nursbjb00

Child Psych, Could you please send the paper to me as well? [email protected] Thanks so much!

Does anyone use a patient acuity system? My nurses feel like the acuity of their patients have increased so much that the normal ratio they are used to now feels unsafe to them... with battleing with the patient flow from the er when we have open beds, its hard to tell the nurses they have to yet take another patient to stop from posting the pt in boarding status in the er. help!!!!

Our charge nurses do patient rounding, audit all isolation daily, making sure all protocol is in place, post beds for admissions, look over daily and day after staffing, sometimes helps to make calls, watch over tele and strips of our nurses not yet trained, act as a resource to all other nurses, attends morning bed rounds with all ancillary departments to discuss patients acuity availability of beds and staffing, they do our temperature and code cart checks, and they make nurse/patient assignments. on high census/low staffing days in order to keep boarders out of the er, they take up to 4 patients during dayshift but we really try not to let that happen, they also sign off orders.

is the 4:1 total primary nursing? we have 6 or 7 patients but have techs doing all the adls, we even have advanced techs that can place foleys and do dressing changes... but the unit is always hoppin!