[Gr8Dane]

Day Shift: 6-8 (mostly 7)
Evening/Night Shift-7-8

We have a 40 patient Med surge unit, generally 3-5 Techs/Aides, but as of late we have been down to 2 due to bad hospital retention.

[justapeep]

Well after reading some of the numbers you all wrote about I am feeling pretty good. I work 3-11, we usually have 3/4 nurses on our acute medical(all but heart patients)/oncology/hospice floor and we usually have 4/5 pts. I feel that staffing should not be based on how many pts are on the floor but the acuity of those pts.

Just a thought...

[Melinurse]

Our hospital: Day shift 5:1
PM shift 5-6:1
Nights 7-8:1
We get an LPN if 9 pts. ( more cost effective than 2 RNs )
CNAs take on Day shift 7:1
PM shift 9:1
Nights 14:1 ( if short 22 to 1 )

Do I think it is safe? sometimes, depends on pt accuity.
Ideal would be : Day shift 4:1 or 6:1 if paired with LPN
PM shift 5:1 or 7:1 if paired with LPN
Nights 6-7:1 or up to 9 if paired with LPN
Ideal for CNAs to do quality good job
Day shift 5-6:1
Pm shift 6:1
Nights 10:1
Sometimes I feel like the "unit costs" and the almighty " budget " dictate what is considered safe patient care. I work nights and there are some nights where I could take up to 9 pts with no problem, and other nights where I wish I only had 3 pts because those 3 truly NEED close to one on one care. I wish hospitals would staff based on how the patients are doing rather than by the numbers.

[jreed]

usually 6 for RN with day shift and 1 assist for 15 pts, nite time or from 3-7 can have up to 10 pts with no assist, nite, 8 -10 pts for RN, 1 assist for 30 pts, they can set the medicus to make it staff how they want, if its minimal staffing how about when lunches are taken, UNDERSTAFFED....

[StarlightRN]

The med surg floor I work on has 32 beds


Days will have 6 RN's (5-6 pts each) and one charge nurse with 5 CNA's.
Evenings will have 6 RN's (5-6 pts each) one charge nurse and 3 CNA's.
Nights will have 4 RN's (8 pts each) no charge nurse and 3 CNA's. On nights the charge nurse has to take a group of 8 patients.

[Piki]

Days: usually 5:1 (sometimes 4:1 tho you are more likely then to get the first admit)
Evenings: same as days
Nights: 5-7:1.

Days we have a charge nurse and usually 4 RNs. If we are full, then a day nurse will get 6 patients OR the charge nurse will take one.

Evenings the charge nurse will take a full load of patients usually from 7-11p.

Nights half the time they just have 3 RNs, and about the other half they have 4 scheduled. Charge nurse takes a full assignment.

[joshuaha]

If I am working on the more acute side of the pedi rehab facility, it is four to one. If I am working on the less acute side with strictly rehab kids (no trachs) It can get 5:1. I am only a new grad, but I feel most days it is pretty manageable.