Published Nov 18, 2011
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.
StrwbryblndRN
658 Posts
I work med-surg nights. I used to have 6 on a regular basis. Lately I have had 4 or 5.
Day shift get 3-4 pt's. However since we have alot of observation/discharges, I have seen nurses get up to 8 pt's in their shift.
NickiLaughs, ADN, BSN, RN
2,387 Posts
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.
Elvish, BSN, DNP, RN, NP
4 Articles; 5,259 Posts
I work mother/baby and we usually have 4-5 couplets, so 8-10 patients.
birdie22
231 Posts
I work in med/surg...4 on days; 5-6 on nights.
When I used to work tele...3 on days; 5 on nights.
Midwest4me
1,007 Posts
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.
Wave Watcher
751 Posts
When I worked Ortho/Neuro I had 6-7 pts....when I worked rehab at night we had 10-11 pts.
Either way it was too many.
lucky_shamrock
7 Posts
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. :)
NurseOnAMotorcycle, ASN, RN
1,066 Posts
Med-surg here. I get 5-8 pts each day.
Dazglue, ADN, BSN, MSN, RN
380 Posts
SNF. Day shift has 5-6. I work nights and usually have 7-10.
TriathlonRN
30 Posts
Work days on Med/Surg/Tele unit. Suppose to be 4/1 tele, 5/1 med/surg but we have been going over ratio in the last 6 months.
BronxRN28
22 Posts
I work on a med/surg floor night shift 11pm-7:30am. I can have as many as 8 patients and usually we have between 7-8 on any given night, which can be crazy sometimes.