How many Pt do you take care of?

xrockstheheart · Sep 13, 2005

There are only 60 min in an hour, 10 pts = 6min/pt/hour that's the most time you could have assuming 100% nursing time. Now that's impossible so there is one parameter we can measure distance. And we use 60% of the time walking. That means that you have less than 3min/pt/hour. It doesn't matter what state you are in. Nsg Homes have 36 seconds/pt/hour and prison and jails what can i say 400 inamates per nurse and some of them will kill you. even CA can't get the nurse patient ratio passed apparently Arnold tries to block everything and forget your representatives they get their bribes from business.

What is you Pt to nurse numbers?
What state are you in?
Hospital or ECF?

sammybabie · Sep 13, 2005

Hello

I am a UK trained nurse working in New Zealand. Here the specialities are separate units, medical, surgical, orthopaedic, so you are only nursing one "type" of patient.

It is usual to have 1 RN:5 patients on day duty 7-3.30 or 2.30-11pm

At night it is 2 RN's for up to 20 patients.

On day duty, in elderlycare/rehabilitation the ratio is 1:4. There is also a Health Care Assistant, who makes beds, serves drinks tidies the unit, And a charge nurse { 8-4.30pm} who does not take a patient load !!!! At night there is 2 RN's to 16 patients. We often also have students on clinical placements or new staff orientating to the hospital.

There are lots of job vacancies in NZ :)

Sammy

dian57 · Sep 13, 2005

New York, 40 bed LTC/dementia unit 7-3:30p

1 RN

2 LPNs (20 residents each meds/tx)

3 or 4 CNAs

1 unit assistant (transport/pass trays/make beds/run unit activity program/file)

Franlpntorn · Sep 30, 2005

I want to thank all of you that responed. Just worked 4 -12 hr nights this week and have maybe 3 or 7 more weeks of this. They keep telling us that they have hired 2 more nurses but it will be at least 8 or more weeks before thay come to the night shift. SO the question is how long do I stay????? And if I go where do I go???? Not to many choices around here. Of course managment did say they are trying the get a bigger shift diff but we have heard this for a few years.

Med/surg makes young nurses old and old nurses decrepit.

xrockstheheart · Sep 30, 2005

mgmt is going to lie to you to keep you working, and when that doesn't work they are going to try intimindation, that's what they learn at executive nursing school. remember they get bonuses and you get predetermined profit motivated staffing levels. It appears new zeland is a good choice and maybe, just maybe, it will give you abreak. but unless you are prepared to do more, you will only succeed in killing youself and i'm sorry to tbe the one to tell you this.

I want to thank all of you that responed. Just worked 4 -12 hr nights this week and have maybe 3 or 7 more weeks of this. They keep telling us that they have hired 2 more nurses but it will be at least 8 or more weeks before thay come to the night shift. SO the question is how long do I stay????? And if I go where do I go???? Not to many choices around here. Of course managment did say they are trying the get a bigger shift diff but we have heard this for a few years.
Med/surg makes young nurses old and old nurses decrepit.

AtlantaRN, RN · Sep 30, 2005

depends on the unit, on med/surg day shift 6 patients and share 1 tech with another nurse.

atlantarn

sjb2005 · Sep 30, 2005

Current: Minnesota LTC/subacute..11-7 shift: 1RN(me), 2LPNs and 3 CNAs. If no one is sick. 70 res.

MN Med/Surg 11-7: Charge=4pts, floor nurse=6-7pts and RNs cover LPNs ontop of this pt load.

Before: MN LTC 163 res. 11-7: 1RN(me),4LPNs,7CNAs. Plus the RN covered the assisted living complex with 1 HHA.

ARU-32 beds 3-11: Charge RN(me), 16 brain injury: 4 to 1 ratio, 2LPNs, 2RNs and 16 beds spinal cord injury 3 to 1 ratio, more RNs than LPNs.

Las Vegas, NV: IMC 4 to 1 ratio, all RNs.

LV,NV: ICU 2 to 1 ratio, all RNs.

Lv,NV: LTC acute vent hospital 7-3: 48 bed Med/Surg and 4 bed ICU for the supervisor and a 5-6 pt ratio for the nurse. More RNs than LPNs.

ARU has the best nurse to pt ratio due to the reimbursement. Best job I ever had.

Sean 91 · Nov 21, 2005

Med-surg floor in Kansas. 5-6 pts days. 8-10 pts nights w/ often 9. A bad night (obviously) is 10 when three nurses are on duty.

jimthorp · Nov 22, 2005

Pennsylvania, ETC/rehab:

Dayshift; 1 RN or LPN for 25 residents, meds and tx, plus anything else that pops up as they always do. 2.5 CNA's (2 on weekends) if we're lucky.

We consider it a luxury when we actually have 5 CNA's on the floor. Seems these people call off sick a lot.

challenged annie · Nov 22, 2005

im on cardiac surgery we have 6-10 patients with half an auxillary nurse if were lucky. we get a mixture of pre and post ops but are very busy. I really would be interested in knowing how different nursing is abroad as im from the uk

kadokin, ASN, RN · Nov 23, 2005

Here's what puzzles me: What is a .5 nurse? It never fails to crack me up when I see this in the staffing guidelines. I usually just assume that we send someone home 1/2 way through the shift if we're not busy. A lot of folks are none too happy about this especially if they have driven a long way to come in to work. Personally, I would be just fine w/a half day, but I'm usually the only RN on my unit, so I don't very often get to be the hemi-nurse. . . semi-nurse? :rotfl:

MamaTheNurse, BSN, RN · Nov 24, 2005

I work in an 18 bed combo MICU/SICU in N. Michigan - we get surgicals including open-hearts, lots of strokes, MVA's, trauma (other than MVA's), DKA - we are also a referral center for at least 4 other hospitals in area - we have 1-2 patients, depending on acuity - we always have at least 1 PCT (aide) and 1 PSA (they stock rooms and act as gofers) for the whole unit - also, 1, sometimes 2 unit clerks - this is day shift - nights have the same patient load but no PCT's until the unit has a certain number of patients - can't remember what it is - they also have a "float" gofer (runs all over the rest of the hospital) and 1 unit clerk

some complain but I have read some posts on some threads that make me think I work in Paradise (not the one in Michigan either! :coollook: )