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Patient to Nurse Ratios: What are yours?



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Jul 17, 2009 09:33 AM

Patient to Nurse Ratios: What are yours?


I am curious about what your patient ratio is.....
State the following:
State
City
Unit worked
Patient load
Shift

I will start:
Texas
El Paso
Med Surge
7-8 patients
day shift

Texas
El Paso
Telemetry
6 patients
day shift

Washington
Edmonds
Surgical/Oncology
5-6 patients
day shift


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34 Comments
No. 1
from SarahBeth
Old Jul 23, 2009, 04:52 PM

Default Re: Patient to Nurse Ratios: What are yours?
Massachusetts
Beverly
Major surgical/ortho
5 patients
Primarily evenings
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1 Reader Gave Kudos
 
No. 2
from wacberry
Old Jul 25, 2009, 10:46 AM

Default Re: Patient to Nurse Ratios: What are yours?
Texas
Wharton
LTC
up to 60 residents (56 on my side yesterday)
2-10
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1 Reader Gave Kudos
 
No. 3
Old Jul 27, 2009, 10:33 AM

Default Re: Patient to Nurse Ratios: What are yours?
Massachusetts
Boston
Transitional Care Unit
8 patients
3pm-11pm
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No. 4
Old Jul 28, 2009, 10:26 PM

Default Re: Patient to Nurse Ratios: What are yours?
oklahoma
ardmore
medsurg/tele
up to 13pts one lpn on rn
7a-11p weekend shift
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No. 5
from youknowho
Old Jul 28, 2009, 11:32 PM

Default Re: Patient to Nurse Ratios: What are yours?
Originally Posted by kristi-lpn2 View Post
oklahoma
ardmore
medsurg/tele
up to 13pts one lpn on rn
7a-11p weekend shift
13 patients?? How do you even find the time.
Ratio laws here are 4:1 on the tele floor I work, day or night.
When I was in Public Health our caseload could go up to 35-40 but I usually did not have that many clients.
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No. 6
Old Jul 29, 2009, 03:29 PM

Default Re: Patient to Nurse Ratios: What are yours?
all i can do is the best i can i have been at this hospital for 10yrs we can have 26 pts on the floor we cant possibly get everything done because we have the drug seekers watching the clocks, we get most of the chf, copd, pneumonia, surgery, cancer pts and we do chemo on our floor, we get a little of everything and tele pts it is crazy. we apparantly dont have any laws that i know of and if we complain to the boss they get mad. i never sit down well i do still take my breaks cause it is the only time i can sit and try to pull it together. we do team nursing with usually 2lpn 2rn and 1cna for 26pts we split the floor in half and i pass meds on all these people plus we are expected to do prn's and dressing changes and new orders. am i just crazy or does everyone work like this that does team nursing. to me it is no team the rns do the admits and discharges and try to get us to do the discharges if we get 5 min to sit. plus we also check charts before we start the med pass. i feel like im going crazy when im at work, i cry when im on breaks because i know the pts are not getting the care they need. i dont know what of if i could do anything without the threat of getting fired. they fire people left and right and dont care that the nurses hate this team nursing. suggestions welcome. thanks
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No. 7
from ssing45
Old Jul 29, 2009, 11:02 PM

Default Re: Patient to Nurse Ratios: What are yours?
MICU, Delaware.
1:1 or 2:1
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No. 8
from ssing45
Old Jul 29, 2009, 11:12 PM

Default Re: Patient to Nurse Ratios: What are yours?
Originally Posted by kristi-lpn2 View Post
all i can do is the best i can i have been at this hospital for 10yrs we can have 26 pts on the floor we cant possibly get everything done because we have the drug seekers watching the clocks, we get most of the chf, copd, pneumonia, surgery, cancer pts and we do chemo on our floor, we get a little of everything and tele pts it is crazy. we apparantly dont have any laws that i know of and if we complain to the boss they get mad. i never sit down well i do still take my breaks cause it is the only time i can sit and try to pull it together. we do team nursing with usually 2lpn 2rn and 1cna for 26pts we split the floor in half and i pass meds on all these people plus we are expected to do prn's and dressing changes and new orders. am i just crazy or does everyone work like this that does team nursing. to me it is no team the rns do the admits and discharges and try to get us to do the discharges if we get 5 min to sit. plus we also check charts before we start the med pass. i feel like im going crazy when im at work, i cry when im on breaks because i know the pts are not getting the care they need. i dont know what of if i could do anything without the threat of getting fired. they fire people left and right and dont care that the nurses hate this team nursing. suggestions welcome. thanks
I can only suggest you find an alternative place to work, possibly advance your degree. RN's have more choices in employment. I used to do team nursing too and it is hard. I would have preferred having the 6 or 7 patients on my own than having double that amount virtually on my own. Many times I could not find the LPN to help with patient care plus I had to do all the charting on all twelve patients. It is so dependent on teamwork and that is an iffy proposition. I remember not getting a chance to pee. There was one gal who felt her only job was to do the first med pass, then she went outside to smoke. Another, when I was working nights, would disappear and I would find her sleeping in the patients rooms. And then there was one who was a great, we really worked it and I always hoped we would be together. Gosh, I certainly don't envy you.
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No. 9
Old Aug 04, 2009, 04:22 PM

Default Re: Patient to Nurse Ratios: What are yours?
ER Northern NJ 1:5 to 1:whatever-depends on the amount in the ER. BTW, acuity doesn't seem to matter-a nurse can have to unit patients and 3 others.
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