Patient to Nurse Ratio

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Hi I am new to this forum, just want to say Hi to everyone!

Also, I have a question: Is it legal for any hospital to assign their staff to patient ratio to 1:6. I know that we have passed the law a couple years back to make the manditory staffing ratio to 1:5 in California, but in one hospital, I still see that they occasionally make their staff take 6 patients, does anyone know what I can do about this? Where can I report them? :madface: :angryfire

Specializes in Med./Surg., Diabetes, Med. ICU, home hea.

I havent' read the text of the law, lately. You can find summaries on the California Nurses' Accociation web site; there, also, I believe you can find the text of the law.

Violations can be reported to the Department of Health Services. There is the sticking point. They are woefully unable to investigate such complaints as they, too, have to "triage" to manage their resources.

If it is a "union shop," reporting them to the union would get better results.

in austalia we have 4 to 1 in public (law)but in the private hospital i work though its usually 5-1 and can reach 6-1

In CA since January, 2008, the specific laws states the ratio is 1:4 on a tele unit and 1:5 on med surg. The facility must meet these requirements or they can get fined. I know of one facility that has told their nurses that since they are required to take any patient that shows up at their door, that they can make changes to this ruling, but in fact that is not true and the state has paid them surprise visits because of this.

There are several threads here that list the contact numbers of who to report them to, you just need to do a search here. I remember posting it at one time, but do not have the information in front of me.

As long as the facility is an acute care facility they are not permitted to make any changes to this and it applies to them. You can also contact CNA, the nursing union for their assistance on this as well.

Best of luck to you.

Specializes in Burn, CCU, CTICU, Trauma, SICU, MICU.

1:2 or 1:1 in icu, 1:3 imu, 1:4 tele and 1:5 med surg

anything more, facilities can get fined!

I found these somewhere a while back. It gives the ratios in each type of nursing area. Hope this helps.

Ratio Basics.pdf

Ratio Law Text.pdf

Specializes in Critical care, tele, Medical-Surgical.

Didtrict offices you can report violations to:

http://www.cdph.ca.gov/certlic/facilities/Pages/LCDistrictOffices.aspx

It is best to include the date, facility, unit, shift, and other information such as whether meds and treatments were late.

The ratio regulations:

http://www.cdph.ca.gov/services/DPOPP/regs/Documents/R-37-01_Regulation_Text.pdf

FAQ: http://www.cdph.ca.gov/services/DPOPP/regs/Documents/R-37-01_FAQ2182004.pdf

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