Comprehensive Stroke Units: What is your staffing matrix?

  1. I have been attempting to determine what other hospitals comprehensive stroke care units RN to patient ratio is. I started this process off by compiling a list of comprehensive stroke care units (there are nearly 200 in the US, if not more--the list is lacking a few hospitals) and calling the hospital switchboard, asking to be transferred to either HR or RN recruiter for their comprehensive stroke unit. Clearly, I could just call the unit and ask who ever picks up the phone what their ratio is. The problem is that the hospital operator does not know off the top of their head which unit is comprehensive stroke certified AND--working on a comprehensive stroke unit myself--I don't want to clog up the lines on that unit when I'm not a family member of a patient or staff.

    So, now I'm here. If any of you work on a unit that is comprehensive stroke certified, please reply with your DAY shift and NIGHT shift RN to patient ratio along with the HOSPITAL, CITY and STATE you work in.

    Thank you!!!
  2. Visit Rin287 profile page

    About Rin287, RN

    Joined: Feb '18; Posts: 3
    from WA , US
    Specialty: 1 year(s) of experience


  3. by   BabyBlue2
    I work on a Neuro Step Down Unit, in PA. Our ratio on the unit is 3:1. But when we are short staffed, we can get pushed to 4, and this happens quite frequently.
  4. by   The_nerve
    I work on a supposed neuro/surgical medical floor, level 1 stroke center, but the acuity is really more of step down. We still have a 5:1 nurse-patient ratio. The actual step down unit is 3:1 I think? Or 4:1. And the ICUs are 1:1 but sometimes they have to double up. Same for days and night. Missouri.
  5. by   strokeRN1
    We are comprehensive stroke here in Los Angeles, CA. I work on a stroke tele floor at 4:1. Day shift!
  6. by   Mkakids
    Stroke/tele floor in the chicago area... We aim for 4:1 days and 5:1 nights for RN's - I've seen it at 5:1 days and 6:1 nights though.

    Cna is usually 10/11:1 and occasionally (2 nights a week usually) we have to deal with 1 cna for the entire floor (24:1) which means that the rn's are then responsible for their own vitals and accuchecks. A third cna is only called in when the floor is full (24) and only for day shift.