Who decides which patient you'll be assign to? - page 2

I just had a "discussion" with the dayshift staff nurse about the patient-nurse assignation. I wonder what you think of it... I work nightshifts in a 24 beds ICU. Our ratio is 1:1 or 1:2 for ... Read More

  1. by   whipping girl in 07
    More than once I've been pulled to the floor and gotten an assignment down three halls (and there are only three halls!). Seems to me you have to take acuity and geography into account, so you're not run ragged. Also, sometimes the neediest patients aren't the sickest or have the most procedures.
  2. by   SmilingBluEyes
    More often than not, we decide collaboratively. OB works a bit differently than med-surg that way I guess. It depends on census and what we are the mood to deal with. Often, If I am willing to take care of labor, I don't have to do postpartum or GYN surgical care. Vice versa...if doing couplet care or GYN, I am not doing labor. WE usually voice our preferences and very rarely have problems with this. Of course, changes in census (namely, new admits) change things and usually the nurse with the lightest load takes the first admit. I like working this way.