Are nurse patient ratio's safe with the numbers rising away?

Nurses Safety

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Are the nurse patient ratio's that are climbing it seems like monthly, even weekly to me. Are these numbers safe? Do we have a choice or a voice? We of all people (experienced nurses not me just new grad but I like to include myself) would know when enough is enough, when too much is too much but we do not regulate patient nurse ratio's.

Who does regulate those numbers the hospital or facility. I have been quoted 15 patients to me, and 32 patients to me in the same type of setting and nursing situation? Really, that big of a gap exists.

I think the nurses should be setting the standards. I hear too many times, its just not safe, I just don't feel good about this. Why in the world are nurses not in control of their profession? Are doctor's in control for the most part, sure. They space their appointments by their standards, they gauge the time they spend with each patient.

I think a nurse is the best indicator of an appropriate patient nurse ratio, who else does the job to know what is and what isn't.

I can't wait till the day the nurse has the voice that they should as an educated medical health professional with valuable insight that can only come from a nurse alone.

We need to take control. Who holds the ball when an unsafe ratio results in an incident? Who is always the responsible party. Who double checks everyone and everything anyone's done? Who is in charge of everyone and everything? I mean count in one day, how many times you are checking that another person did what they should have done correctly and while doing that taking responsibility for their actions? Our voice should be much louder.

LTC on nights right now! 50 residents to 1 nurse (me) and 1 HCA. Iv been pushing for a 2nd.

I work on a step-down cardiac (telemetry) floor, with some med-surg over flow. Our ratios are typically 6:1 sometimes 7:1, on a good day 5:1. We do all cardiac drips, which need to monitor closely especially after titrating. We do have a charge on all shifts, they take patients as well. We usually have a unit clerk, except for overnights. We do all our admissions, own IV's, discharges, etc. It can be extremely overwhelming at times and scary. I am a new nurse, i really love my job. Thank God for my waitressing background, it has made me organized and able to be a multi-tasker. All in all, our ratios need to be 4:1 and our nurse manager is working on getting us more help. Reading that some facilities have 8-9:1 is just insane. We also have about 4 aids on each shift. We have 35 beds, that are usually full at all times. Our turn over rate is high, we might d/c half our floor on any given day. Then I come in 3-11 and get flooded with admissions or transfers. I'm going to research this topic and when i do my Master's thesis i'm going to do it on nurse to patient ratios.

Is there any sort of laws or ethical standards that govern how many patients a nurse can safely take on? Or do hospitals implement their own ratio policies?

California hospitals have ratios. I don't think any of the other states do. Which means nurses get stuck with unsafe levels of patients. Where I just quit my job, I was 33 to one on an evening shift and it was incredibly dangerous and unsafe, if not impossible so I quit.

Specializes in Pediatrics.

Where I work, the med surg units have gone to 32:2 with two NAs. The Pediatrics Unit has gone to 7:1 with 1 NA plus admissions. When asked for help, managers actually get angry at us and the Union just made changes to the policy to report unsafe staffing that basically make the whole process useless.

Does NY state have ratio laws?

No they don't. I wish everyone would write their legislature and the US legislature about safe staffing. If every nurse was talking, it'd get done, but we have people who say that nurses who don't wan an unsafe amount of patients are whiners and lazy and they are willing to take the abuse so it'd not gonna change.

currently at bhs in san antonio, our patient patients/nurses on our unit is often 6-7:1. not safe to our patients and our nurses. can we form an organization to protest it?

Specializes in Critical care, tele, Medical-Surgical.

There is an organization in Texas working on safe staffing ratios. They have an address in san Antonio.

It is not easy. It took us 14 years in California and then we had to take the governor to court to save our ratios. I think it waqs worth it.

Texas | National Nurses United

The ratio page -- Safe RN-to-Patient Staffing Ratios | National Nurses United

Specializes in Oncology.

Where I am working now I have 53:1, with 2 or 3 NAs. It's a nightmare.

Specializes in Critical care, tele, Medical-Surgical.

Nurses in long term care and correctional facilities often are assigned an impossible number of patients.

we need a change of priorities.

Sick people suffer lack of nursing care at so called "nursinf facilities' while nurses cannot find employment.

This thread is interesting too -- https://allnurses.com/nursing-issues-patient/nurse-patient-ratio-526858-page6.html

Right now, our ratio is 40:1, with 2 NAs. This leaves me looking haggard and tired every single day.

Specializes in M/S, ICU, ICP.

OMG, how sad...we are still fighting about the same patient/nurse ratios and patient safety issues as 30 years ago.

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