How Do You Make Patient Assignments on Your Unit? - page 2

The nursing director and clinical manager of our 65-bed med-surg unit are trying to come up with a plan for patient assignments. We are divided into two units, East and West, and have a mixture of... Read More

  1. by   RNKPCE
    I don't work for a while to get the documentation.. But when this system first came about we had a sheet that determined what level each person was. Now you can pretty much figure out their NIM(nursing intensity measurement) within a few minutes of being with the patient. Patients with sitter/restraints are always a 4, a person crashing is retrospectively given at 5, a 38 r/o MI up walking around with no chest pain is a 3. I have never seen anyone given a 2. Like I said there is much variation in the level 4 group. I would much rather have an a/o post stent, then a confused, incontinent patient in isolation, both would be 4's so but the stent patient is a 4 for only 4 hours or so, the other for at least the whole shift.

    Believe me it is not perfect. It helps on individual nurse assignments but doesn't really help the overall number of nurses on. That seems to go by # of nurses and # of patients. If you have a lot of heavy patients that might buy you that extra nurse, if one is avail.
  2. by   hospicemom
    There are problems alike with the mesh system I use. We have what we call "swingbed" pts. once they are in the hospital for so long and would be ready for discharge we will "swing" them for reasons like placement issues. Now, when you have a swingbed,they are usually always a 2....but when your swingbed pt is a possible nursing home, with a bed alarm and incont...they SHOULD be a 3 or 4....thats where we run into our staffing problems. The bottom line is with our system we typically have a patient load of about 4 patients a piece...3 patients to the person who gets the first admission.