STRESS WITH: patient ratios & duties.

  1. A STRESSED NURSE ("My experience last night").


    Place of Work: a large (Catholic) hospital run by nuns: that means a place where patients can get free healthcare in under-staff units from over-worked and under-paid nurses.



    ** PATIENT RATIO:
    1. I had 11 patients to monitor.
    2. I had a LVN to help me with only 6 out of 11 of my patients.
    (no nursing aide available).
    3. I did all the I.V. therapies of the 11 patients.


    ** PATIENT RATIO:
    1) Medical-Surgical Unit.
    2) 12 Hour Night Shift.
    3) 5 out of 11 patients was primary care (ex. bedpans, bathe,
    answering the call bells..etc).
    4) 2 out of 11 Patients with TPNs.
    5) 2 out of 11 patients on Isolations.
    6) 1 out of 11 patients ask for MSO Q4hrs (through the whole
    night).
    7) 1 out of 11 a "new" admission (took 2 hours - 3 pgs of
    orders).
    8) 1 out of 11 a "transfer".
    9) 4 out of 11 patients received at least 3 IVPBs.
    10) 1 out of 11 patients received 11 IVPBs through the night.
    11) 1 out of 11 patients needed wound care.
    12) 2 out of 11 patients diabetic: need blood sugar monitoring.
    13) Took vital signs and I&O on 5 out of 11 of my patients.
    14) Full charting on 5 out of 11 of my patients (physical
    assessments).
    15) 1 out of 11 patients with tube feeding.


    IN ADDITION:
    1. I was "floated" to this floor unit (I was not a regular staff and
    unfamiliar paperwork).
    2. The new admission I received was a mistake to my floor unit.
    She should of been to Critical Care - told by my charge nurse,
    and after I did 2 hours of work on the patient (admission
    assessment and treatments). After the acknowledgement of
    the mistake, patient was transferred.
    3. I had no break -- only 5 minutes to go to the bathroom.
    4. Most of the time, my charge nurse would smile at me and ask
    me if I'm okay (my reply "no") - AND she would grimace when I
    actually asked her for help, such as hanging an IVPB for me.
    One of her replies was, "I need to take my break".



    ** Please, what is your comment to this? **
    ** What was your "stressed" patient ratio and duties? **
    ** GET IT ALL OUT !! **
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