[medicrnohio]

Tele/Stepdown

1 RN for 4-5 patients
RN/LPN team with 7 -9 patients

[Franlpntorn]

Originally Posted by surveynurse

Franlpntorn: This is a tough issue. If staffing ratios are mandated by the State at a certain ratio (say 6:1 max), then some facilities would interpret that literally and possibly assign 6 very sick patients to one nurse. That would obviously not be safe.

Personally, I think it is better to not set a specific ratio but rather divide the patients by some sort of acuity system. That is just my opinion.

I know my state has taken a hands off approach on ratios and clearly stated that the regulations regarding quality of care need to be upheld. If the quality of care is not up to par (and the surveyor can link it to a staffing issue - which can be hard to do), then the facility can be cited for staffing.

surveynurse: your right about the acuity, our problem is we split rooms. So we might just get the 6-8 high acuity or the 6-8 less sick but still need the 1 to 1 more then the others. Like the confused eldery. I do less pT care as the numbers go up. One night I had to give 3 units of blood and still take 4 other high acuity Pt's. I'm worried one day I will miss something.

[Maggie Mae]

Long Island, NY. Tele floor, 7P-7:30A, 9-12 PT. If less than 9 we usually have new admits. 3-4 districts with 1-2 cna's. Thinking of moving to another state. Oh yea, charge nurse too. Most of the time the nurse is the one who makes calls for any problems like pauses or runs of wct. We have a house MD, but he iscalled for non cardiac things like PRN tylenol if non has been ordered by admitting MD.
During the day they can have as many as 9 with many going for stress tests, caths, ppm's, tee's tilt table, or discharged. Not a happy place.

[lossforimagination]

Originally Posted by Maggie Mae

Long Island, NY. Tele floor, 7P-7:30A, 9-12 PT. If less than 9 we usually have new admits. 3-4 districts with 1-2 cna's. Thinking of moving to another state. Oh yea, charge nurse too. Most of the time the nurse is the one who makes calls for any problems like pauses or runs of wct. We have a house MD, but he iscalled for non cardiac things like PRN tylenol if non has been ordered by admitting MD.
During the day they can have as many as 9 with many going for stress tests, caths, ppm's, tee's tilt table, or discharged. Not a happy place.

What do you mean by "3-4 districts"?

[debroh1]

Originally Posted by Franlpntorn

What is you Pt to nurse numbers?
What state are you in?
Hospital or ECF?

I work in a LTC facility in Ohio. We can have anywhere from 25 to 50 residents to care for. I work an Alzheimers floor 3-11 and the minimum is 2 nurses for the 50 residents. On some of the other floors there are 50 residents and the minimum is 1 LPN on the evening shift

[MikeRN1]

[I work in PA in a teaching facility on a monitored surgical/neuro-trauma floor. It's actually a dumping ground. We handle all the monitored surgical patients which range from gyne to ortho, any monitored trauma and neuro trauma pts, tele overflow, ICU stepdown, peritoneal and hemo patients, and ENT patients. We also are a vent floor. This keeps us on our toes, but we do get to utilize all of our skills. Staffing is adequate, but we generally have little backup to cover call offs, vacations, etc. It is a 20 bed unit, on daylight there are 4 RNs, 2 LPNs, 2 CNAs, and a secretary, no charge. On nights, there are 3 RN's and a CNA.
Mike

[BETSRN]

Originally Posted by Franlpntorn

What is you Pt to nurse numbers?
What state are you in?
Hospital or ECF?

1:1 in active labor, maybe up to 5 normal PP's. AS we are an LDRP, we do everything so the assignments often chanage sepending on the activity of the floor.

[mopsi]

LTC in Ohio. 7A-7P..35 patients 1LPN ..2 STNA"S, sometimes 3 STNA"S... at least 4-5 skilled Pts with full Vs and q shift charting..4 of this are qid acuchecks..1 Trach and Tube feed...assorted very demanding A/O group with phone calls every hour(and a system with 1 cordless phone you have to find and run to the next patient with a family memeber calling) A wound that has dressing change Q 4 hours with administration putting little markers under the patient to make sure you are doing it You are expected to feed as many people that you can..13 total feeds...The morning Med pass takes 3 plus hours and since state is coming they plan to change the time on 1 hall to 8A and the other to 9A so lucky you will be in compliance.I read a post earlier about a negative co worker and I think it could of been written about me..Gee is it time to step back and re-evaluate this job before the burnt out me just turns to dust and blows away?

[psalm]

[b]I'm in Soutwestern Michigan on a medical/oncology floor that has 50, yes, 50 beds! We are the dumping ground for our hospital. I work 11p-7:30a. On a good night I have 5-6 pts, but usually 7-8 pts per nurse, and we share Nurse Aides...they usually have 9-12 pts. Our floor is more like a mini-step-down unit and the acuity is usually high for 70% of the pts. Oh, we TRY to have the charge nurse take 1-2 pts. less than what the rest of the RNs have. And most nights we have an LPN med nurse who does all meds except IVP. She/he will do tube feeds,CAPS and NG meds. We try to focus on team work, and when everyone is like-minded we can do it. There are nights when I feel like I have so much to do I don't even think about a break, let alone a lunch!

[wa-rn]

In Wasington, I work noc shift in a hospital floor of 15 beds, min of 4 pt's max of 8 or 7. Usually 2 RN's with 1 aide (2 aides if census of 14 or more) not bad unless all 7 pt's want to use BSC all at once