Published Apr 27, 2016
WrightRN
3 Posts
I'm looking for any articles/references (and even just your experiences) regarding staffing in the GI unit. We are a high volume unit. We do 18 different GI procedures plus 4 different bronch lab procedures. We do 500-700 procedures a month. So my questions are these:
*How many nurses per doc is considered the national standard/requirement/recommendation?
*How many nurses per patient in the recovery room?
*How many nurses are admitting (per doc)?
*Are admit nurses part of the nurse per doc ratio?
Bonus points for any scholarly journals that recommend certain ratios! Thank you!!
brownbook
3,413 Posts
I couldn't find scholarly journal references. Or what I found did not want to give specific ratios.
My experiences sounds really different from you description/questions. I've worked two different out patient surgery clinics which also did GI procedures. We nurses worked for the hospital/clinic not for the docs?
I've never heard of staffing ratios in admitting? If it's busy we have more staff scheduled, we have a lot of per diem nurses to call in.
I can't find anything very scholarly for phase II, GI patients recovery. We use LVN'S after the RN has admitted the GI patients, as long as a RN is in the room I don't know how many patients the LVN's can have per standards?
I assume you are unhappy with your ratios? Feel you need, are required by standards, to have more staff?
luv2handsanitize
4 Posts
ASPAN standards for post anesthesia staffing:
http://www.aspan.org/Portals/6/docs/ClinicalPractice/PR1_2015_2017.pdf
SGNA guidelines for staffing during GI procedures with IV sedation:
https://www.sgna.org/Portals/0/Education/PDF/Position-Statements/SGNA_Minimum_RN_Staffing.pdf
https://www.sgna.org/Portals/0/Education/PDF/Position-Statements/Sedation_2013-FINAL.pdf