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Med/Surg 6:1? Thought the ratio was 5:1



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Jul 20, 2007 05:16 AM

Med/Surg 6:1? Thought the ratio was 5:1


My recruiter told me about Los Robles in Thousand Oaks, CA and she said the ratio was 6:1 at night. That would be nice compared to what I have now except she told me the ratio for a CNA is 1:29 at night and 1:15 during the day. Can't expect much to get done on either shift. I thought the ratio for med/surg was 5:1 set by state law? Is their some clause that allows this? I couldn't get the postion anyways as there was 35 applicants within hours and they weren't taking anymore. I have heard different things for this hospital. Any thoughts for future reference. I do know they are having financial difficulties along with some other near hospital.

Thanks

Michelle

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15 Comments
No. 1
from fishchick72
Old Aug 24, 2007, 08:29 PM

Default Re: Med/Surg 6:1? Thought the ratio was 5:1
no, for med-surg it's 6:1, tele is 5:1, some places it's even 4:1.
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No. 2
from suzanne4
Old Aug 28, 2007, 06:36 PM

Default Re: Med/Surg 6:1? Thought the ratio was 5:1
Ratios change again in January, 2008.
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No. 3
from suzanne4
Old Aug 28, 2007, 06:53 PM

Default Re: Med/Surg 6:1? Thought the ratio was 5:1
Ratios are currently 5:1 for tele and will change to 4:1 in January. The ER has a 4:1 ratio and that will be unchanged.

And ratios are not in writing for CNAs, they are not licensed in California. The ratios are in effect for RNs.
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No. 4
from Spidey's mom
Old Aug 28, 2007, 07:32 PM

Default Re: Med/Surg 6:1? Thought the ratio was 5:1
Our med/surg floor is 5:1 because we admit patients who need monitoring and we monitor for 24 hours post op. It changes to 4:1 in January.

steph
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No. 5
from caroladybelle
Old Aug 28, 2007, 07:33 PM

Default Re: Med/Surg 6:1? Thought the ratio was 5:1
The ratio law is for RNs....I do not believe that it applies to CNAs.

To my knowledge, there is no rule dictating that there is even a CNA on the floor. Many of us work without them.

One of the initial controversies regarding the ratio law, is that by requiring set ratios, hospitals might cut back on ancillary staff such as aides, transport, phlebotomy, respiratory support, etc.
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No. 6
from pickledpepperRN
Old Aug 29, 2007, 05:53 PM

Default Re: Med/Surg 6:1? Thought the ratio was 5:1
Med/surg has been 1:5 since 1-1-2005.

Ratio basics by unit: http://www.calnurses.org/assets/pdf/..._unit_0704.pdf

Additional staffing must be added for patient acuity as assessed by the direct care RN. This includes LVNs, CNAs, clerks, and monitor observers.
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No. 7
from Spidey's mom
Old Aug 29, 2007, 06:11 PM

Default Re: Med/Surg 6:1? Thought the ratio was 5:1
Originally Posted by spacenurse View Post
Med/surg has been 1:5 since 1-1-2005.

Ratio basics by unit: http://www.calnurses.org/assets/pdf/..._unit_0704.pdf

Additional staffing must be added for patient acuity as assessed by the direct care RN. This includes LVNs, CNAs, clerks, and monitor observers.
Which is what I thought . . . . we are a med/surg floor. 5:1 ratio.

I knew you'd get here sooner or later with the right info and links! Thanks!

steph
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No. 8
from KulRN
Old Aug 30, 2007, 09:58 AM

Default Re: Med/Surg 6:1? Thought the ratio was 5:1
Originally Posted by suzanne4 View Post
Ratios are currently 5:1 for tele and will change to 4:1 in January. The ER has a 4:1 ratio and that will be unchanged.

And ratios are not in writing for CNAs, they are not licensed in California. The ratios are in effect for RNs.
This is good to know, I sometimes work in Tele and the current ratio in our hospital is 8:1 ( with a team). On this change in January 2008, will this be a team such as 4:1 ratio in tele but you still have your LVN and CNA? Or it would just be an RN working for all these 4 patients?
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No. 9
from Spidey's mom
Old Aug 30, 2007, 10:02 AM

Default Re: Med/Surg 6:1? Thought the ratio was 5:1
Originally Posted by KulRN View Post
This is good to know, I sometimes work in Tele and the current ratio in our hospital is 8:1 ( with a team). On this change in January 2008, will this be a team such as 4:1 ratio in tele but you still have your LVN and CNA? Or it would just be an RN working for all these 4 patients?
This ratio law is just in California.

Each hospital will be different in regards to CNA's. We had CNA's and ward clerks until recently. Then a new CEO and DON came in . . . .

steph
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