Published
Just curious
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 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
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.
klone, MSN, RN
14,857 Posts
It could be a bit of both!