Published
ICU: 1/2-2 depending on the acuity. For example:
CRRT: 1:1
Hypothermia: 2 nurses:1 pt
Open Heart: 1:1
And sometimes they will just make them a 1:1 because they are that sick.
I've had to give 6 PRBC's 4 FFP plus a couple other things in a couple hours, a situation like that warrants a 1:1 and a lot of help.
There are other nights where I feel like a very knowledgeable babysitter, waiting for something to happen (that usually does) or the fact that I am watching the patient so closely helps prevent it.
I work in a psych hospital. Many areas have many 1:1s and 2:1s due to violent patients we have. On average each unit houses 24 pts.
On day shift we'll have 2-3 RNs, 1-2 LPNs, and 5-6 psych techs, I know it SOUNDS like lots of staff but when we have off-grounds appointments and various activities for the patients, it's not enough staff.
Swing shift staff #s are similar. Night shift usually has 1-2 RNs and 3-4 psych techs.
I'm on a renal/vascular med surg floor, second shift. We typically have 4 or 5 - maybe 6 on really crazy days.
This used to be with a full time charge nurse, who took off orders, called the docs PRN, etc. We just recently changed to an EMR and the charge RN position is going to be phased out. It's a very heavy floor with many total care pts, precaution pts and some very sick people - so I'm a little scared. :)
2011nursetobe
64 Posts
....and what kind of unit do you work on (ICU/Med-Surg/Tele/Ortho)? Does your unit have a ratio limit?
I work in Tele and we have 4 patients during the day, 5 at night.