We normally have 2-3 patients around the clock with a maximum of 3. You may pick up a 4th depending on the acuity of your patients but it would only be until they could get another RN in.
We have 2 PCA's on days. There are no PCA's on nights. There are 2 Unit Coordinators during the day and 1 on nights. We do our last assessments at 2400. If there are no serious complications with our patient then we leave them to get their rest at night.
We are an Oncology/Bone Marrow Transplant Unit with 4 bed ICU. The majority of the patients are ambulatory. Out entire unit is under Neutropenic Protocol. A lot of the work is more time consuming than anything. On 1 patient you are hanging 2 units of PRBC's and a 6 pack of platelets. Then you are giving that same patient 2 types of Chemo. By the time you pass meds, hang antibiotics, premedicate for blood products, spend 15 minutes of assessing for 3 units of blood products with 3 patients and then take that down, premedicate for Chemo and hang 2 types of Chemo while all the time checking VS, assessing, giving baths, changing beds, charting and checking I&O's your day is pretty well shot!
Of course it is not too bad if everybody is doing well. It looks like to me even on my worse night I am doing better than most of the rest of you! If I am getting slammed I have some really great support! For the most part I can't complain. After I noticed some of you have 8-9 patients now I know I won't ever complain again!