nurse to patient ratio orthopaedic floor? - page 4

by nurseortho

19,675 Views | 35 Comments

Hey there! I work for a Texas post total knee and joint surgical unit. 6years ago the nurse to patient ratio was 1:4 on nights(no cna, no secretary). 1:4 on days with a nurse aid. However, one year ago a new CNO came on... Read More


  1. 0
    5-6 pts per nurse.
    no cnas.
    no techs.
    no lvns.
    1 charge.
    1huc during days.
    no huc during nights.

    it's HARD work ALL the damn time.
  2. 0
    Our Ortho floor RN's regularly carry 6:1/ 7:1 at all times going up to 8 patients at times while waiting for discharges. I work weekends where staffing is usually worse plus we discharge a lot & begin getting medical overflow admits. I'm very comfortable carrying 6 patients but something about the 7th brings chaos. Our poor techs carry 9-12 patients. This is very hard on the techs & we have a lot of unsatisfied patients due to the time it takes us to get from one room to another. It usually takes no less than 15 minutes to get a patient up safely to ambulate to the bathroom.
  3. 0
    Our ward takes trauma and elective lists, we have 4 bays of 6 and 3 side rooms.
    During the day we have 3 RN's and 2-4 healthcare assistants.
    Nights we have 2 RN's and 1 Healthcare.
    Makes things fun sometimes with sickness
  4. 0
    I work nights and our ratio is usually 6-8 on weekdays and sometimes 9 on weekend nights (my unit gets many ER admissions on the weekends because the census is usually lower than other units). We also have 3 techs and 3-4 nurses on weekdays and 2-3 nurses on the weekends (1 tech though on weekend nights). One thing my units been doing lately is having 4 nurses 1900-2300 with each having 6 patients and then 2300-0730 we have 3 nurses with 8 patients. Which isn't too bad because the extra nurse was there for the 2100 meds and 1st set of neurochecks, which I believe to be the busiest part of the night.
  5. 0
    We usually have 1:5, but frequently it's 1:6 at night with no aids. You learn to work as a team. Time management is key too. I try to get everyone to the bathroom around the same time whether they have to or not, that way I can find time to sit down and do my charting.
  6. 0
    We have a 30 bed ward, staffing can vary. We work on long days 0700-1930

    A good day looks like the following
    1xCharge nurse=takes no patients
    3xstaff nurse=10 patients each
    3xsupport workers=10 patients each

    A bad day looks like the following
    1x charge nurse/ward sister=no patients and spends all day in office doing "paperwork"
    2xstaff nurses (1x 3 years ortho experience, 1x6 months experience)
    1xagency nurse(never worked here before, not many return either, no registered on the electronic medication system, has no idea what they are doing)
    1x clinical support workers

    Nights run 1900-0730
    2x staff nurses (dedicated night team of nurses)
    1xagency nurse
    2xsupport workers


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