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The Floor LPN tells you-"Your new admission has a po2 of 68." What do you do?
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No. 10
from amy
Old Nov 25, 2001, 11:40 PM
Updated Jul 03, 2002 at 03:19 AM by amy

Default NY staffng
I find pretty much the same types of staffig patterns. ER, a charge nurse, three aides, a triage nurse, one nurse who always shows up 5-10 min. late, short 2 floor nurses, and me. So, nurse-wise; a triage nurse, a charge nurse (like pt flow and does not do direct pt care in that position as being on the desk really is a full time job in itself) and on the floor just me. You guessed it, full house, in halls, holds full, rooms full, etc. we got it done though!!


I LOVE NEW YORK
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No. 11
from CashewLPN
Old Nov 26, 2001, 10:24 PM

Default Staffing Ratios
ok.... well... now, after a talk with my boss....
I told her that me being on light duty and working on the floor at the same time was a little crazy... (I worded it nicer) I end up doing about 30 sec of work for each nurse... little dressings that can be done without having to hold up the affected extremity, and fingersticks. Total these past 3 days, I've done 7 admits.

My boss told me that technically, my presence on the floor reduces pt to nurse ratios. I told her that doing that was a bad practice... and god forbid anything happen, it'd essentially be her fault for not staffing properly, as every nurse is protesting the assignment.

Typically, our staffing is terrible.... but not unbearably horrible as its been for the past few days... We've just lost 3 more evening nurses...

And....Shunda--- if the patient would have died, there would be a lawsuit, and everybody who had taken care of the would have been sued. SO-- I'd say, you need good malpractice insurance just for issues like that...

NY does not have safe staffing laws... if it was up to me, I'd say no more that 6 patients per nurse... and, that would mean 8 nurses every day for the evening shift. sad thing is, we only have 11 nurses now total for the shift. Turnover is high d/t the high stress (both mental and physical), and the fact that we need to be crosstrained in everything, and that the higher ups are hireing the nastiest, laziest nurses that Nobody wants to deal with.... but, thats another story...

lucky me has 2 days off now... I think I'm gonna sleep every minute...
--Barbara
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No. 12
from mcl4
Old Nov 27, 2001, 07:37 AM

Originally posted by kewlnurse
Thats is crappy staffing, but thats how it is in NY State, at least for the most part, That is the staffing on every ACUTE floor in the hospital system I work for whethere it's neuro, ortho, tele, ..., the rehab floor would consider that great staffing! In the CCU's the staffing is 2-3 patients at one time, on the ilcu floor it's 4 pt.s not to start a new thread but what is staffign like elsewhere, i know it's got to be better than it is here in hell, aka Buffalo, armpit of the nation.

Generally on a med/surg or surg. floor staffing is four patients on day/eve and six on nights. CICU patient ration is one or two patients and tele is the same as the med/surg and surg floors.


Recently, we've had great staffing since they hired several new nurses. Four to five patients on a surg. floor on nights has been the usual. I told the new nurses they can not leave
It has been really helpful to orientating these new nurses since staffing is so good and frankly, we noticed how much less stress we are all under at work. In addition, it has been nice to be able to talk to each other during the shift during down time.

When I started on this floor, six to eight busy patients was the normal patient load with as many five being fresh surgicals.
We ran all night.
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No. 13
from kewlnurse
Old Nov 27, 2001, 06:35 PM

MCL4, Where are you? Are they hiring anymore, whats the pay, can you talk my family into moving? Does it snow there? how are the golf courses?
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