Travel Nurse: Thank Goodness I'm with an Agency
Yesterday the hospital administration decided to break the news to the nurses. I had just clocked in and was about to start my shift when the nurse manager asked the nurse on the shift before me if she could stay 30 minutes longer. She then told me that an "emergency meeting" had been called and that I was to report to the conference room immediately. When the nurse manager walked away the nurse on the shift before me said "It's your turn to hear the good news." I asked her what she meant by that, but she just said "Oh, you'll see." I have been at this assignment long enough to know that meetings in the conference room are rare, and often mean something drastic is going to happen.
When I walked into the conference room the nurse manager, several people in suits and ties and about a dozen other nurses and nurse techs were already seated around a long table. The nurse manager started the meeting by saying "Now PROMISE me you won't quit once you've heard what I have to say." An ominous way to start any meeting. She then went on to say that the hospital's patient census is higher than it has ever been at the hospital, but that the hospital does not intend to add any more nurse/nurse tech positions. She said that the cap of 7 patients maximum per nurse had been a cap set by the hospital and that the hospital was now changing it. There would no longer be a cap on patient load. Nurses immediately started mumbling under their breaths.
The meeting was short and I could tell the nurse manager had been forced to make the announcement by the suits and ties. She didn't seem any happier about the decision to remove the patient cap than anyone else.
So what does this mean to me as a travel nurse? Fortunately, I have a contract with my travel nurse agency that limits the number of patients I can be required to tend to 6. The problem I now face is enforcing that provision. I now have to deal with the nurse manager's reaction when I remind her of the patient load limitations in my contract. That will probably be something I do tomorrow. And then there are the other nurses' reactions when they find out about my contract. Just one of the things you have to deal with as a travel nurse I guess.
Oh, and by the way, as for the nurse manager's request not to quit. I saw two nurses thumbing through the employment section of the newspaper yesterday during our shift. This should get interesting.
3 Comments:
The hospital I work in has had a problem with high census lately. We keep getting emails that tell us we are "at crisis" and "no patient can be admitted without a conference of physicians, house supervisor, director or trauma services, and the trauma surgeon on call." As someone who is frequently working with the trauma surgeon, this is not going over well. We do this for a couple days then things are better than back and forth.
We have closed unit staffing and that is generally good. It doesn't apply too much to me because I work in the OR and they we are almost always busy/short staffed. Our recovery room nurses, however, are being tortured and that isn't right. We have had a chronic shortage of ICU nurses and we are a Level II trauma center. ICU is full more than 75% of the time. They are making our recovery room nurses cover in ICU. When do you say? It seems to always happen on Friday, Saturday, and Sunday. Hmm... We have little draw for travelers and they haven't been able to get one in ICU for months. I know they are all getting fried but now they are burning up another unit.
We found out yesterday an entire doctor's office has closed down because of an Influenza A outbreak. It is a small practice but they still see 100 patients a day. The hospital was trying to figure out late Friday what they needed to do about this and if they needed to treat staff (you know the ones that have already gone home and know nothing about the situation).
Anyway, I did scheduling in my department for a number of years until my turn was thankfully up. We probably had about twenty traveling OR techs and RN's during that time. My director saw all of these peoples' resumes and competentcies and she knew what was in their contracts and it stopped there for the most part. She did not share that information with the charge nurse, if she didn't want to. The charge nurse is the one that makes our assignments. We had two people leave because she ignored their contracts. I encouraged all of them to stand up for their contracts. You have it for a reason and that is what the hospital agreed to and should abide by. YOU have that right and it would put them in a worse position if you left because THEY broke that contract. Most of the nurses I work with were understanding and supportive of the traveling nurses we had. Of course, our situation was a little different. Good luck!
Darn....don't know where your assignment is -- but that announcement would make me run not walk to the nearest job postings at another facility!
God bless the ex-gov Davis who helped protect CA nurses from that!
THIS IS THE EXACT REASON WHY I'M CONSIDERING TRAVEL NURSING. THIS ISSUE, AND THE POLITICS AND BEURACRACIES THAT GOES ALONG WITH IT. I SEE ALOT OF NURSES THAT SHOULD NOT BE IN THIS FIELD FOR A NUMBER OF REASONS. THEY'RE EITHER BURNED OUT, OR IN THIS FIELD ONLY FOR THE MONEY.I'M SURE YOU'VE WORKED WITH ONE OF THEM. NURSING IS NOT WHAT IT USED TO BE ANYMORE. NOW, IT SEEMS LIKE HOSPITALS ARE MORE INTERESTED IN MEETING THE BENCHMARK, THAN PT. CARE ITSELF. I COME HOME FR. 12HR WORK SOMETIMES AND FEEL SO DRAINED AND THAT I GAVE LOW QUALITY PT. CARE BECAUSE OF HOW HOSPITALS RUN NOWADAYS. ALSO AGREE THAT ONE OF THE BENEFITS OF TRAVEL NURSING IS THAT YOU'RE ONLY AT A CERTAIN FACILITY FOR ATLEAST 3 MONTHS. THANKS FOR YOUR BLOG AND TIPS. I'M VERY GLAD I RAN INTO IT. YOU MEAN WELL IN THIS NURSING COMMUNITY. THANKS FOR CARING ENOUGH TO POST A BLOG AND SHARE YOUR EXPERIENCES. TAKE CARE.
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