How many patients are you assigned? - page 5

I am a graduate practical nurse and our hospital here routinely assigns 5 patients per nurse. The do not have CNA's. I worked the ortho floor during my last practicum weekend and it was pure... Read More

  1. by   AWanderingMinstral
    Quote from Micc
    I also work on the ortho floor and have been a RN for a year and I think this floor has sucked the life out of me. Pain meds, call bells, 10 pts each nurses pulled and no aid. This floor really has me to the point of quitting nursing all together. Good Luck everyone and throw some my way .
    Amen! I am in a VERY similar position. I spoke with a counselor and realized that, until my contract is done in one year, I have to learn that there is A LOT that I cannot control (i.e. staffing). Therefore, I am no longer going to go the extra mile, sadly, unless it serves my interests. In addition (and MOST importantly), I need to maximize the opportunities that ARE available to me (i.e. flexible scheduling, using my paid time off, etc.). I wish you lots of luck! Be well!
  2. by   NJLaurenRN
    Quote from Micc
    I also work on the ortho floor and have been a RN for a year and I think this floor has sucked the life out of me. Pain meds, call bells, 10 pts each nurses pulled and no aid. This floor really has me to the point of quitting nursing all together. Good Luck everyone and throw some my way .
    i know waht you mean. had 7 pt's today 5 were ortho's and they dumped 2 medical's on our floor. i gave a total of 26 PRN's today (pain meds and antiemetics) i didn't even start charting until 2pm. can't believe i got out on time don't know how the heck i pulled that off. plus i was on like 2 hrs of sleep. drank caffiene late last night. i am so shot now. ahhhh the joys of nursing... lol no i really do enjoy what i do. i only have crappy days like this once in a while
  3. by   AprilCNA
    At the hospital I work at on the ortho floor, there is CNA's on the floor. For RN's, they have 4-5 patients and an aide( the aide may have 6-12pts tho). The RN's there would never get 4 or 5 patients that were all total care.We go by acutity, maybe 2 of the 5 patients assigned. RN's at my hospital seem to get stressed from having too many post-ops or er admits, than total care. But the CNA's help out with the total care,but if the floor didn't have any CNA's, each nurse shouldn't have anymore than one total care, but we all know that isn't always the case. Good Luck!
  4. by   NJLaurenRN
    wow. lucky them. yea we have nurse's aides...they come up to us asn ask for 3 to 4 pt's out of our 6-9pt load. sometimes we get dumps like medicals that belong on another floor. like wound care or urology or even oncology. so not all are ortho's .we do get a lot of totals. sometimes i wanna scream. and i have cried and i no there are others out there that feel my pain. not all of us work in places that are like country clubs. well in my dreams i do
  5. by   sam1998
    I work on an ortho/med-surg unit (am still in orientation), and we have 3-4 pts during the day or evening shifts, and 5-6 during the night shift. Most days there is also a "resource nurse," who doesn't have an assignment but helps the other nurses. During the day and evening, it is 1 CNA to 2-3 nurses, and during the night it's just 1 for the typically 3 nurses on the floor. Luckily, we have ceiling lifts in each room, for patients who are unable to bear any weight, which saves time and our backs. I feel even more fortunate now to have a managable nurse-patient ratio. I really feel for those of you who have 10 pts! That would be incredibly hard, I can't imagine how busy that must be. Some days I have a tough time with 3-4. I can't imagine having so many, in the midst of getting surgicals and doing discharges.
  6. by   NJLaurenRN
    well i have some good news. now that we just started a new program "center for excellence" for total joints also called "Joint camp" if u want to know what i mean by that use a search enging and check out. there's several video's and articles about it and know i am seeing how its so successful. anyways to promote better pt sats we our director redid the numbers or the grid as we call in (nurse pt ratio) it is so much better. we don't have as many pt's and we get to keep an extra CNA. last shift i worked i started out with 5 pt's (most common) today was 6 but my fewest # of assigned pt's was 4 plus 2 CNA's. OMG can u imagine. i keep waiting for someone to pinch me and i'll wake up... lol. if u read one of my previous my usual assignment was anywhere from6-10. huge difference. even changed my mind of transfering out to a different unit. but looks like i'll be staying a bit longer :wink2: :bowingpur

    p.s. sorry for the legnth of my comment...i hate being one of "those" lol
  7. by   Melinurse
    I used to work Joint Camp and we had a total of 5-6 pts while we get 1 CNA for up to 10 patients. The idea of Joint Camp seemed great to us when it was proposed and first started but, the families seem twice as demanding, the patients think that after a " major " surgery they'll have no pain. They all think they are at a hotel. It was awful. I had to move on. I still get ortho patients as our hospital has combined ortho/neuro with med-surg so we are all one unit now. I am at this point so burnt out I am looking for a change to community/public health. I still plan to keep a casual position though. Although the type of work burnt me out I still love nursing and as I look back on all the patients I've cared for I feel good about the differences I've made. I hope your version of a Joint Camp works out better. Be sure to ask if patients are told about what to expect after the surgery and what is expected of them and their coaches. Find out what kind of patient teaching is given and who gives it. I hear a similar Joint Camp down in Florida was very successful.
  8. by   NJLaurenRN
    so far our program is working out great. most of our pts go home and do home pt with a visiting nurse after 3 days in our hospital and skip SAR. we have our exceptions, of course. every pt is different as u all know. for example an 85yr old female with a THR who lives alone and wasn't that stable to begin with is not going to go home on post op day 3 verses a 55 y r old family man. as far as pre op education goes. a few of our staff nurses do the pre op classes where we invite and encourage the pt's "coach" to join them for the course. they watch a video on TKR then THR's we tell them what to expect. give them a binder that includes their schedule and how it will paly out over their stay. and we are brutally honest. if they are expecting pain proir then its not as bad. but everybody has their drama queens. lol. we teach them about anticoag PCA's both morphine and epidural pca's, group therapy, abductor pillows, scd's, IV's, etc... so far so good. how long did you work on that unit before u got burnt out?
  9. by   Melinurse
    I was there, well between Joint Camp and ortho/neuro for 6 years. Loved my co-workers who are amazing. We have excellent teamwork. I am glad to hear yours is working out better. We had too many drama queens, patients were over the top demanding, for example, I remember one lady who demanded we give her a back rub and rub her feet every night before bed then bring her warm tea, fluff her pillows and tuck them just right. At exactly 6:00am she wanted her tea again and her " massage " again. ( usually I don't mind doing this for most patients when I have the time ) But this lady called our manager to complain we were not doing enough for her. ( yep, management got after us ) But it seemed like a good 75% of the patients we were getting were like that and a few who were worse. Now I know this happens on other floors, but not to the extent it was happening on Joint Camp. Anyhow, I am glad to here yours is going better.
  10. by   graygirl1955
    I was working in a nusing home which housed 60 residents. Was assigned 20 residents with 3 nurses. 2 RN's and 1 Lpn. Came to work on 2nd one day and was told that I would have 10 more residents. This was yelled out to me by the LPN and I became upset, already knowing how hard it was to take care of the twenty I already had and getting 10 more that I didn't know. 2nd shift is busy and I had taken an extra 5 residents before. I got very upset and went to DON and told her what was happening and that i couldn't take care of that many residents. She looked up at me and said, "then you are leaving"? I said yes, I didn't feel safe with that many residents. She didn't say anything else, so I left. I didn't clock in, take report or keys to cart. I was reported to Board of Nursing and ask for a hearing. They want to fine me 1250 dollars and have me take course (3) in ethics which will cost $30 each. I live from paycheck to paycheck and don't have the money for this. I would like to know what you other nurses think about this and has anyone had this happen to them. I know that it is allowed for nurses to have 44 residents which is CRAZY.