Thoughts on Pt Nurse ratio

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  1. This is a discussion on Thoughts on Pt Nurse ratio in Medical-Surgical Nursing, part of Nursing Specialties ... Hi All, I am a new grad and just accepted an offer on a med surg/onc floor. The patient ratio...

    Hi All,

    I am a new grad and just accepted an offer on a med surg/onc floor. The patient ratio on days is 1:6, and if someone calls out or things are hectic, they were honest and said it could be 7 occasionally. I really liked the vibe there, everyone was friendly and really seemed to believe in teamwork. Orientation is a solid 12 weeks so they don't just throw you to the wolves which is great.

    I was just curious from some experienced people what you think of the ratio. It's a little more than I was expecting, but certainly not as scary as some others I have seen. Thoughts?
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  2. 4 Comments so far...

  3. what type of patients do you get? to say med surg is not enough. as that includes assignments of walkie talkie cystic fibrosis pts in for abx, broken hip/ pelvis 90 year olds, other total cares, walkie talkies thyroidectomiea, gastic bypass post ops, IDs of different body parts. so much variation. pts with q1 orders, or getting blood, insulin drips, where i work 7 on days would be a complete nightmare. are there aides?
  4. i haven't started yet so i honestly don't know the answers to some of your questions. there are aides (thankfully!) my title is oncology RN but i know i can get med surg overflow etc, so i would imagine it could be a combo of the above. i know 6 is the standard there and i was told until i orient (12 weeks long) and are doing well i would not be thrown in in with that many if we had an emergency and had to have 7.
  5. Quote from pugmom79
    Hi All,

    I am a new grad and just accepted an offer on a med surg/onc floor. The patient ratio on days is 1:6, and if someone calls out or things are hectic, they were honest and said it could be 7 occasionally. I really liked the vibe there, everyone was friendly and really seemed to believe in teamwork. Orientation is a solid 12 weeks so they don't just throw you to the wolves which is great.

    I was just curious from some experienced people what you think of the ratio. It's a little more than I was expecting, but certainly not as scary as some others I have seen. Thoughts?
    Been a nurse for 10 years and 6 pts are really busy and 7 is too many!! We most of the time do not have a CNA on the floor I work on and we are full care nurses! I do work at night have for 10 years! and love it!! But when we do have a CNA it makes for a good night! We have a lot of total care pts and self care are few and fare between. we have surgical pts as well at times! Keep organized and you will do well!! I work in the ER sometimes as well and that is a hole different bull!! Love both types of nursing!! My advice to you keep your CNA your friend and help her or him as much as you can, show them always you are a team member!!
  6. I work on a med surg/onc floor and our ratios are the same - occasionally we go up to 8 pts, once I had 10. I also had 12 wks orientation & that was enough time for me. Most of my patients are not walkie/talkies but we have amazing cna's I learned as much from them as I did from my preceptors. We also have a great charge nurse who helps keep us up on changing orders. It's busy and overwhelming sometimes but if you have a good team around you it will be ok and you will learn so much. Good luck!

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