I took a casual position at the hospital thinking I would work weekend nights, so I could be home and help my sister-in-law out with the kids Monday through Friday. Ideally that schedule sounded fabulous but there are a few things I've considered and adjusted my schedule accordingly since the orginal plan. I don't have the patience for children 24/5 (I have heard that it is different when it is your own), I need a break. My employer, UPMC Worksource, will schedule me per my request where ever the need. I have discovered I don't have very far to go. I live within 5 miles of Passavant Hospital, which is frequently under staffed below what I consider safe. No details...I would like to keep my job. What I can say is there is no reason units should not be fully staffed (I am not specifying or focusing my opinion on any particular hospital but read and imply as you wish). There are staffing agencies, and travel agencies that would gladly come in and fill their needs. There is no price for patient safety and satisfaction. I have found the cost/benefit ratio for the hospital is esteemed over the cost/benefit of the nurses. People will quit, and transfer under such undesirable working conditions. An ICU should never have a 4:1 ratio; even 3:1 is highly frowned upon. That being said I could work every day of the week because the need is there, but since I am helping Cindy I have chosen to work full time instead of casual. This week I am working 50 hrs. (I will be traveling a bit in coming months so I am buying quality items to travel with, and am picking up extra hours to afford such).
Things I've noted and inventions I appreciate more because they make my job easier, and less of a risk for infection. Hospital gowns. Okay so you may not like the open back revealing your derriere, but have you considered the ease of access. If you are immobile and must be pulled up in bed you would be strangled by the fabric as you move up and it stays in place. Taking into consideration that my time is spent in an ICU my patients are hooked up to many monitors and many IV's making the snap system forming the sleeves a brilliant idea, so I don't have to unhook everything and risk contamination. The other noteworthy invention is the lur-lock needleless IV system. Instead of having access ports on the IV tubing that requires a needle to puncture for medication, etc. lur-lock has a port on the IV tubing which the syringe screws in to access IV. I can't even imagine the decline of needle stick injuries reported from this invention. Those were my thoughts the last couple nights of work.
5 years ago
