Nurse: Patient ratios - page 5

Hi, I was wondering what kind of nurse: patient ratios you have in the ICU. Here in NM we try to stick to 2:1 (1:1 for the very ill), but I have also worked in TX where we routinely had 3:1 and in... Read More

  1. by   heartICU
    When I was in a CTICU...all fresh hearts are paired, unless we have the luxury of having a 1:1 assignment. Fresh VADs are always 1:1 (usually for a couple of days), and ECMO patients are supposed to always be 2:1 (our nurses run the perfusionists at bedside), but sometimes staffing dictates them to be 1:1. Balloon pumps are 1:1 when we have the staff. A 1:1 assignment is usually the charge assignment...haven't seen free charge in a couple of years. All heart and lung transplants are 1:1 until stable. Of course, in the last few years, there have been exceptions to this...some VADs have been paired as soon as 8 hours after surgery (if they were stable - as if a fresh VAD is ever stable). Balloon pumps are often paired. The only thing I haven's seen yet is a paired ECMO or a paired open chest...but I have seen double devices (ECMO and IABP or IABP and AbioMed) with only one nurse, and believe me, I was BUSY!
  2. by   RN't-I-Cute
    I work in the SICU/Trauma at a Philadelphia hospital. Staffing is mostly 2:1. In order to be 1:1, the patient has to be on multiple pressors or receiving multiple blood products AND on CVVHD.
  3. by   Trauman
    I'm a newly-minted nurse (license arrived in today's mail) and just starting out in the Trauma ICU of a large public hospital in Northern California. Here in the land of fruits and nuts, we have legally mandated nursing ratios. ICUs are 2:1, Transitional Care Units and ED's are 4:1, and Med-Surg is 6:1. From what little I've seen of the acuity of typical ICU patients, anything over 3:1 is lethally insane. If that's what you're getting come to California. We can find you a job.
  4. by   nurselily3
    We either had 1:1 or 2:1 in our units. There was talk of making us to 3:1...I think after that rumor got out, management decided not to push the issue. If they had, I'm sure they wouldn't have had any nurses to take the patients.

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