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Discussion

HOW ABOUT THIS???

:coollook:What if hositals started cutting nurse to patient ratios...a major factor in improved patient outcomes...and marketing it? "Our nurses have time for you...at Perfect Hospital, our nurses work with a 4:1 ratio at all times. We have found that this insures they have the time to spend with you that you want, during your time of illness and need. Our nurses are calm and composed, and can identify and meet your every need.In support of the nurses, we also have plentiful ancillary staff to meet those non-nursing needs!Please come tour our facility. You will find happy nurses and pleased patients! Our motto is "A calm, relaxed nurse to meet your needs...Guarenteed!" Think it would fly?

Featured Replies

:coollook:What if hositals started cutting nurse to patient ratios...a major factor in improved patient outcomes...and marketing it? "Our nurses have time for you...at Perfect Hospital, our nurses work with a 4:1 ratio at all times. We have found that this insures they have the time to spend with you that you want, during your time of illness and need. Our nurses are calm and composed, and can identify and meet your every need.In support of the nurses, we also have plentiful ancillary staff to meet those non-nursing needs!Please come tour our facility. You will find happy nurses and pleased patients! Our motto is "A calm, relaxed nurse to meet your needs...Guarenteed!" Think it would fly?

I love the idea. Now for reality:

"Our nurses have time for you...because they don't take breaks, don't pee all day and eat while charting. Our nurses are calm and composed because we have mastered the science of aerosolized Versed, developed right here in our facility! We have plenty of ancillary staff that you can utilize to be at your beck and call should you leave a nice tip. Please don't forget to visit our breakthrough laboratory where you will see cutting edge technology like bedside commodes and Plum Pumps that know how to get lost on their own! It is amazing! We have everything you need here at Stepford Hospital!"

Bluegrass-dang! Sounds like your unit put their money to good use. Great job! How can I do that at my circus...I mean hospital?

Well, we can't meet "every" need.....

dont tell the public that.........

I work on a medical telemetry unit that is 4:1 on days and pms. 6:1 on noc.

places like this do exist.

Wish I lived in Cali.. nice ratios, nice pay!

We have everything you need here at Stepford Hospital!

You must work where I used to work ... :D

I want the name of those drugs you're on....

In the state of Washington hospitals must post their daily staffing pattern: number of patients, nurses, CNA's and other staff. Nursing homes must do this also.

Patients DO feel more comfortable with a nurse who is smiling and friendly. They often associate this with care competency. I worked with a nurse once who was HORRIBLE. Very unsafe... but the patients thought she was the very best nurse on the unit because she was calm and friendly. (She was calm because she was too stupid to know when to get excited).

in the state of washington hospitals must post their daily staffing pattern: number of patients, nurses, cna's and other staff. nursing homes must do this also.

patients do feel more comfortable with a nurse who is smiling and friendly. they often associate this with care competency. i worked with a nurse once who was horrible. very unsafe... but the patients thought she was the very best nurse on the unit because she was calm and friendly. (she was calm because she was too stupid to know when to get excited).

i've always said that patients wouldn't recognize a good nurse if she bit them on the buttocks. smiling, pretty, chatting and pillow fluffing seem to mean "good nurse" to most patients. it rolls me when patients request "nancy nurse instead of nicki nurse because nancy is such a good nurse." it usually turns out that nicki knows what's going on and is actually on top of it while nancy spends all her time pillow fluffing and pampering.

Unfortunately, the bottom line is always about money. I have noticed mostly in nursing homes here they have posted the patient staff ratio. Usually will say something like 40 pt....4 cnas...2 lvn....4 rns. The problem with this is that probably 3 of those rns are not directly involved in patient care. 2 lvns have 20 pts a piece or 1 does tx and the other does meds....and the lone rn...is charge for all. During the admissions process they are very proud to show these staffing sheets to prospective families and the families expect all these people available for the family member (if they only knew). Usually later after admission they find there really arent as many people available to attend to every need immediately. I have found that the general public often thinks nurses have 1:1 care and are there to attend to their family member only.

  • Experts
Well, our unit did just that. We redesigned how we did staffing, got rid of team nursing (where an RN was responsible for 6-8 patients with the help of an aide), initiated primary nursing, limited the RN to pt ratio to 4:1 during the day and 5:1 during the noc. Our nurse manager was on board with this, went to bat for us, increased our staffing budget, and fought for the budget increase with the VPs, CEO and the board. We argued that we would increase staff and patient satisfaction and increase pt safety. We've been doing this for 6 months now; our fall rate has been cut in half, our low turn over rate remains the same (despite the fact that our hospital pays RNs less than area hospitals--so in other words, we aren't looking for greener grass), and our medication error rate has dropped 25%. Our code rate, low to begin with, is nearly zero (though our rapid response rate has remained the same). We've also cut our overtime by 75%; nurses aren't staying over to chart, because they can get their work done during the shift. All of this is unofficial thus far; we're waiting until our next full quarter to start really compiling evidence that we can correlate these improvements directly to our staffing.

Encourage your nurse manager to PUBLISH!!!!

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