What is your nurse to pt ratio....and how many is too many? - page 4

I work on a surgery floor. We have everything from lap nissens, choles, appys to lung/kidney/hips. You see a lot of different things. If you work on a unit like this....what is your average nurse to... Read More

  1. by   rntoben2008
    Quote from crb613
    WOW! Sounds like you are a great supervisor. We do our own blood sugars, chart, & MAR checks as well as our own documentation. I have been looking at other hospitals trying to find one that I think will be a good fit. Teamwork at my hospital depends on who you work with. I thought it was getting better.....then I was called in to work another shift. Promised there would be 3 nurses on the unit...get there & we only had 2! Myself & another nurse took care of (kinda) a total of 21 pts. that day. There was constant discharging & admitting all day long....while also getting some of them back from surgery. It was horrible we had pt's charts throwed up in a pile because we did not have time to dc them nor take off any orders. We went in at 7a & left at 10p....We started charting our initial assessments that night around 8p. I am definately on my way out the door!

    Just a quick question, I am a nursing student and was wondering why a R.N. would not be checking their own MAR chart????? I certainly couldn't see an Aide doing that part. I am a brand new student, so just learning the basics. I just automatically thought a nurse would be accountable for their own MAR checks.
  2. by   07302003
    On a post surgery floor - 4/5 on days and evenings, 5/6 for nights, with a care partner doing vitals, I & O's, blood sugars. And clerks who help with orders on days and evenings. As low as 3 patients on a slow day. Large, metropolitan research hospital. Pts include trauma, transplant, colorectal, vascular.
    WOW after reading everyone's posts I am grateful for where I work!
  3. by   abbaking
    I work on a mixed Med/Surg/Tele/Oncology unit. We utilize TEAM nursing with Registered Nurses and Certified Nurse Assistants. The nurse to patient ratio (since I am in California) for my type of unit is 5 patients to every 1 nurse, and 10 patients to every 1 CNA.
  4. by   lil-hosp.usa
    We have anywhere from 4 to 9 up to 11 depending on the census(25 bed facility). We have 2 nurses on during the day with a float nurse who tends the ER, 3 aides(they're the best) plus our DON.Evening we have 2 nurses and 2 aides(dito to them) At night it is 2 nurses and 1 aide(be lost without her). We also tend the ER in the evening and night shifts. Only when there are 3 or more ERs or a code do we call anyone in.
  5. by   sabrn2006
    I work on a very busy med-surg floor days with a usual ratio of 4:1 or 5:1 - sometimes 6:1. This is primary care nursing and we are responsible for every aspect of patient care with some adl and vs help from aides (who are frequently floated off the floor) Some days all I seem to do is pass meds, do tx and answer call bells. I have no idea how you can manage 7, 8 or 10 patients! Our LPNs take their own assignments and the RNs are responsible for their assigned LPNs' discharges, admission assessments, IV pushes, care plans, etc. as well as their own.
  6. by   Nursebarebari
  7. by   SammyBSN
    These posts really scare me... I work nights on med-surg step-down, and max out at 4... I have taken 5 if, say, someone goes home sick or we get a new admit at like 3am and don't want to call anyone in... but 10??? I don't know if it's regional (my area is actually almost saturated with nurses..) or b/c my hospital is union... but reading these things makes me terrified to ever travel or move anyplace noew...
  8. by   meownsmile
    Well i hit my limit last week. When they were calling me for a new surg and a new admit,, at the same time,, and i already had 11 patients. I refused any new patients. They were pulling my LPN back to her unit, and i was NOT going to be left with 13 patients and 1 CNA. They got my message, and knew i ment business when i blew.
  9. by   trix_ctrn
    our goal is 1:4 on a day shift.
    it happens sometimes. we're the only unit in our hospital that's fully staffed. considering there's nursing shortage, it'll be hard to meet this .

    Quote from crb613
    i work on a surgery floor. we have everything from lap nissens, choles, appys to lung/kidney/hips. you see a lot of different things. if you work on a unit like this....what is your average nurse to pt ratio?
  10. by   NJNursing
    Wow, a lot of y'all have it very lucky. I work nights on a 32 bed Ortho/Med-surg floor. We only have to be staffed a minimum of 4 overnight and we're thrilled if we have 5. We try to spread out the post-ops, especially if they're bilateral anythings. When we have 4 nurses we're 8:1 and if we have a hallway bed, sometimes 9:1 and two PCT's, sometimes 3, but it's rare. No unit secretary after 11pm and rapid admit for the ER holds stops around 9:30-10pm, so we have to do our own admissions, care plans, goals/outcomes, initial assessments, etc. With our computerized charting it takes about 15 minutes to fully chart on one patient and if we've got 8, 2 hours of our shift is solely charting and that's if it's just basics and not if they have a bunch of wounds that have to be documented on or other issues going on. Meds all around the clock, sometimes neuro checks, PCA's, wound care, dressing changes - it's overwhelming to tell you the truth. We've gone to our director and she has said that we're only slated to have 5 RN's by day, 4 at night. We're moving to a new wing next month and we'll still have 32 beds but we'll be ortho/neuro and she said the staffing is going to remain the same. Many of us are concerned about taking step-down strokes with the orth patients and possible med-surg overflow still at a ratio of 8:1 at night.