What exactly is Rural Nursing

  1. 0
    Is it in parts of the world that has no health care ? I read some people work on indian reservations...but where else can you work?

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  2. 25 Comments...

  3. 0
    There is a textbook definition on the web somewhere but my definition of rural is where I work. My town has a population of about 3500. The facility I work at is 60 beds including a 14 bed gero-psych unit, 6 bed ICU, 4 bed ED and no OB or fulltime surgeon. Ancillary services on call after hours.
  4. 0
    I work in a 6 bed M/S dept that is staff by 1 RN and 1 LPN 24/7, they see an average of 1-2 patients a day on the floor. They get lots of outpatient stuff though during the day time.

    8 bed (in a crunch) ER where we see an average of 700 patient a month. We have an RN 24/7, a tech 24/7 and an overlap 11-23 RN.

    RT and Pharm are gone by 1600. X-ray and lab are on call after 2300 at night.

    Same Day Surg (just opened a couple of months ago) which does procedures on Thursdays and they see an average or 7 or so cases a month.

    We share our ER with a foot and wound doc, the surgeon and a cardio guy as well.

    Our next closest trauma center is 55 miles by ground, 15 mins. by air
  5. 0
    Quote from mom2michael
    I work in a 6 bed M/S dept that is staff by 1 RN and 1 LPN 24/7, they see an average of 1-2 patients a day on the floor. They get lots of outpatient stuff though during the day time.

    8 bed (in a crunch) ER where we see an average of 700 patient a month. We have an RN 24/7, a tech 24/7 and an overlap 11-23 RN.

    RT and Pharm are gone by 1600. X-ray and lab are on call after 2300 at night.

    Same Day Surg (just opened a couple of months ago) which does procedures on Thursdays and they see an average or 7 or so cases a month.

    We share our ER with a foot and wound doc, the surgeon and a cardio guy as well.

    Our next closest trauma center is 55 miles by ground, 15 mins. by air

    Sounds like you are in my kind of facility. don't you love it????
  6. 0
    We are a small county hospital: 8 bed ER, 14 bed M/S, 5 bed OB, 5 bed ICU. No pharm after 1600, but we do have x ray and lab 24 hours. Surgery is on call after 1600 or after cases are finished for the day. All trauma, stroke and just about all MI cases are transferred to the big hospitals about 1hour away, often by helicopter.
  7. 0
    I am also in a rural facility. We are in a small town with a 6-bed ER, 4-bed ICU, and an attached LTC. The medsurg unit just expanded to at least 20 beds and OB/GYN expanded to 18 beds. The nearest tertiary facility is 50 miles away in any direction. We can stabilize anything but we cannot keep anything needing specialty care if the pt is serious to critical.
  8. 1
    Technically, we aren't the definition of rural, we are what is called Frontier Nursing. Our high desert county has 10,000 square miles and 7,000 residents. enguin: We are moving into our NEW 25 bed critical care access hospital next month! We have 2 ICU beds, 3 ER beds, 3 OB beds, 1 (soon to be 2) OR suites. Our RNs need to be able to do everything. umpiron: We are 2 hours from a town of any size at all (75,000) and 6 hours from a big city (2 million). We do a lot of stabilization and transfer and a lot of cardiac drips. We won't do VBACs, but we will do L&D after 35-36 weeks and C-Sxns. Cradle to Grave, that's our range.
    DeLanaHarvickWannabe likes this.
  9. 0
    I thought I worked in a small hospital. When it first opened we had 3-6 patients at a time on med/surg but had 20+ beds available. X-ray, lab, pharmacy, etc closed shop at 1700. 6 bed ICU. Small ER.

    Now 27 years later the med/surg stays full with 40+ beds, ICU has 16 beds, OB 60 deliveries a month, Very large, very busy ER and large busy outpatient surgery dept. The only things that haven't changed is that the cafeteria closes at 1830 and the pharmacy still goes home at 1700. We're slowly getting there.

    Kudos to you guys in those really small rural hospitals!
  10. 2
    I'm a traveler who works mainly rural hospitals (after 9 years working on a reservation). To my mind rural hospitals are the ones at which I know who my patients will be before arriving at work because the clerk in the local convenience store tells me when I stop in for coffee - "Oh - you'll be busy tonight - so-and-so's daughter went into labor". They are the units where I can obtain a hand from staff on another unit without raising my voice to call as long as the door is open. Where everyone really does pitch in because the staffing is so low that next time they may need you.
    And as I describe my favorite res. hospital to people considering going there "110 mile to the nearest Walmart"!
    LovedRN and DeLanaHarvickWannabe like this.
  11. 1
    Wow!!! Looks like I am TRULY "frontier" here!! Our town of 700 has a critical access hospital with 9 beds, 2 trauma rooms (with one bed each). Our lab and x-ray are here monday-friday and on call on weekends, holidays and "after hours"....NO surgery (our little place simply cannot afford the insurance)....NO OB (also an issue of insurance!!)....the nearest "trauma" hospital is a life-flight away of a few hours....anything "non-critical", but still needing surgical consult is an hour an a half drive by ambulance (completely made up of volunteer EMT-B's) and you'd better pray for good weather or the pass between us might hinder your "escape" We also staff with one RN and one LPN!!! "Feast or Famine", as we say!!
    DeLanaHarvickWannabe likes this.


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