How many ORs/beds?

[summeroflov]

I was just curious as how to large your hospitals were, and how many ORs you have/how many PACU beds? I work for a large Level 1 Trauma hospital (very busy) and we have 17 main ORs, and 20 PACU slots all in are in use unless the hospital is packed and we have to hold cases until beds open up). We also have an ambulatory surgery down the hall who use the same ORs, but has a separate recovery space. Our maximum patient load per nurse is 2, so on the busiest days (usually Tues and Weds) we have 10 RNs on staff (including the charge RN); a secretary; 4 techs that do stocking/transport/etc. and a float RN who is either assigned to us or the Ambulatory unit; and does relief for breaks.

[Rose_Queen, BSN, MSN, RN]

We have 16 general ORs (uro, general/vascualr, plastics, dental, eyes, neuro). We have 3 dedicated cardiac ORs (hearts bypass PACU, lungs go to PACU- way more hearts than lungs). For these, we have 18 slots with 2 being isolation rooms- but not always enough nurses to staff all 18. Also, sometimes the ratio goes to 1:1 if there's a pediatric patient or an ICU patient that the unit couldn't accommodate immediately post-op. Then we have a free-standing but still attached ortho center with 6 ORs and 16 PACU slots. If the primary PACU fills, then patients are shunted over to the ortho PACU if they have slots/nurses. No separation of inpatient vs. outpatient. Otherwise, we have to hold in the OR until a slot in PACU opens. Level 2 trauma center.

[jenrninmi, MSN, RN]

I work in an outpatient setting. We have five ORs and six PACU beds.

[wannabecnl]

Acute care hospital, 10 ORs, technically 18 PACU bays but we really use 8 of them for adults and 2 of them for pedi, plus an isolation room and another monitored bay in a rotten location: good for holding a patient waiting to go to the floor or the OR, but we can have a post-op there in a pinch. 4 of our bays are combined into 2 big slots for preop, too. On a typical day, we have 9 nurses with staggered shifts, starting with 6:30-3 and ending with 1-9:30. Two RNs on, minimum, from 7-9:30.