patient to staff ratio- laws

[sueinga]

Hi,

In Georgia it is supposedly mandated that 1 RN to 10 dialyis patients is the limit.

We run 16 patients on first shift and 15 on second shift. There is supposed to be 2 RNs but one comes late chronically (agency). I have been the only nurse a few times with more than 10 on a machine- once an entire day. I feel my license is being put on the line when the ratio is higher than mandated. I can say no more patients on after the limit of 10 until another nurse is in the buidling or I can do whats really expected it seems and that is that I "play it cool" and just let all 16 on without saying anything to anyone----What do you do when this happens? Btw, I only have 8 months experience at this point, FM does not get involved much and when I say I am alone- I mean the only RN in the building at the time-

[LPN2RNBSN]

I would be concerned about my license esp with only 8 months experience. Doesn't the regulation stated one year to be in charge, esp if you are the ONLY RN? This can cause the unit to be cited by the state should there be a complaint either by someone or anonymously... then, for sure they would act to obtain sufficient staffing.. one would think?

[Lacie, BSN, RN]

Personally I would LOVE to have only 10 on at a time as the only RN. The previous poster stated what my understanding of at least 1 yr prior to being the only nurse there. This doesnt mean it cant be an LPN as the team leader also and you as the only RN. Our clinic runs 16 with 1-RN or LPN (FA always in facility if this is the occurence) and 3 pcts at a time with 3 shifts per 16. I'm way less than a year and for now if alone the FA is also in the facility until my "orientation" time is completed and within P & P. Hang in there!