Med Surg Nurses: How many patients do you care for?

  1. 0 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 Chicago.
  2. Visit  cheez1285 profile page

    About cheez1285

    Joined Apr '10; Posts: 23; Likes: 8.

    49 Comments so far...

  3. Visit  OCRN3 profile page
    3
    California max is 5 on med surg

    Sent from my iPhone using allnurses.com
    turnforthenurseRN, kalevra, and noyesno like this.
  4. Visit  noyesno profile page
    1
    6 on day/PM shift. 7 on nights.

    5 would be much better (but I don't make the rules).
    DBK99 likes this.
  5. Visit  eatmysoxRN profile page
    0
    It can technically go up to 8 on either days or nights but they try to keep days at 6. That's the standard for all the floors. I work tele/icu step down and 8 can be crazy with cardiac drips and lots of active chest pain and positive troponins to call. When pulled to the other floors 8 isn't too bad.

    ~ No One Can Make You Feel Inferior Without Your Consent -Eleanor Roosevelt ~
  6. Visit  missladyrn profile page
    1
    6-7 on a normal night, but if you were to ask our boss she says never more than 5. She's full of it.
    DizzyLizzyNurse likes this.
  7. Visit  kalevra profile page
    3
    6-8 patients a shift on med surg! I live in California, we have legislation that caps the nurse to patient ratio. I just find one nurse to 6 patients on med surg scary.
    DBK99, joanna73, and CherylRNBSN like this.
  8. Visit  ChristineN profile page
    0
    Quote from cheez1285
    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 Chicago.
    I have 4 patients max if working step-down and 5 patients if working med-surg. These ratios are the same for days and nights
  9. Visit  MInurse.st profile page
    0
    I work on a surgery unit, but we also get medicine patients when gen med floors are full. 3-4 on days and 5 on nights.
    Last edit by MInurse.st on Jan 7, '13 : Reason: typo
  10. Visit  cheez1285 profile page
    0
    Do you guys think having 6 patients on a med surg floor on days is too much? Just curious to see what people think!
  11. Visit  ChristineN profile page
    3
    Quote from cheez1285
    Do you guys think having 6 patients on a med surg floor on days is too much? Just curious to see what people think!
    Honestly sometimes I feel like 5 keeps me pretty busy, so I can't imagine having 6 on days. If you had 6 walkie talkie independent pts maybe, but that is never how it works out.
  12. Visit  cheez1285 profile page
    2
    Do you work nights? Yes, having 6 patients in a day is crazy. It's even crazier when you discharge 2-3 during a shift and get 2-3 admissions right back! The life of a nurse!
    DBK99 and janhetherington like this.
  13. Visit  Underoo profile page
    0
    I 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.
  14. Visit  Caffeine_IV profile page
    0
    Not in med surg right now but we would have 6-8 on nights. 6 is doable but 7 was really hard. 8 is unsafe IMO.

    Sometimes we would only have 1 NA and get slammed with admissions. Also recall a night where we had more aides than nurses!


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