LEGAL NOTICE TO THE FOLLOWING ALLNURSES SUBSCRIBERS: Pixie.RN, JustBeachyNurse, monkeyhq, duskyjewel, and LadyFree28. An Order has been issued by the United States District Court for the District of Minnesota that affects you in the case EAST COAST TEST PREP LLC v. ALLNURSES.COM, INC. Click here for more information
I work on a medical/cardiac PCU which is actually more medical telemetry than a PCU (no titrating drips, etc.). The ratio is usually 5:1 but it can and very often goes to 6:1 - which is usually (not always - usually) a nightmare.
I work on what I would call a mix of step down and med surg patients. My floor gets vent patients, renal failure patients, kidney transplants and kidney/pancreas transplants, urology patients, and everything in between. On day shift, the ratio is 3-4:1. If a nurse has a vent patient, they try to keep that nurse at 3:1 with no admits. At night, the ratio is 5-6:1, even with a vent, although effort is made to keep a nurse with a vent at 5:1. Although I like working night shift, I wish more effort was made to keep day shift ratios even at night. If I have a vent patient, I spend a lot of time with that patient, and I can't have 4-5 other patients that are trying to climb out of bed or pull at their lines. That's typically my load. 6 patients with a vent would be more doable if most of the patients were alert and oriented, and trying to sleep. Otherwise it's unsafe.