How many patients are you assigned?

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    I am a graduate practical nurse and our hospital here routinely assigns 5 patients per nurse. The do not have CNA's. I worked the ortho floor during my last practicum weekend and it was pure h*** . The patients were total assist and there was no help! Is this routine for most hospitals to assign 5 total assist patients to one nurse without the help of a CNA? After that weekend it really soured me on ortho . Anyways just curious if it is like this all over.
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  4. 0
    hello, i work in england and i have to routinely care for eight patients- i am assisted by a health care worker/auxillary- it is hell on earth and if it gets any worse i'll be having a spinal operation myself! with pre op and post op care, coupled with mad patients and family members i am beginning to wonder if i made the right choice- do you think it is mad everywhere? i want to work in the US at some point- but the nclex exam seems really difficult- anyway, take care and look after yourself
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    Quote from chubbs
    but the nclex exam seems really difficult- anyway, take care and look after yourself
    The NCLEX has about an 85% pass rate. Don't let that scare you. But we do have staffing shortages in many areas. Some places in the US have set patient-to-nurse ratios though.
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    I work on an Ortho/neurosurgery floor. We have a team nursing system where we are in a group of a RN LPN and CNA. Sometimes we will have 13 patients and sometimes I have even had 7 by myself. It is a lot of hard work!
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    I commend all you ortho nurses. You have a very physically demanding job and the patient loads that you carry are tremendous. I was exhausted after my days on an ortho floor. I don't know how you do it year after year.
  8. 0
    We have 2 RNs for 17 patients.... Way too much for an Orthopedic unit..
  9. 0
    Quote from chubbs
    hello, i work in england and i have to routinely care for eight patients- i am assisted by a health care worker/auxillary- it is hell on earth and if it gets any worse i'll be having a spinal operation myself! with pre op and post op care, coupled with mad patients and family members i am beginning to wonder if i made the right choice- do you think it is mad everywhere? i want to work in the US at some point- but the nclex exam seems really difficult- anyway, take care and look after yourself

    I recently started on Ortho and work 7p-7a. Up to 11pm I usually have 5 pt's with a CNA. After that the most I have had is 8 but the usual is 6. It is really busy on post op nights and my back aches at the end of the shift.

    I have recently moved over from the UK and I am enjoying it. PM if you need any help or tips with the NCLEX!
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    i work on a ortho/plastics floor and we have 4-6 pts with a pct as well. it works out pretty nicely when we have the pcts.
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    I worked as a CNA on an ortho floor while going to RN school. It was madness, I would have 30 patients and have to get vitals twice on everybody during the night, as well as turning and bathroom duties. We only had 3-4 nurses for the whole floor, so they were too busy to help me. It was a nightmare, and has turned me off of that sort of nursing permanently. I have nothing but respect for those of you who can handle such a demanding position. The way most hospitals understaff their ortho floors is criminal.
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    I work on a 22 bed med/surg floor w/ most of our pt's being postop orthopedics- your good vs bad experiences mostly have to deal w/ how the hospital is willing to staff each unit- we have 3 nurses and 2 aides every night, except when our census is low- the max pts I have is 8 per night- if the nurses do their jobs and the aides do their jobs and are very willing to ass't each other when needed- the pt load is not bad at all- there needs to be a law that puts a cap on pt to nurse ratio nationwide- but until then (if ever) we do what we can
    cuddlenurse likes this.


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