Published Apr 26, 2011
Roozeyk
107 Posts
Are there units that still have one to one nurse/patient ratios, or have they long gone to the wayside?
Double-Helix, BSN, RN
3,377 Posts
You'll find them occassionally for very critical patients in the ICU. There are also 1:1's for patients that are safety risks, but the 1:1 isn't usually an RN. ICUs are really the only place you'll find 1:1 ratios.
The typical ratio for ICU is 1:2 or 1:3.
KellyCCRN
222 Posts
All of our fresh CABG's , IABP and CRRT patient's are 1:1 regardless. Other than that both of the units I work in ICU and CVICU our ratio is 2:1
hannahmaepunk
41 Posts
Critical care is 1:1. Imagine constant monitoring for 2 to 4 patients. And you get a code blue. Or worse, 2 patients have cardiac/pulmonary arrest at the same time.
ICUMelissa
10 Posts
I have worked critical care for 5 years, and the only time we have 1:1s is fresh CABG, CRRT or a very sick patient on multiple pressors. You can work on any unit and have 2 patients arrest at the same time.
honeykrown, MSN, NP
385 Posts
home health completely 1:1
MomRN0913
1,131 Posts
The ICU I worked in was 1:2 or 3. We had 1:1 ratio on balloon pump patients. Which were very rare.
I did have a coworker whos 2 patients were coding at the same time. The one night hospitalist stood between the 2 of them to run the codes. They both died, she bagged her bodies and went home....
nurse2B444
16 Posts
The ICU I worked in was 1:2 or 3. We had 1:1 ratio on balloon pump patients. Which were very rare.I did have a coworker whos 2 patients were coding at the same time. The one night hospitalist stood between the 2 of them to run the codes. They both died, she bagged her bodies and went home....
Oh my gracious this is so awful! No wonder nurses burn out so quickly....
Vanillanut, DNP, RN, APRN
136 Posts
Our vents/ICU patients are 1:1..... only ever 2:1 if they're right beside eachother (within eyeshot) and stable. But typically 1:1.
Horseshoe, BSN, RN
5,879 Posts
OR is 1:1, as is cath lab, and GI lab.
Preop in my friend's stand alone GI lab is 1:1.
CranberryMuffin
135 Posts
It's 1:2 where I'm at.
I had a night recently where both of my patients crashed at the *exact* same time. A rarity, and I wouldn't have made it through the night without my coworkers, who are completely stellar.
Rarely do we have 1:1 patients but it does happen for those that are very critical.
brookelt
5 Posts
my niece was just in a cardiac NICU and she had her own nurse