Nurse - Patient ratio?

Published

Specializes in oncology, MS/tele/stepdown.

I work on an oncology floor as an extern and fortunately for me, some positions will be opening up and the higher-ups have expressed interest. I'm just curious what kind of patient ratio is typical for an oncology floor? I would say our nurses usually have 4 patients on dayshift. I'm in the Philadelphia area, if it matters; I've been looking at the med-surg forum for patient ratio information and it seems like 4 is a small assignment in some areas.

Specializes in Emergency Nursing.

4 definitely seems small to me. My ED has a regular ration of 1 nurse to 3-4 patients. Sometimes 5 if there is a lot of hallway patients. In the med surg units upstairs the RN will take care of 4-5 patients at a time and if she has an LPN with her she will take care of 7-8. On PCU, these patients are 3-4 per nurse and ICU is usually 2 per nurse.

Never been on an oncology floor but i think 4 is totally doable.

We had a hard max of 4 patients. It may not seem like much, but if you're giving blood, chemo, antibiotics and dealing with a patient who is nadiring, four can seem like WAY too much.

Specializes in Oncology, Med-Surg.

four is about right on day shift. it will keep you busy, don't worry.

On my heme/onc/but floor, we are 3-4:1 for day shift...usually 3. And nights we are 5-6:1. If some has an acute problem, then all nurse hands on deck with some amazing teamwork!

Our ratio after recent staffing changes (need more pts to qualify for the same number of nurses now), is 6-7:1 on nights. On days I think they have 3-4:1 usually.

We do sit around 4, maybe up to five if you are covering some general med surge overflow. You'll find that there is a ton to keep track of, especially once you can give chemo. +1 for JFatsRN on teamwork. With a good team, its assignments are much more fluid because everyone is helping out.

6 on nights with 1 tech(if we are lucky!) for 28 beds. So practically total pt care for six.

+ Join the Discussion