ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping? - page 2

*I posted this in the new grads section but I also want to hear from the experienced nurses* Hi. I'm a relatively new nurse in a general ICU (we get a variety of patients). Considering the... Read More

  1. Visit  Cardiolyte} profile page
    1
    I was asked to take a travel position CCU 4:1, I laughed out loud, wasn't expecting that, said noooo to that, would not EVEN think about it.
    CrufflerJJ likes this.
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  3. Visit  Zookeeper3} profile page
    0
    We 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
  4. Visit  meandragonbrett} profile page
    0
    What'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!
  5. Visit  LoveActually} profile page
    0
    Don'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...
  6. Visit  apocatastasis} profile page
    0
    We 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...
  7. Visit  NtannRN} profile page
    0
    I 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.
  8. Visit  centripetal spirit} profile page
    0
    apocatastasis, It is as if you work at my hospital. This is exactly what is happening at my facility and we are paying overtime daily. I pick-up extra shifts during the week and get overtime on a WOW program. I probably make 47 an hour. It is not worth the pay.
  9. Visit  imaginations} profile page
    0
    In my unit vents are 1:1. If census is low then HDU patients (stable, non-vented) are 1:1, if we're busy, one nurse will take two HDU patients, no more. Most other ICUs in the area are similar.
  10. Visit  sapphire18} profile page
    0
    Quote from imaginations
    In my unit vents are 1:1. If census is low then HDU patients (stable, non-vented) are 1:1, if we're busy, one nurse will take two HDU patients, no more. Most other ICUs in the area are similar.
    What is HDU?
  11. Visit  PMFB-RN} profile page
    0
    Quote from apocatastasis
    We 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...
    *** I don't understand why you and the nurses in your unit accept report on that 3rd patient? SHort of a huge emergency like a devistating snow storm or another 9/11 I won't take 3, even when I am sure I can handel it I don't want to set a precedence.
    That said now that I have escaped the Magnet hospital treadmill and got a job in a nice non Magnet union hospital it isn't an issue.
  12. Visit  imaginations} profile page
    0
    Quote from sapphire18
    What is HDU?
    High dependency. Essentially a non-ventilated, stable patient that requires ICU monitoring/has the potential to go down hill
  13. Visit  Charmedone923} profile page
    0
    Lately, it's being done more and more in our unit because they pull out staff to staff the other Icu. Just the other night, they took 2 of our RNs which caused our unit to work short. 3 Rns were tripled and our charge nurse had to take patients. We were told by management that We will have our RNs floated to help the other Icu out even if it means we have to work tripled😁 I think every person in our unit wishes there was someone/somewhere we can voice our concerns to. It's just not safe to have 3 especially if they are still on pressors or still intubated.
    But, we need our jobs, sooo....
  14. Visit  gaonsi} profile page
    1
    I work in an icu where the acuity is ridiculously high. I was doubled with one unstable patients and received a third critical patient. I have around a year of experience and was completely swamped and overwhelmed.1:3 is now the norm on my floor when really some of our pts require one to one care. Not being able to effectively manage the patient increases length of stay. Needless to say, I left in tears. You're definitely not alone.
    shakanurse likes this.


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