staffing issues

Specialties MICU

Published

Hello, I was wondering what were the staffing ratios in other hospitals, including ancillary staff. I work in a 16 bed ICU/CCU as a RN, for the last four years. The hsopital, previously a not for profit, was recently bought out by a for profit hospital chain. They have cut our PSA/CNA totally out from 3-11 and 11-7. I work 7p-7a. We get a unit secretary if our census is at 5. I would as well as everyone else in the unit rather have a PSA from 3-11, than a unit secretary from 11-7. The unit manager seems to totally ignore this fact. Ratio previously was 2:1. Now, at 3-5 pts, we get 2 RN's, 6-7 pts, 3 RN's, 8-9 pts, 4 RN's, etc. Last night we started out with 8, discharged one to the floor, and admitted 2. We started out with 3 RN's and they called in 1, for a total of 4. The one they called in is 76 years old, which I, being charge had to wind up babysitting along with her and my patients. {retirement age is a whole other thread}. By 0430, I was in tears. Everyone is looking for another job. One nurse left her resignation under the managers door. I was just wondering, have I been living in a fantasy world or is this reality. I am seriously contemplating going back to school. Thanks for input.

Specializes in Trauma acute surgery, surgical ICU, PACU.

Our SICU is currently almost fully-staffed. We have ten beds.

On day shift, there is a clerk, a nursing assistant (who covers the desk when clerk is on break), and a HCA who only does bedside.

On nights there is two CNA's, one for the desk, and one for the floor.

We are typically 1:1, but during peak vacation times or when staffing is short, we double quite frequently. Never triple. We are unionized and fill out unsafe workload forms whenever there is a double involving a pt who is not stable.

Our clerks are slow, and we have trouble finding good CNA's. The good ones are golden, though.

Staffing is bad where I work. Some nights we have plently of staff to cover 2:1 but that is in the SICU, MICU, and the CCU but when they have to open the IICU ( which it is no longer that and is now considered the "Overflow" Unit ) we end up having to triple-up. And this happens very regularly. Maybe we have 1 or 2 PCAs and never a overnight secretary and the charge nurse must take full patient loads also. I am currently the only "newbie" on nights (7P to 7A) but the unit mgr says there are new grads hired for nights but they will be 6 to 8 weeks on days before they will begin preceptorship at night for another 6 to 8 weeks and will not count in staffing until they are done with orientation. Everyone is stressed and me being new I get to be the "whipping boy". No one is happy in my unit and it doesn't look like it will be getting any better. I may be new but I am not young and I am now looking around for other options. It is too dangerous to staff like this and I am too new to be left to the wolves.

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