Med/ Surg Patient to Nurse Ratio

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    I work a realitvly small KY Hospital. We have two acute medsurg floors each with 33 private beds seperated into 4 wings. There is a central desk were the unit secetary answers lights and enters orders. Each wing has a small room with a counter, med cart, computer, shelving full of supplies, patient fridge, icemaker... you get the picture. Each wing is designed in such a way that you may not see any other nurses that day. I was recently speaking with another nurse who had returned home from travling these past 7 years. "I ask him how are the other hospitals? Did you like them?" He looks and tells me straight up that in the 8 diffrent facilitys that he worked at across the country, our small facility had THE highest ratio he experienced. I was amazed and I wonder.. is that accurate? What are your ratios?

    Here is where i work: 8:1. RN, LPN.. whatever. 8 patients, 1 license... unless your the unlucky nurse of the day that gets the wing with the extra room.. then its 9:1. So, that is 33:4. .. it could be all RN or 3 LPN and one RN... but that doest matter because each wing has everything you need.. you don't really see your coworkers.. your nurse aide can make or break you in terms of care. aide ratios are 8:1 from 7am-3pm.. then they drop to 16:1 . No charge nurse.. no IV team, admit/discharge team.. whatever kinda teams we don't have 'em. we do it all. Oh and the rounding with a purpose.. was just implemented..
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  3. 28 Comments so far...

  4. 0
    We generally have no more than 7 patients per nurse. I work night shift, so our ratio is higher and the only time we have a LPN is when they're floated in. There are none scheduled on our floor at night. We don't have an admission team / IV team / etc at night. Our charge nurse takes patients, just like the rest of us. If there is an admission, we do the assessment and computer stuff and the charge nurse does the orders and the rest of the chart.
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    At my med/surg job we have 5-6:1 with about 1 tech per 15-16 pts

    At my rehab job we have 8-9:1 with about 1 tech per 10-12 pts
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    I forgot to add we have one STNA to approx 8 patients
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    We have 5 patients at night, no tech, no unit clerk and really no charge nurse. We do all the admissions also.
  8. 0
    We have 4-5. Seems like very little but my hospital does not have a med-surg intermediate unit so we're getting a higher acuity of patients on a regular basis.
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    High acuity med- surg tele: RN 5:1 typically, max 6 for nights and 4:1, max 5 for days. CNAs typically have 8-10 pts and max out at 14.
  10. 0
    I am an RN on a busy med/surg floor. We have 10 private rooms and 14 semi-private rooms on our floor. We have anywhere from 9 to 12 or more patients per RN, depending on how many RNs are scheduled for the day. We also have LPNs and CNAs.

    Most of my days are VERY busy!!
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    I cannot imagine having 9-12 patients on a med-surg floor! Yikes. I work surgical/tele med-surg, typically on days we get max 5:1 patients, sometimes only 4 (but you know you will get the first admission). Eves it is sometimes 5:1 or 6:1, and nights it is never more than 7:1. We often turnover half the floor in a single day (22 beds), we get a lot of admissions and discharges. Typically there is one aide to 11 patients. Once in a while there is only one aide(one aide only after 7 p.m. thru 7 a.m.).
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    Our staffing used to be 1:5-6 and very rarely 7, but they just changed the guidelines so we're going to be 1:6-8 and very rarely 8. One patient really does make a big difference and we're all up in arms about it. We will get 1-3 aids on the floor and our floor holds 36 patients - 30 semi-private rooms and a 6 bed stroke unit which are private. I also work nights. Day shift almost never goes above 5-6 per pt. We have a secretary 24 hours too.


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