Nurses General Nursing
Published Jan 13, 2018
Just curious
klone, MSN, RN
14,800 Posts
Never knew there was a rule on how you report it... we always talk about the number of patients to nurses (ie 6 patients: 1 nurse). Maybe its a Canadian thing - or maybe you're just being pedantic?
It could be a bit of both!
kingvonnBSN2017, BSN
210 Posts
Acute Psychiatry, Day Shift- 3 Pts, Evenings- 3-5 Pts.
NurseCard, ADN
2,847 Posts
I work in a small critical access hospital. My medsurge floor does not hire
techs. Our patients generally are not very sick. Many of them are actually
there for rehab. Ratio is generally 1:1 to 1:4.
joseyjo
111 Posts
Tele/oncology floor (mix of active chemo, heart/respiratory issues including many trachs/feeding tubes etc). 1:6 ratio days and nights
I work in a small critical access hospital. My medsurge floor does not hiretechs. Our patients generally are not very sick. Many of them are actuallythere for rehab. Ratio is generally 1:1 to 1:4.
I wanna work here, lol!
Bubbly26, BSN, RN
307 Posts
On days? 3. Night's up to 5.
missmollie, ADN, BSN, RN
869 Posts
Nights, Neurosurgery PC is 1:3. We have one tech for 6 patients.
I know, it's pretty sweet.
Julius Seizure
1 Article; 2,282 Posts
Pediatric critical care - usually 1:1 or 1:2....occasionally a patient will be 2:1. Plus charge nurse with no patients, a resource nurse with no patients, and 2 techs for about 24 beds.
NuGuyNurse2b
927 Posts
holy that's like perfection. On a rare day I go down to 4 and that's when I can do everything that they want me to do. I can have conversations with my patients, actually edumacate them on their meds. All that HCAHP metrics.
RNrhythm, BSN, RN
258 Posts
In California, we have mandatory staffing ratios in acute care settings. You cannot exceed 5 med-surg or 4 telemetry. If you have any telemetry patients, you cannot have more than 4 patients total.
I typically have no more than 4 patients, a combination of tele and M-S. Occasionally I will have 5 med-surge but if I have 5, a few of them will be pretty easy.
CALIFORNIA RATIOS
Type of Care - RN to Patients
Intensive/Critical Care 1:2
Neo-natal Intensive Care 1:2
Operating Room 1:1
Post-anesthesia Recovery 1:2
Labor and Delivery 1:2
Antepartum 1:4
Postpartum couplets 1:4
Postpartum women only 1:6
Pediatrics 1:4
Emergency Room 1:4
ICU Patients in the ER 1:2
Trauma Patients in the ER 1:1
Step Down 1:3
Telemetry 1:4
Medical/Surgical 1:5
Other Specialty Care 1:4
Psychiatric 1:6
CALIFORNIA RATIOSType of Care - RN to PatientsIntensive/Critical Care 1:2Neo-natal Intensive Care 1:2Operating Room 1:1Post-anesthesia Recovery 1:2Labor and Delivery 1:2Antepartum 1:4Postpartum couplets 1:4Postpartum women only 1:6Pediatrics 1:4Emergency Room 1:4ICU Patients in the ER 1:2Trauma Patients in the ER 1:1Step Down 1:3Telemetry 1:4Medical/Surgical 1:5Other Specialty Care 1:4Psychiatric 1:6
Oregon is similar, except that instead of spelling out what the ratio should be, Oregon law states that it should, whenever possible, be based on your professional organization's guidelines/recommendations. The law requires that every unit has a staffing plan, and you are held to that staffing plan or you are in violation. Our unit's staffing ratios are actually more strict than California's. We actually go buy AWHONN's staffing guidelines. If we don't, we could be fined.
Junebug903, LPN
101 Posts
LTC 1:30