Sep 16, 2008, 01:48 PM
Re: Assigning Acuity level to pt
On my unit, nurses are assigned pts based on sequential room numbers, not acuity, but (during out shift) we fill out a form with the acuity level of the patient. Ours is also 1,2,3, but 1 is lest acute and 3 is most acute.
At the bottom of the sheet, criteria for meeting this acuity is listed, i.e., pt must meet 3 criteria in this area to be #2. It's funny, though, because most nurses disregard the official criteria and just slap a number down. I think most nurses want it to look like their patients are more "acute" than they truly are. In reality, some patients aren't necessarily high acuity but are VERY demanding and that causes a nurse to up them from a 1 to a 2.
The fact that we don't staff based on acuity makes the whole process seem useless, and I imagine that's why our nurses don't take it seriously anyway.
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