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cindybode -> RE: Nurse's Notes (6/28/2008 8:27:32 PM)
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quote:
ORIGINAL: Kat_D
Just wondering how that works, Cindy? Does each charge nurse have a mini staffing office on the floor/unit with a data base/listing of all the available staff, per diem and pool nursing personnel? Seems like that would take up a good bit of her time calling and tracking down people to work, etc.
In general, it works like this:
1. Charge nurse counts kids vs. nurses, takes into account who's available for codes in the hospital, high risk deliveries, sick admissions, etc. and figures we need more staff.
2. On call is told to work (there are 2 people on call per shift). Nurses are on salary, so 16 hours of on call per 6 week schedule is built into our pay.
3. Nurses who are currently working are asked to volunteer to stay, often for some sort of deal like Friday off or whatever we can work out.
4. Grab the white pages (staff phone book) and start calling anyone who's not working now or the next shift. Phone calls are often delegated, but in reality it doesn't take that long to call people who are not going to pick up their phone anyway [sm=icon_smile_roll.gif] and leave a message. "Hi Maureen, it's Cindy at work, we're drowning, call me back."
5. Call PICU and R4 (the only 2 floors who can float to us) and ask if they have loaners available.
6. Mandate someone to stay.
It sounds complex if you're not used to it, but in reality I can get from start to finish in about 30 min, not counting the waiting on people to call me back. If someone's getting mandated, they know it at least an hour before they're supposed to go home. Also, when I get charge report I know how many people are on, who's got triple and delivery beepers, and if there's anything pending at Mac House, so it's generally not a total surprise that we're going to be short . . . unless 27 week triplets roll in off the street.
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