nursing structure????

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wondering how the structure is on other hospitals floors? i work on a cardiac floor with 37 beds we have recently adopted a team concept where we have a team leader (me, an rn with no patient assignment and coordinates the flow for my team with patient assignments/admits/discharges/delegation etc) a "wingman" (rn that has no patient assignment and is available to help others at all times) and then i have 4 nurses who will have a max of 4 patients each. wondering if anyone else has a set up like this and any comments good or bad?? thanks

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Specializes in Med/Surg, Ortho, ASC.

Sounds wonderful to me! The best staffing ratios I've ever seen on a floor.

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Specializes in Emergency.

that is extremely good staffing, to have 2 people who are not taking any assignments. I've only worked where they had one person not taking an assignment, and then sometimes everyone has an assignment.

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Specializes in Trauma-Surgical, Case Management, Clinic.

Good idea. If the nurses only have 4 pts max, then the extra "wingman" nurse is probably not needed.

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Specializes in Med/Surg, ICU, ER, Peds ER-CPEN.

Sounds very similar to the staffing matrix in the ER where I work, many of us prefer 4 pts and a resource nurse rather than 3 patients and no resource, we are pediatric only so sometimes procedures take more than just thinking out side the box, it requires flat out man power and holding

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That is awesome if there's a total of 9- 10 nurses per shift (including you and the wingman). If administration is for sure going to have the floor staffed accordingly, it is a great idea, and that everyone rotates the wingman position.

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