Quote from outptsurgeryrn
roser13, how many pts per nurse? this sounds good to me. I would be for it. We were told to "come up with a better solution".....
inshallamiami....there is no hope of union, too small and most have given up and just want out
A pre-op nurse traditionally takes one OR and so by definition is only admitting one patient at a time (an OR can't have more than 1 patient at a time in it). If the admit doesnt take the whole time period before the next patient, she is helping others with their admits. Or if the case is 2+ hours, she will definitely have other admits of her own.
The post-op nurses tend to have 2-3 patients apiece at any one time. The managers really keep an eye on those RN's who might tend to drag their feet in discharging so as to not to receive a new post-op. Those who try that soon find themselves with 4 or 5 post-ops simply because they have not managed to discharge anyone.
This system beats the heck out of trying to admit patients at the same time that others are flowing out of PACU and wanting to be discharged. Plus, it allows the nurses to sort of "specialize" if they choose. Most of us definitely have our preferences as to which position we prefer.