Med Surg Nurses: How many patients do you care for? - page 2
by cheez1285 13,128 Views | 49 Comments
Hi all! How many patients are you allowed to care of at a time on your med surg floor during days or nights? In our hospital, on days, we go up to 6 and night shift can take up to 7. Just curious. I work at a hospital near... Read More
- 0Jan 7, '13 by UnderooI live in Washington State. We normally have 5 patients (4 on a good day). I have seen 6 but only when there was one being discharged, which would give you 5 in the end. I have noticed that our supervisor will turn away admissions if we aren't fully staffed for them. Then they go to another unit. I've also worked in Georgia and normally had 5, but I know of some nightshift RNs that had 6 occasionally. 5 seems too much to me, just because you don't have adequate time to spend with the ones who really need it.
- 4Jan 7, '13 by CherylRNBSNQuote from cheez1285I work med surg and six is standard.Do you guys think having 6 patients on a med surg floor on days is too much? Just curious to see what people think!
IT"S TOO MANY. PERIOD.
We typically discharge and immediately readmit. It is not uncommon to "process" 9 pts.
I have been chewed out twice by a urologist who expects his bladder irrigations to be attended to q 15 min.I actually AGREE that they need to be, but...
If I have 6 pts. on three different halls, three different pts screaming for narcotics every two or three hrs (along with nausea med and benadryl meds (sickle cell)), pts vomiting or incontinent, IT IS IMPOSSIBLE. I am one human being who can only attend to one pt at a time!!
I have read a couple of articles on line that really recommend a max of 5:1 for med-surg. But
I have been told that 6:1 is "the national standard" , and ratios will not change for that reason. (anyone know anything about that?)
I have complained to my charge nurse about not being able to staff FOR ACUITY. She told me this had been brought up before, and wished me luck w getting it changed! (spoken out of frustration, b/c apparently she has tried.)
I can promise you: I love my job, but I will not be abused. I will get out of med surg if it continues. There are way too many nights I leave at 9pm or later. And I'm sick of it!
If hospitals could only understand they are shooting themselves in foot. By complications, readmissions, falls, nurse turn over, etc.
My unit does a spectacular job of Press Ganey. And that credit goes to all the HARDWORKING, dedicated, competent nurses and TEAMWORK.
If only the charge nurses had the freedom to STAFF FOR ACUITY. But it's a formula: 6:1.
- 1Jan 7, '13 by ukjenn2316 or 7 on nights. I think 5 or 6 on days, for med/surg and tele. This is in Florida.
In Kentucky, I had max 5 MS and max 4 tele.
I find it is difficult to spend any time whatsoever with your patients when you have more than 5. I just feel like a robot walking from room to room, passing meds, and charting. But I get it done, I don't stay late, I figure it out.