What is your Nurse to Patient Ratio - page 2

We have a 4 : 1 rato that we try to stick to. Occaisionally we end up with 5 if we are short a nurse. But as you know that you may have HAD 6 throught the shift if you had 2 discharges then got 2... Read More

  1. by   doubleplay
    We have a 5:1 ratio with no techs and no unit clerk.
  2. by   NurseKayla
    Are you kidding me 6:1 if you are lucky, 7:1 is our normal. No PCTs or CNAs.
  3. by   twokidsmom,rn
    I work nite shift we have 6-8pts some have high acuity they don't look at that. Day shift has 4-6 with 3ptca's and a unit clerk.
  4. by   cobber
    We use a nursing acuity index where patients are rated, from 1-5 on their accuity (a typical pt with few or no complications is a 3). On the day shift an RN can take 12 points, RN/LPN team 22, RN/NA team 16, and an RN/LPN/NA team 25. Teams can take a few more points on the night shift.
  5. by   Ayrman
    Officially 7:1 on nocs with an aid for every 11-18 (yes, they staff that tight) patients. Even the Charge may have 7:1, and I have seen 6:1 for 2 nurses with no aid or secretary. This is a CHS facility for anyone who cares.

    Ayrman
  6. by   JessieC777
    I'm a CNA, but the nurses on eve/nights I work with have no more than 6. Plus CNA's and unit secretary (nights only one for the whole hospital). It's a Surg/Ortho floor.
  7. by   angel_blue_rn
    I work days and it is 7:1 with the occasional 8:1, with an aide usually paired up with the nurse. Nights are also 7:1 and 8:1. The 'powers that be' are willing to sacrifice care over money. When I was I hired almost a year ago, I was told that the ratio would be 5-6:1.
  8. by   matt_07
    We have 30:2 staff.It's very difficult handle in this situation.
  9. by   NurseJeanne
    Med/surg units 10:1 days and eves, 12:1 nights. On the respiratory unit (ventilator patients) where i often work, 4:1 days and eves, 5:1 on nights, but can be 6:1 on any shift if short staffed.
    We have CNAs, usually similar ratio to nurses on Med/surg, 5:1 up to 8:1 on resp. unit. No secretary on nights, none on days or eves when they're off or call out.
    Hectic to say the least. And they wonder why Press Ganey scores are poor....the staff is blamed.
  10. by   mcknis
    I hate the fact that the acuity of nurse/pt is note weighed but numbers are always more important! I understand that mgt has it rough because they need to fit a square block into a round hole and try to get it as close as they can. Money has no grace when it comes to actual pts, but just FTE, number of actual pt days, etc. Just upsetting to see that we and our pts are hurt because we work for "for-profit" organizations and that fact will never change. You can say not-for-profit, but just look at the insurance bill or the hospital care bill. You'll quickly change your mind!
  11. by   solneeshka
    Quote from cityhawk
    We're an acute general medical floor... and typically, during the day our ratios are 3:1, nights 4:1.
    I want to work where you do! Our *ICU* has a 3:1 ratio. I work on a primary nursing acute medicine floor, so we have no techs and, like you, have to be ready to care for whatever comes through the door. The recruiter told a bunch of us that the ratio was 4:1 on days, 5:1 on nights. After a month and a half, I see that it's clear most days are 5 patients and it's not unusual to have 6 (no tech, and some pretty serious acuity). Very frustrating! The tech stuff tends to be what can keep you in a room for an hour at a time. Nights are more often 6:1, but it would be really unusual for it to go higher than that, so that's a relief. I start on nights next week, hallelujah. If my joy is misplaced, all you night-shifters, please don't tell me, I'll find out soon enough. :wink2:
  12. by   solneeshka
    Quote from classicdame
    the idea that certain numbers of patients = one nurse bothers me. That is like saying a nurse is a nurse is a nurse. The acuity of the patient is as important as the ability of the nurse. There are some patients I will not assign to certain nurses. Let's not get hung up on numbers. It does not benefit the nurse in the end.
    Oh, if only management thought as you do!
  13. by   wannabemw
    I wk d/s on a full-service med/surg unit: GI, Onco, Tele (Cardio), Resp, Hospice, pre & post-op's, Ortho, Psych... yea I think that's it!

    Typical = 1:6. but over this last week I had 1:7. And if I dc home 3 & I started with 6, I usually get back 3 more new admits & IMC transfers. So, at the end of my shift I may have had & charted on as many as 10 patients!

    Our CNA ratios are much better then most facilities 1:14 & sometimes 1:18 if we're short-staffed.

    And BTW I agree about the accuity vs care... some total cares are = to 2 or even 3 patients! And med lists.. geeze! It's not unusual to have 3-4 pts w/numerous po & IV meds and antibiotics. All these factors should be considered!
    ~MJ

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