Thank you so much for the detailed responses, I appreciate your time! These numbers amaze me, given that we have a total of 1 APP lol.
Our unit is 24 bed SICU, mostly cardiac surgery, vascular, transplant (heart, liver, kidney, pancreas). There is only one MD intensivist on 24/7, 12hr shifts rotating days/nights. They are actively recruiting but having trouble finding someone with that schedule. So far since I started, myself and the attending are splitting the unit but I really am feeling overwhelmed with 12-15 (counting transfers and new postop admissions during the day) patients to round on, examine, write notes on and bill on. I wasn't sure if it was reasonable to put my foot down about the ratio given that whoever I don't see, the attending has to, but everything I have read says APP:Pt ratio of ~6 is reasonable.
They are very happy with the help and quickly saw the merit of hiring more APPs, so we just have to get budget approval, but may be able to transition the advertised MD job into a few APPs... just have to find appropriate staff to hire now.
Again thanks, it's fascinating how the ICU APP role has evolved in different centers across the country - I guess we are where you guys were 10-15yrs ago lol. I do have SCCM so I will look for that talk, David. I saw a conference listed for you a couple years ago about the staffing etc for ICU... if only I wasn't 2 years too late for it!