RESUMEN
Budget restrictions, fewer human resources and fluctuating patient populations have combined to increase the practice of floating general duty nurses. Floating occurs when a nurse from an overstaffed unit, based on patient load, is required to work in another unit that is understaffed. Floating is not a new practice, but it has always been an emotionally charged issue. Today, with more float pool nurses seeking the security of a permanent position in a home unit, the issue has increased in intensity.
Asunto(s)
Servicio de Enfermería en Hospital/organización & administración , Personal de Enfermería en Hospital , Admisión y Programación de Personal , Actitud del Personal de Salud , HumanosRESUMEN
The frequency of blood gas measurement in two adult intensive-care units was assessed for 7 months before and 12 months after introduction of a protocol of indications for such investigation. Demographic, diagnostic, outcome, and intervention data were collected prospectively. There were no differences in demographic characteristics, severity or type of illness, survival, or frequency of arterial or pulmonary artery catheter use between the two observation periods, but the frequency of blood gas analysis fell by 44% (p less than 0.001) after the protocol was introduced.