Sorry, I disagree with you.  It is more a testiment to the results of poor administration.  I used to work for a place in Michigan that to have a nurse call in resulted in every other nurse in the place calling her to see how she was!  And it wasn't fake.   The administrator had a practice where everyone who possibly could sat down for lunch together before the patients were served.  The facility didn't charge for the food.  The administrator came, the DON came, the maintainence guys came, the CNA supervisor came, all the florr nurses came, and if the doc was in the house at the time, he came too.  The Adm. said that if the aides needed a nurse, they knew where we all were.  We didn't need to have stand up every day, we had lunch.  Any problem anybody had, everybody else knew about, and heard the boss's suggested solution for it.  If some one had a problem with their kid, everyone heard about it.  As a result, there was a REAL team.  People actually cared about the others.  If an aide couldn't get a ride to work, everyone knew about it, and Poof!- the ride materialized.  If the roof leaked, maintainence didn't dare say he wasn't told about  it.  If pharmacy was screwing up deliveries, the DON & adm. both heard about. 
 
As a result, working the floor by management was a very rare thing.  You see, if someone wanted some time off, or their kid was sick, they called a few of the other nurses, and asked to trade.  I didn't CARE who worked when, as long as it wasn't overtime, and the floors were covered with qualified staff.  They just signed in on the unit.  I was faced with one call in where I had to work the floor in the time I was DON there.  
 
Corey 
----- Original Message -----
Sent: Tuesday, January 06, 2004 9:28 PM
Subject: Re: Working the floor

A lot of us are RNs and the administrator is trying to get the most bang for his nursing buck by having the RNAC do floor, start IVs, do call, do supervision, special projects , etc. It's an unfortunate side effect of the financial healthcare climate.
 

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