I have tried to find a thread on this, and nothing addressed it quite adequately for Med/Surg pts, ESPECIALLY surgical pts.
Our new Clinical Manager for our surgical care unit wanted to know what we consider safe ratios with our population: fresh surgeries from PACU, outpatient surgeries, and 1-3 day recoveries, and swing bed patients. Right now we usually have 1 RN and 1 or 2 LPN and 1 or 2 CNAs for 16-35 patients, avg is about 21 pts. I think 4-6 pts to a team of 1 RN and 1 LPN and 2 teams sharing a CNA sounds about right-the fresher the surgeries, the less pts should be in a group though, just for safety, and orthos I think should lower ratios also.....what are your opinions, just for sake of info gathering?
BTW, our hosp is trying to get Magnet status, but yet our staffing is awful, some shifts, it goes beyond pt safety issues....They have juggled numbers to make it look good on paper. Do these Magnet folks read between the lines?
Any thoughts on the staffing question are much appreciated.
Dec 27, '05
I work on an Ortho-Neuro Med Surg with total census being 24, which it is most of the time. As you guess, our patients don't move very well and require a lot of hands on. Our staff for 24 patients is 3 RNs, 3 LPNs, and 2 Aides. PT gets them up initially if they can on POD #1. This mix is doable. I've worked at another hospital in the past where staffing was much less and it was horrid. Hope this helps.
Last edit by Thunderwolf on Jan 4, '06