Quote from cindyloowho
Wow, that's crazy. My last hospital med/surg job had a patient/nurse ratio of 4/1, even on nights. The day shift always had CNAs on each pod, and they tried their best to give them to nights too. I currently do peds oncology and we are 3/1 with aids as well.
Some smaller towns are lucky to have staff at all - they have to make due. If the community is more of a retirement area, there are no people to build the work force...so fewer nurses and more patients.
The only time in the 19 years I worked that I had 3-4 patients was in peds - and coma stim - when I had the only vent patient. She was a 1:1 (and being stuck in one room drove me nuts). The general staffing ime has been 5-7 on days, 6-7 on evenings, and up to 14 (all acute care neuro) on nights. In med-surg/ortho , as the charge nurse, I was the only
RN for 27 beds, with 3-4 LVNs from 7-11, and 3 LVNs from 11-7....a CNA if lucky. And it all got done. It was no big deal to have 4-8 fresh post ops divided up among the 3-4 LVNs. I had all of the RN stuff- assessments, orders, MD calls, MAR checks, death pronouncing, emergency stuff, etc.
The LVNs I worked with were incredible. My supervisors were also great to work with- we looked out for each other, and if something came up, nobody had to ask for help- just say they were getting swamped... IDK what happened to that concept. We had primary nursing, so that's no different. All lights were everyone's lights - but if someone needed meds, the assigned nurse got them. Turning was done in teams that we just 'did'- no official assignment- just knew that every 2 hours, we'd be going off in pairs to turn those who needed it.
I'd go back there in a heartbeat if I could still work- over a bigger city with the cliques and resistance to be team players (jme- but it's really stunk around here).
Work is what YOU make it.... it can be good, or stink. If you work with slugs, you're sort of sunk- unless you leave. But that, is also up to you