The job is very difficult because there is no continuity of care. the nurse is assigned patients on a unit and has to complete their work in four hour chunks before floating to a completely different population of patients. Example: 4 hrs OB, 4 hrs ER, 4 hrs ICU. It can be done but is not the best practice for any nurse to gain an understanding of their patients true needs or provide a positive experience for the patient. It is also difficult for some nurses to truly catch potential risks for their patients because they have very little time to be involved. It is more like triage and maintain. The management is concerned about over staffing so they move people around a lot and keep people home to save money until the floors are to the point where it is necessary to bring the staff back in. This unfortunately does affect moral because people cannot plan their days, child care, or vacations. The staffs needs are a second thought and patients are effected by this as a result.
loss of breaks, vacation time lost, no respect