What's your patient load? - page 2

I'm still orienting but I take on about 5-6 patients. Normally we will have 6-7 sometimes 8. I work in NYC. What are the ratios in other states or hospitals? 7 patients is crazy! Granted, not all... Read More

  1. by   DC Collins
    Teams of two RNs, each has a 'standard' of three rooms, but often get one additional 'hallway bed'. While we keep our own pts, if one of us is swamped and the other isn't, we 'inherit' anywhere from a few aspects of the teammate's pt care to an entire pt or more.

    DC :-)
  2. by   TheSquire
    Quote from sleepRN
    Med-surg 4-6:1 on days and eves. 7:1 on nights.
    ...you do realize this is an ED thread, right?
  3. by   Nurseadam
    4:1 for less acute and 3:1 for trauma rooms.. In Cali.
  4. by   BrnEyedGirl
    68 bed Level I Trauma ED,..4:1 and when we are staffed well we break down to 3:1 with a float!
  5. by   nuangel1
    4/5-1 in my ed .depends on accuity .we use hall beds also.if real acute/icu 3 -1.
  6. by   PengiRN
    3-5 depending on acuity, more often than not 4:1. Trauma bay 3:1, but usually 2:1 because we reserve one room for the traumas that will need the level 1, intubation, etc., which we don't get every day. But of course, any nurse that has an actively dying patient will get help from other nurses whose loads are lighter.
  7. by   alem-tsahai
    We get as many as we get, meaning it can be as few as 5, and on a particularly bad night up to 12+ EACH! Completely unsafe, and the pt load depends on how busy the ED is as well as staffing. This is a level 1 trauma ED in NYC. Whoever posted that working NYC EDs was similar to working in third world countries was spot on in their assessment. I've done both, and it ain't much of a difference :-(
  8. by   DC Collins
    After thinking about it, I am not sure any of these numbers have a lot of meaning. While, as I posted above, our 'standard' is three, often with a fourth 'hallway appropriate' patient, we are expected to get our patients out within 2 hours in most cases (admitted or discharged). So we are just as busy as those with 'up to 12+' each, I would *assume*.

    I can't imagine moving those patients very quickly when, as the math calls for, you only get to spend 5 minutes per patient per hour. YIKES!

    DC
  9. by   emzg285
    I'm in uk our ratio in resus room in Am is 4 patients max to 1 nurse in majors we are also 4 patients to 1 nurse throughout the day but a night shift it could be 7 patients to 1 nurse
  10. by   stodeee
    Wow I'm an RN at a very busy level 1 trauma center in CA and we max out at 4 pts each. T
  11. by   Esme12
    Quote from stodeee
    Wow I'm an RN at a very busy level 1 trauma center in CA and we max out at 4 pts each. T
    You have a union.....
  12. by   chuckz
    Trauma 1.

    Cat1...High acuity Usually 2-3, but have had 6 when busy
    Cat2...Pts don't need to be monitored, but can be sick. Usually 7, but have had as high as 20.
    Cat3/peds. Laceration, ob and peds. Usually 6 or so but can be as high as 20.

    MHT...Mental health....6 at the most.

    I am in one of the busiest ERs in the country. It's crazy but I love it.....most of the time.
  13. by   WildflowerRN
    Here in Texas, every ER I've worked in the nurses have 3-4 patients. Except the county facility, where we could have as many as 30 (gasp!)...

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