Acuity staffing for Oncology - page 2

Hello! As a new grad on an intense oncology unit where I am seeing experienced nurses overwhelmed by how acute our pts are, I am wondering if this is the general trend on all onc units or it's... Read More

  1. by   ScarryBear,RN
    I work on a 20 bed Onc/Med unit. Our day ratios are RN=1 to 5-7 CNA=1-2 to 20 (the only time we keep our second CNA is when they're not pulled to another short staffed unit). At night we always only have 2 RN's and 1 CNA (which is mainly responsible for bathing patients who are unable to do themselves) Yes our facility believes it's a wonderful idea to wake up pt's in the middle of the night to give them a full bath because after all it was stated to me that "it's night the rest of your patients are sleeping, you can't have that much care to give, you can toilet patients yourself" Which is why I am currently leaving with the other 6 RN's that quit in the last 4 months.
  2. by   mzjennx
    ONS says for oncology acuity 1 RN for 4-6 patients.

    I work on a 20 bed unit. Nights we have 5 nurses and 1 nurse aide.

    Try having active chemo, prn pain meds, pca, nausea, med-surg, jp/drains, pegs, colostomy, combative, confuse, climing oob, tube feeding, trach and restraints patients while being charge. We use to take 6 on nights. Now we take 5 but it is still a lot. I truly think onc nurses should have 4 patients. We should be considered step-down without tele experience. Oncology is a special field that needs detail assessment and monitoring. Our floor takes it all... I just feel bad I don't spend enough time with my cancer patients doing teaching... Oh well. I do my best on night shift.Btw does anyone do PRN chemo on other units while having your own patient load?
    Last edit by mzjennx on Apr 3, '12 : Reason: Extra
  3. by   BBQvegan
    Our charge nurses have the same patient load as any other nurse, day or night. That's 5 or 6 patients each. Yes, when necessary (not often), we may have to go to ICU to give chemo, even with our own patient load. Just last weekend, our charge nurse on the day shift had her own patient load, but was away at ICU doing complex chemo for a patient. Meanwhile, at change of shift (1855), they were calling a code blue on our unit. She had to try to finish up the chemo quickly and run back to our floor to help out with the code. The patient did not make it. And the day shift nurses were there til 2100 + finishing charting.