Published
We are a 23 bed hospital and staffing changes with the types of patients we have. PP OB is 3-1 Pt to nurse, laboring is 1-1. Med/surg and swingbed ratios vary because they are often mixed together. We generally have 4 floor nurses, two aides, and the ER nurse as supervisor on days and three floor nurses, one aide, and the ER supervisor at night.
I work in a PICU, so a lot of it depends on how many of our patients are 1:1. Lately we've even had a few that are 2 RNs to 1 pt (amazing that an assignment like that can still manage to kick your butt). We have 16 beds and if full we would likely have 20-22 nurses as some of those beds would be singled. We also always have a charge nurse (and of course we have an HUC and an NA) and when busy, whether that be due to pt load or acuity, we will have a clinical lead as well. Usually, we are adequately staffed.
On my unit, the biggest difference between days and night as far as staffing is that the attending MDs are not around, and the fellow usually sleeps for at least a few hours, so we rely on the residents more. So basically there is just a little less support on nights, but thus far I've never been in a situation where I didn't feel I had enough support.
Good luck in school OP!
In LTC, you may have 25 residents on day/evening shift and 2 CNAs to help you. I've worked in "assisted living" facilities that gave me the entire house on night shift (with CNAs of course). At the hospital where I occasionally work through an agency, the average is 8 patients on night shift in med/surg. I am an LPN who started at the hospital the first few years with up to 12 patients on evening/night shift. It depends entirely where you work.
Just to be clear for the Op, in case he for some reason does not know. As an RN you will have YOUR patient assignment. These are your responsibility and your responsibility only. You may have help. That help in a tech/cna, who is extremely limited as in the type of help they can provide you. Usually that help is bathing, toileting, feeding related. It also includes taking vitals, and maybe a bit more. You will not be paired with another RN to do things together. If you are lucky, you may have nurses who might help you in a bind and you them if you get over your head, but they have their patient assignments to deal with, so that help is gonna be quick and short term when it happens. Nursing is in some ways like being self-employed. It's not a group-type work situation.
rob4
1 Post
I'm currently taking pre-reqs so I haven't started clinicals yet, and I was just curious, how many other nurses do you work with during your shift at the hospital? I'm assuming it varies depending on which specialty you go into. I heard at night you usually work alone or with another nurse, but I was just wondering what it was like during busy day hours.