That's dialysis, Baby !!!
We, too, have 12 chairs... run two shifts on M-W-F. and one shift on Tue.-Thurs.- Sat.
We have three people on the floor and one "water person", who mixes the bicarb, sets out the jugs, does waterchecks in the basement etc., and helps out on the floor during change over. We ALL (mixture of techs and nurses.. we only have one tech, though.) come in at 0400 to set up the machines, mix bicarb, etc.
Three floor staff = 4 pts. per staff. One water person (we rotate each day, so it's fair).
This would include the charge nurse (who is one of the three floor staff) who ALSO comes in at 0400 and stays 'til the last pt. leaves and our tech who also puts patients on and takes them off... he, too, is one of the three floor staff.
Our patients arrive at 0430, but we start putting them on at 0500. We also stagger our patients, but there's just no getting around hte change over crazies ! It's chaos regardless of what you do. We are each simultaneously taking off and putting on four patients a piece. The "water person" runs around and help out where he/she can in between refilling jugs, etc. Our NM does come out and help during changeover, when she's there, which is not all the time, either.
Our last patient goes on about 1045-1100 and comes off about 1400-1430. We're usually out of there by 1500, some days (like today) a bit later.
We have done three shifts during the holidays, and yes, they can wear you out to a frazzle.
However, from the amount of total staff you have there, it doesn't seem to be that bad.
For example, I have my four patients, and I put them on in the morning, take them all off by myself while getting the new set of four ready to go on, and out them on inbetween the others coming off. If I'm lucky, hte "waterperson" will be available to help take one off now and then, or bring one back to get weight, vitals, etc. and seated in their chair at least. We don'thave any "techs" or anyone to set up our machines, or tear them down. We do all of this ourselves for our own set of four (eight total) patients for that day. Our only tech has his own set of four patients to worry about.
So yes.. it get hairy. But ya know what? I STILL love it !!!
Even after today, which was one of those "alarm days from hell"... the ones where none of the caths want to run and the new fistulas are crappy, and you spend all your time running to readjust the needle or flush the cath and get behaind on everything else ! Yeah... you know ! :chuckle
I love what I do, and I love my patients. I jsut tell them AND myself I can only be at one place at one time... only put on one patient at a time or take one off at a time, and that's just all there is to it. I used to freak out and get all rushed and panicky, but no more. You can only do what you can do.
Maybe someone here has some good suggestions for you... hope you can get it worked out ! (((HUGS)))