nurse to patient ratio - page 2

I was just curious about the nurse to patient ratios out there, especially for those on night shift. What are your ratios...and do you consider them safe?... Read More

  1. by   kewlnurse
    I'm in a ccu now so i only get 2 or 3 patients, when i was on the floor it was usually 8-10 on 3-11 o10-16 on nights. I will never go back to floor nursing.
  2. by   LMU121
    I am so sick and tired of everything for recruitment and nothing for retention. This practice causes a rift between new and old nurses. I am working in the same hospital 13 years and new nurses are starting with a salary close to mine. This is unacceptable.
  3. by   Brownms46
    Where I was just at...there was 1:5-7 on days, evening..and up to eight or 10 as I have been told on nites...and this is tele! And sometmes no CNA, we did all the AM labs..which usually means everyone!

    Charge Nurse had less than a full load....but that was no real problem...as the LVN did their own IVPs, IV starts, Labs.. chart checks, calling MD, ..etc..etc. The Charge nurse did do the assessment on new admits only.....but usually just signed off on the LVNs assessment.

    In Washington...they used LPNs in some hospitals with RNs as partners. Which I liked and didn't like...depending on who the RN was. Rarely would we be assigned more than 7 pts..together...and never more than 4 to the RN without a partner.

    But I getting my CA license now...and hopefully by October I will be in there....as they're having lots of contracts open up. Maybe in part d/t the new staffing ratios..
  4. by   Chiron
    I work on a med/surg/chemo/telemetry unit, the dayshift ratio is usually 1: 6-8 but night shift can be worse 1:8-11, the facility has set staffing policies and when the nurse to patient ration is higher than the stated policy the nurses have been writing signed statements that the ratio is unsafe ( in case of liability) and that supervisors had been notified and did not provide additional staffing.
  5. by   RNforLongTime
    An update on how the LPN's have been working out. The LPN's they hired are great for the most part. There are a few that are questionable but then there are RN's that are the same way. They have their own pt assignment, they can call the doctors and do their own 24 hour chart checks. They all have taken the IV therapy course for LPN's but until they get their card in the mail from the State Board of Nursing, they cannot do anything with IV's except monitor them. Which means that they aren't allowed to start IV's, flush IV's with NSS, hang a IVPB or a fresh IV bag. When they do get their card, they'll be allowed to start IV's, hang IVF's except blood, ppn or TPN. They can hang IVF's with meds added provided that the infusion was initiated by an RN. They cannot give meds IV Push except to flush with NSS. So, the RN's have had to do this for them. Which hasn't been a problem, yet.

    Only problem is that the hosptial has been downstaffing RN's their hours that they were hired to work in order to allow LPN's to work additional hours and OT! We are unionized(the RN'S) and grievances have been filed. Our union filed a class action lawsuit against the hospital regarding this practice. The LPN's arent a part of the union. No one has taken this out on the LPN's. At least I haven't heard of any instances. In fact a lot of the LPN's that are working in our hospital are going to school for their RN.
  6. by   wsu.rn
    a am a new grad RN 4 months into med/surg working at a small hospital. On days R.N's would have 4 pt's and cover an LPN who had 6. I worked evenings and had anywhere from 4-5 if convering LPN's most 6 not covering. As for nights 6-7 most. If covering LPN the RN would have less. On evenings there was 1 aid.
  7. by   neuroRN
    I work on a Neuro/Tele Unit and the ratio is 1:5 on days and 1:6 on nights. The charge nurse takes 3 on days and 4 on nights. Sometimes we have one extra due to staffing, but usually it stays fairly balanced.
  8. by   Neonatal WannaB
    I am a GN and I work at a Sub-acute/Long term care facility. I know that this different from the hospital but our ratio is still somewhat out of control. Sub-Acute has 50 beds and Mid-nights usually work with two nurse and have 25 pt a piece. Even though it's midnight's it's still ridiculous. Pts could code at any time. On days it's 1:13 or eve's it's the same thing but sometimes it's 1:20-25 depending on the census. Nurses' have to pass all the meds not to mention the thousands of treatments they have to do. Michigan needs to follow California's footsteps in legalizing the Nurse/Pt ratio.
  9. by   lv2ski
    Hello everyone, these numbers/ratios are horrendous! I will never again take responsibility for 10-11 patients. I left a rural hospital where that happened frequently, with tele, pedis, you name it. Now I am at a larger hospital where ratios are pretty good, acceptable. There are 3 med-surg type units with specialties so we float amongst them when needed. We usually have 6-8 patients at night. I have never had more than 8. Mostly ortho-neuro surgeries, gyn, resp, lotsa trauma. 7-8 will keep you running enough. We have 1 cna, 0 night secretary. 3-5 RNs scheduled depending on census. If it gets worse, I will leave.
    Best of luck to all of you, and don't put your license and patients at risk by taking on more than you can handle....
  10. by   terrina
    RN's where I work have 1:4 ratio on days and pm's, 1:6-7 with a CNA, 1:4 with LPN who has 4 of her own and RN covering. This is Midwest. I worked Southeast last year where ratio was 1:4 for each RN and unit of 24 beds shared 1 CNA (no LPN's). These ratios still kept me hopping and feeling overwhelmed most of time because of acuity.
  11. by   LadieRn
    I work on a med-surg floor. We nurses RN/LPN work 12h shifts and the CNA's work 8h shifts. On days the nurse/patient ratio
    is 1:6-7 and on nights 1:7-8. We only have a charge nurse on
    days and she may or maynot have patients depends on acuity.
  12. by   Fgr8Out
    [QUOTE]Originally posted by newnurse72
    ONE NIGHT AN ICU NURSE FLOATED TO OUR UNIT. SHE SAID ALOT OF THE PATIENTS ON OUR UNIT ARE JUST AS SICK AS HER LOAD ON ICU, BUT THEY ONLY HAVE 2-3 PATIENTS EACH.

    So true!!!! When I worked nights (not even an entire year ago) I was responsible for up to 12 patients... and yes, some were "ICU Material" except for the fact that they were still breathing on their own.... Transfer them to ICU? Not unless they coded The patient's often included TPN/PVN (once had 5 of my 8 on the stuff), wound/ostomy care (including deep wounds in need of packing at 2200 and 0600), FS, insulin drips, etoh drips for our DT patients... etc.... The staff on nights for our 41 bed unit was generally 4-5 RNs and 2-3 CNAs.

    My day shift assignment is generally 6-7 patients on a 13 bed unit... with another RN and 1 (occasionally 2) CNAs.

    It's definitely frustrating and frightening for any Nurse working under the situations being described on this Post.... Solutions...???? Continue to support the Nurse's who are tirelessly out there advocating safer ratios... document, document, DOCUMENT those occasions where staffing is unsafe. Will it change the conditions? Maybe... maybe not... initially. I'd like to say I hope it doesn't lead to deadly mistakes... but we all know that's already occurring in hospitals around the country. Yet the CEO's and powers that be continue to make 6 figure incomes...

    Peace

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