Didn't know how to put this into a thread so decided since I was "ticked" that this was a good spot--but it seriously is more than a "pet peeve"--I'm furiously angry

but hopefully after I "vent" I'll feel better and be able to go to bed....I work a specialized rehab/physical therapy unit in a local hospital. Ever since the Medicare laws re rehab changed, we have been in a struggle to keep our census up--our number of patients goes up and down...wwe have this "staffing grid"supposedly written in "stone" that we are obliged to go by: if the census is 10, we are allowed 2 nurses, one aide (not counting therapists during the daytime), if we have 11 patients, still one aide, two nurses....if we have 12 or more patients, we are allowed two aides, two nurses...15 pts. we can have 3 nurses and two aides...8 patients or less and we can only have two nurses, no aides...when census is down, we take turns being "cancelled", using vacation time to fill in the paycheck...none of the aides are taking any "vacation" off as it is all going to "fill in the paycheck" of cancelled hours...Anyway, you get the drift...when an aide has 11 pts. it's a ratio of 1 to 11; when there are 12 it drops to a ratio of 1 to 6....so your "productivity" (work load) increases when census hovers around 10 or 11--Tuesday afternoon our census went up to 12 but i was told there was no other aide to help--I told them of a friend who was willing to come in and since the grid called for 2 aides they should call her...they did after i kept mumbling about the CEO's 12,000,000 dollar raise.

Well, this Wednes. census dropped to 10 and it was my turn to be cancelled for 5 hrs...they needed me the last 5 hrs. of my shift...our dept. head is on vacation, and the house supervisor and director of nursing (a new one who doesn't understand rehab pts. at all and how heavy they are) decided that our 2 nurses could do all the care and they could send me home (after i just got there) and they cancelled the girl who was supposed to take my place at midnight...
My charge nurse hit the roof and refused to send me home...she brought up safety considerations and pointed out if a patient went sour, it would be extremely dangerous for the floor etc..etc. They were trying to cut us even tighter than the abominable grid....at the end of my shift the nurses asked if i would mind staying and helping for a couple of more hours which since I had already been shorted 5 hrs. I agreed to...It is quite maddening what is going on--at 1230 Wednesday they still hadn't made up their mind if they were cancelling me or not (my shift starts at 2pm) and I put myself on call, and told them to call me if they needed me before 7pm...then I get there as agreed with day shift Charge nurse, and eve supervisor tries to send me home (it wasn't personal: she was just counting "heads" and decided to cut staff) All of us take turns almost daily going through this...per the dept head, if I don't get all my hours during week, I "can" work Saturday 7-3 (one of my days off) to make up the missing hrs....last pay period I logged 85 hrs. doing this....I worked couple of hrs extra Mon, worked couple of hrs. extra tonight, will work 8 hrs. Sat. to make up the 5 "missing:" hrs. from today (most likely, unless someone starts doing some math) and will end up with about 7 hrs. overtime when they don't want overtime....It's a blessing as far as I'm concerned, but a mess trying to keep track and work it out...and i don't get two days off together doing this...but it's a living, and a job, at a time when jobs are precious...and gee, I feel better already!

Nitey nite!