nurse to patient ratio orthopaedic floor?

  1. Hey there!

    I work for a Texas post total knee and joint surgical unit. 6years ago the nurse to patient ratio was 1:4 on nights(no cna, no secretary). 1:4 on days with a nurse aid. However, one year ago a new CNO came on board and now it is 1:6 on nights(no cna-no secretary) and 1:6 with an aid on days. The unit has 18 beds, but we're rarely at 18. Mostly its 12 patients and 2 nurses at night.

    What is the nurse to patient ratio for any post surgical orthopaedic nurses out there? Also are there any Texas laws that could back us up cause that nursing committee thing is a joke(all they talk about is what we can do to improve customer satisfaction, and when i(cause nobody else speaks up) tell them the nurse to patient ratio is the major problem they tell me theres nothing they can do right now, there in the process of hiring(they've been saying that for a year).
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    Joined: Apr '11; Posts: 1


  3. by   rcas13
    I have worked in ortho in San Antonio and it was 1:5 day time with 1 aide and secretary and 1:6 at night with one aide no secretary. Also colorado which was the same but more aides (bigger unit though, typically aides would have 12 patients each)
  4. by   blue heeler
    1:6 with a secretary and aid, we are post surg, not just ortho.
  5. by   P_RN
    3 pods of 10 patients.
    always the same room numbers.
    1 RN 1 LPN and 1 tech for 10 (sometimes the tech has a pod and a half)
    Sometimes the LPN has a pod and a half and you get a whole tech and an RN for 10.
    I really like not having to roam all over the unit to keep track of patients.
    Last edit by P_RN on May 4, '11
  6. by   pawnotesRN
    Florida/Orlando: We are 4/5:1 days with sec and aide 6:1 nights no sec/aide
  7. by   FieryGingerRN
    I work medsurg ortho and we have 1 RN, 1 LPN, 1 aide, 1 secretary for up to 12-13 patients. This is the 7a to 7p shift. Crazy, I know!! I'm sure it is breaking all kinds of laws.

    Same situation, when anyone says anything they say they are "hiring new nurses" and put the blame on us for our peers calling in sick all the time. The morale sucks, no wonder our "peers" call in sick all the time!
  8. by   carltjm3
    32 bed unit, we usually have 7 pts, 1 tech and a secretary always! Don't know about days.
  9. by   TrishGordonRN
    nights 5:1 and an aide charge nurse takes patients
    days 5:1 and 2 aides, a charge nurse who take no patients, and a secretary
    afternoons 5:1, one aide, a secretary, a charge nurse with no patients
  10. by   flightriskRN
    On my floor:
    Days 1:4-5, 1-2 aides, unit secretary
    Evenings: 1:5(6 on really busy days), 1-2 aides, no secretary
    Nights: 1:6, 1 aide

    I work evenings and it can get extremely busy if you have 5 totals (knees/hips).
  11. by   ChristineN
    The ortho floor at my hospital that I float to sometimes has 1:4 day/evenings and 1:5 at nights (after 2300). They always have a tech, and a sec from 0700-2300. During days charge is out of the numbers. They are rarely staffed below their need.
  12. by   Morainey
    We have 1:5 at the most, with 2 aides til 7pm and one aide overnight. 5 fresh post-ops can definitely keep us running!
  13. by   cityknitty_RN
    I work in MN, our ratios are as follows 20 bed unit:

    Days: 4:1, HUC and 2 aides
    Eves: 4-5:1, HUC and 2 aides
    Nocs: 6:1, no HUC, 1-2 aides
  14. by   SheilaORN
    TX- at my facility ortho/neuro 20 bed if full mostly 5:1, charge, 2 techs, secretary. Sometimes we get 6:1 if staffing is the issue.