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Inpatient psych nurse/pt ratio

Has 10 years experience.

I'm considering a switch to psych and just curious. What is your nurse/pt ratio? What setting do you work in (acute care hosp vs psych facility)?

thanks ;)

kiwipsychnurse

Has 15 years experience. Specializes in Mental health.

Auckland New Zealand, Work in Forensic Mental health:

Ratio is 15 patients and 8 staff on the acute ward. Ratio's thoughout the service vary depending on acuity. IMO 15:8 is the best ratio I have ever come across.

Edited by kiwipsychnurse
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Turtle in scrubs

Has 10 years experience.

Auckland New Zealand, Work in Forensic Mental health:

Ratio is 15 patients and 8 staff on the acute ward. Ratio's thoughout the service vary depending on acuity. IMO 15:8 is the best ratio I have ever come across.

Thanks for your reply. I was starting to think I didn't post this correctly.

15:8 sounds great. I'm guessing when you say staff only some of the 8 are nurses...?? How many are nurses and what are the rest of the 8 staff members?

kiwipsychnurse

Has 15 years experience. Specializes in Mental health.

I would say 5 of the 8 would be R.N's. The other 3 would be P.A's (psych assistants)

Turtle in scrubs

Has 10 years experience.

I would say 5 of the 8 would be R.N's. The other 3 would be P.A's (psych assistants)

Wow... that sounds like a great ratio, but I understand this probably has a lot to do with ratio. thanks :)

Whispera, MSN, RN

Specializes in psych, addictions, hospice, education.

22 patients with 2 nurses and 3 techs....on a psych intensive care unit...

Guest321574

Has 5 years experience.

What do the ratios look like on night shift?

kiwipsychnurse

Has 15 years experience. Specializes in Mental health.

In our acute service at night the patients are locked in their rooms. The ratio drops down to 3 staff to 15 patients.

One is always an R.N

22 patients with 5 staff in an acute forensic unit would be interesting. I'm sure it could be done, but I wouldn't be on the pay role.

EarthChild1130

Has 9 years experience. Specializes in Psychiatric.

When I worked inpatient, I worked nights...our adult wing had 26 beds and was usually full b/c we were the only game in town, so to speak.

We'd have 2, sometimes 3 RNs...3 or 4 techs...and 26 patients.

On the geri-psych side, we had 15 beds but usually only 6-7 pts at a time. So we'd have 1, sometimes 2 RNs on that side, and 3 techs, depending again on # of pts on the unit.

Whispera, MSN, RN

Specializes in psych, addictions, hospice, education.

Night shift: one nurse, one tech, for up to 22 patients (adult intensive care psych, not forensic)

pandora44

Specializes in Psych, med surg.

We have three inpatient units and they all have different staffing.

Acute - 14 beds 3 RNs, 2 techs

Stable - 16 beds 3 RNs, 1 techs

Geri - 6 beds 2 RNs, 2 techs - They tend to have significant health problems.

At night, all units drop to 1 RN and 1 tech.

chazman1040

Has 12 years experience. Specializes in Mental Health.

Tonight I am working on a medium security forensic unit. We have 41 male adult patients. I am the only RN and am working with 3 CNA's.

binnurse

Has 23 years experience. Specializes in Psych!.

The New Zealand acute psych hospital I work at we have 6 r/ns and 1 psych assistant to 12 patients in ICU, 3-4 R/Ns an 1-2 PAs in the 25 bed acute wards.

Cheers

pandora44

Specializes in Psych, med surg.

Um, what's a forensic unit?

chazman1040

Has 12 years experience. Specializes in Mental Health.

Um, what's a forensic unit?

A forensic unit is usually located in a "state hospital". Depending on the state, it is where patient is sent by the court to "serve their time" for any number of crimes from stealing to murder. The idea is to provide treatment rather than punishment. Unlike a civil commitment, the patient will often not be released once stable. For example, if they have been sentenced to 200 years for murdering several people, stable or not, on the forensic unit they shall sit. Again this varies by state but I hope it answers your question.

Jules A, MSN

Specializes in Family Nurse Practitioner.

Is it just me or do these numbers sound unsafe? Sadly the ratios at both my jobs are similar. I guess its just the way it is? :(

Guest321574

Has 5 years experience.

Yeah they do sound unsafe, that is why I asked before about the night ratios (so I could compare to what I get). I'll throw mine in -

my unit is 25 beds acute adult. We have 2 nurses (RN/LPN) and 2 techs for day or evening. 1 RN and 2 techs on nights. We get extra techs if there are pts on a higher level of observation. Well...we usually get extra techs. It also depends on how many pts are on the higher level. If its only 1 pt, then possibly no extra tech.

Jules A, MSN

Specializes in Family Nurse Practitioner.

We have three inpatient units and they all have different staffing.

Acute - 14 beds 3 RNs, 2 techs

Stable - 16 beds 3 RNs, 1 techs

Geri - 6 beds 2 RNs, 2 techs - They tend to have significant health problems.

At night, all units drop to 1 RN and 1 tech.

These sound pretty nice. Mine is 18 beds 2 nurses 2 techs days/evenings and 1 nurse 2 techs overnight. We are supposed to get more techs for 1:1s etc. but that rarely happens. :(

During day shift each floor gets 2 or 3 nurses (usually one LPN), 2 MHAs (nurse aides) for the floor, and then more MHAs for 1:1s. At night there might only be one nurse and some of the 1:1s will be doubled up with 1 MHA. This is for 19-30 patients - it fluctuates a lot. A busy floor is likely to get more MHAs before they get more nurses.

I don't feel necessarily feel unsafe, but that's only because there are 5 other floors full of MHAs that will come running if we have a code.

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