current thoughts on the matter when I walk in and see I've been pulled
is "oh, crap." The basic problem with going to another unit is an unfamiliarity
with their staff and a lack of commonality about procedures. For example, our
techs do our vitals and finger sticks. On some of the other med-surg units they
don't do the finger sticks. Vital signs are done at different "standardized"
times and you access them in different ways. It's a PITA but then again we
don't want some other unit dictating the way *we* run *our* floor. Obviously
they don't want us dictating to them either. Fair enough... but it creates
these small problems when you're pulled.
The final thing I don't particularly like about being pulled is my own unit
trying to get me back at 1500. If I've started at 0700 on another unit, I've
spent my time getting my ducks in a row so that I can enjoy a leisurely end to
my shift at 1900. I'm really not interested in starting all over again with a
different bunch of patients at 1500, only now I only have four hours left to
write up my initial assessments, etc.
Now, as far as signing up for "on call" any kind of shift, hell no. I am
unavailable to the hospital Monday through Friday for any reason. I only work
enough to pay my bills. If I hit the Powerball on Wednesday night, I'll be
calling in my resignation before I go to bed.
> With so many GNs forgoing spending time in Med/Surg and going straight
> into units or their chosen niche, wonder if the old adage "a nurse is a
> nurse" still holds true, despite what management may think. After all
> if one hasn't been near L&D since clinical rotations at school, is it
> really a good idea to pull a nurse from the ER to help sort out a
> shortage? Same goes vice-versa, would an "L&D" nurse be the right choice
> to send down to the ER or Med/Surg floor to help if she has seen nothing
> of either since school or perhaps a few odd years off and on.
I can't think of a better way to guarantee disaster. Once somebody goes down
the L&D track, or the OR track, or the med-surg track, or the ER track.... I
believe their career path and competencies are set. Maybe you could stumble
through a shift on another type of unrelated unit but I'd expect you'd be more
trouble than you were worth. I'd also hate to have to justify in a courtroom
how I staffed my ED with L&D nurses just so I could meet my numbers. Even a bad
lawyer is going to eat my lunch.
--
Mortimer Schnerd, RN
mschnerdatcarolina.rr . com