What nurse/patient ratios do you work with?

Nurses New Nurse

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I'm just curious as to how many patients other nurses have. In my last semester of nursing school, during preceptorship, I had 5 patients, which would be reasonable except that these patients were difficult. Because I have chosen to work in a community hospital, most patients are very sick when they finally get care (because sadly they're uninsured) and have additional health issues other than the reason for admission. Here, in the southwest, we have ALOT of diabetic patients (fingersticks, insulin, dialysis and wound care, especailly on their feet). Often, I'll have an isolation patient. A couple of patients usually have critical morning lab values (that means calls to the MD's before I can even start assessments). And often I'll get one of those patients whom you can set your watch by because they're on their call light wanting their pain meds. And in the afternoon, I usually get a fresh post-op or an admission from the ED. Also we don't have computer charting (all paper!).

I love nursing and I love the hospital I'm at because everyone (from the doctors to the housekeepers) is wonderful. We really feel we're being of service to God. But, as a new nurse, I always feel I'm so far behind in my work. I often eat while I chart or skip lunch all together (and eat a protein bar on the fly). It's not usual for me to stay until 8 pm to catch up on charting. When I was in clinicals (at a different hospital where I got plastic surgery patients and "easy" patients), I had all my assessments done and charted and morning meds passed by 0930

Am I whining or are my patient teams as heavy as they seem? What kind of patient ratios do you all work with? Thanks for your feedback.

Specializes in ACNP-BC.

Our team of an RN, LPN & aide take care of 8-10 patients on our med/surg/tele unit.

Specializes in ICU, telemetry, LTAC.

Telemetry unit (stepdown is a separate unit in my facility, thank god) and usually 1:4, sometimes 1:5. I've found out 1:3 can certainly be a nightmare once in a while. And on this unit, at night the charge nurse has a load that's equal to the other nurses, usually. That's a contrast to days where I saw charge nurses take 1-2 patients as a norm while on the first part of my orientation.

Specializes in ER then CVICU now.

I work in a post surgical unit, and unfornately, it's not rare to have 9 patients at night.

Specializes in L&D.

Neuro/Trauma/Tele floor. I work 7p-730a. 6-8 patients is my norm. Usually 7.

I work on a Medical floor and have usually 4 pts. sometimes 5. That sounds pretty good but we are total care...no tech to do VS, I&O's, wts, diaper changes, etc. The nurse does it all...gets pretty rough sometimes with 3 or 4 total care pts. in diapers, need to be turned q2h, etc. Rumor is that nurse:pt. ratio is going to 7:1 beginning sometime this month. If it does and they do not hire techs, I might be looking for another job.

Med-Surg floor at a small rural hospital - 5:1

We always have 2 RN's, or one RN and an LVN, and a CNA.

Never more than 10 patients. We can't legally take more than that plus we don't really have room for much more than 10.

steph

I work on a busy oncology unit we can have 4pts on days and evenings and up to 6 on nights. or less if somone is getting chemo. that's enough for me.

Deb

OMG THAT SOUNDS LIKE THE WORSE DAY EVER!!! I congratulate you on getting thru it.

Hey, I know how you feel... Being a new grad is TOUGH! I've had 2 1/2 weeks classroom orientation and now I'm on my 4th week on the floor with only 1-2 more weeks of orientation. Then I'm thrown to the wolves!!

For me, each day is an entirely different world. I'm on a heavy Med-surg unit and our usual ratio is 1:6 which is nice. Yesterday we were short so I had 8 patients! Of my entire crowd, I had 2 trach w/vents (suction often), trach collar (suction VERY often), 1 PEG & 1 NG (crush meds...), Pt DNR/DNI satting in the mid-70's b/c she kept on pulling off her non-rebreather, DNR pt with traction to leg who was found with RR of 5/MINUTE!!! - gave narcan stat to reverse the effects of 5 mg morphine, 2 pts who didnt speak any english so had to run around and find translator each time we had s/t to say, pt with C-diff need to change freq. Gave 2 units blood, 4 k-riders, a million meds. Went into the pt who was desatting's room every 10 - 15 minutes to assess... She left this world an hour before shift change so had to do e/t that a death entails (post mortem, organ bank, charting...)

It was a wild day. I took a 5 minute break the entire day. My preceptor who I was with was great. She gave me my independance most of the day, letting me get a grip on the situation, but at the same time she gave me a hand at the end of the day with last minute meds and charting. I came home entirely exhausted and knocked out, but I also felt accomplished.

I dont especially love doing all the monotonous tasks - suction, meds, hang IVs, but I especially do LOVE that I come home very day and say I LEARNT SO MUCH! I love learning, and I feel so much more confident and knowledgeable each day!!

Thats nursing! We'll get through the newness and soon we'll be veterans... =)

Specializes in Med Surge- Surgery Floor.

I work Med Surge Teley on nights we are usually 1:7 but I have taken care of 9 and 10 on a regular basis, if we are working with LPN's then we also have to oversee their patients, so your numbers can add up quick.

Specializes in Psych.

I work nights in a Med-Surg Specialty unit with a wide variety of patients from standard stuff to oncology, and I usually have 6. I have had 7 twice and those were really difficult nights. I've been off orientation only a month, so it's all I can to handle my 6. If I get a new admission, I am pretty much sure to be there late charting. I hope in a couple of months I'll be better (faster), I see improvement already. Evenings have 5 patients (which is also the worst, most difficult shift, I guess it's that way at every hospital) and days have 4.

LTACH unit...I usually have 5 pts on nights...when I first started it was 6...but those 5 are usually very time consuming.

Specializes in community, oncology, tele, PEDS.

I worked at a clinic first after graduating (hospitals in my area weren't hiring). When I first started working at a hospital it was through an agency, so no preceptorship. i learned a lot, was thrown in there. But often had a large load. I was on an oncology and tele floor- i've had had up to 9 pts at times, with no aide.

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