I would try to get placed on a specific unit at this hospital. Floating wasn’t a great experience. There are two floors that should be considered PCU’s (8CCP and 9CCP) due to their high acuity patients, but they treat them like any other med/surg. I had a bad day every single time on those floors and was sent there a lot because even regular staff don’t want to stay there. Usually 5:1, weekends have a high possibility of 6:1, and best of luck if you’re on a CCP with 6:1.
I did one 13 week house float assignment and one 13 week ER. As a travel nurse you're expected to park blocks away in the "murder lot" and shuttle in, I opted to pay 8$ a day and park in the garage which is free if you depart after 8pm. Some units had friendly staff and fair ratios but the majority would stick it to you if you were a flaot and worse if you're a travel nurse and float. Handpicked the most challenging patients, no PCA, all incontinent, blood sugar checks and q 2 turns. ER assignment was a nightmare. First day I assume I'll get a few hours orientation but all I got was "here's your 5 patient assignment " ...Lots of residents so double the work and everyone is sick so not many easy patients...
Med surg ratios are 6:1 and sometimes had a nursing assistant. I worked nights as a float so we were able to work whatever days we wanted. It was brutal on the transplant floor and the GI surgical floor which I was on the transplant floor a lot. I loved the nurses on the transplant floor, very nice and helpful! The ratios were more manageable on other floors. I actually liked going across the street, where the patients were less sick and about to get discharged. One rule I liked at the hospital was if the patient was 6L O2 above their baseline they had to be taken to a higher level of care. They had tele techs too. No ceiling lifts in the rooms. The residents at night would answer promptly and were good about coming up and seeing the patients.
Worked on and off in varying ICUs for a year. I loved it! SICU had amazing staff and were always willing to help, never felt like I was drowning. Doctors stay in the unit so communication was fairly easy. Other ICUs I had some difficulties but that was due to lack of resources. Would definitely come back for SICU.