ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping? - Page 2Register Today!
- Jan 26, '10 by 1icurn.jnI work in a general icu and we also have a stepdown unit. about 95% of the time i have 3 patients. Usually 1-2 are vents and 1 is a needy floor type patient. They are considering making the icu 1:3 ratio because they say we are honestly spoiled by having only 2 patients and that we can really handle 3. however, isn't that why its called an intensive care unit? stepdown usually has 1:3 and the telemetry floor 1:4-5. :S
- Jan 28, '10 by traumaloverWhat kind of pts are we talking about?
A walkie-talkie on Amio?
Or CRRT, septic shock, IABP?
I have had pts that were singled due to acuity, esp traumatic brain injuries and crrt. I have been tripled with a stable vent, a post cath MI, and a GI Bleed, or similar.
- Jan 29, '10 by Zookeeper3We frequently get pre op cabg patients with IABP's... they can move very little so they are the frequent call buzzer offenders. Same thing is true with your swanned heart failures on high dobutamine and what not... buzz. So these are certainly not ready for step down and just documenting everything every hour for three of these guys plus meds assessing and turning.... yikes!
We do tripple, we never have an open bed, there are always vents waiting in the ER... so if there is a call in... thats what happens
- Jan 29, '10 by meandragonbrettWhat's sad.......is that our step-down is 10 beds and has the same ratio that the ICU does. 1:2 I want a job on step-down!
- Jan 30, '10 by LoveActuallyDon't usually see it, but aw it happen the other day...the nurse they gave the assignment to was agreeable, a very good and very experienced nurse, and the CM had her back...
- Jan 30, '10 by apocatastasisWe are supposed to be 1:1 or 1:2 in our ICU but more and more are 1:3 because our staff retention rates are terrible and nurses are leaving right and left... bad management... there was uproar in the unit when it was mentioned we may go to a 1:3 ratio even in non-extraordinary circumstances. In my opinion, it's just not safe.
One of the other new nurses, fresh off a mere 3-4 months of orientation, got tripled... with 3 "stable patients." One was septic and crashed. The other went into respiratory failure and had to be intubated. And my friend cried because of how stressful it was. Not a great way to keep your staff, to put it mildly. You can never predict what an ICU patient is going to do, even if they're bound for transfer. We're all just waiting for a sentinel event from an overworked, tripled nurse...
- Feb 2, '10 by NtannRNI work in a community hospital, we are a mixed unit icu/ccu. 16 beds. Only on rare occasions do we have more than 2 patients. Maybe if you have 1 or both patients on transfer and you're only doing vitals q 4hrs. The only other time is to cover so you don't have to call the on-call person in 1 or 2hrs before the shift ends. In that instance we all pull together so pretty much everyone has that "3rd" patient. We don't do fancy stuff like IABP'S, we help insert them, then ship them out. But we do get pretty involved septic shocks, hypothermic protocols etcs.