Ratios on acute rehab floor in hospital

mom2cka · Sep 10, 2010

what are the patient:nurse ratios (for day and night) on your acute rehab floor in a hospital setting? Days could be up to 6 per nurse (RN only), dependent on acuity and census (average if 4-5, higher once admits come in); evening shift can take up to 7, try to keep 5-6; nights up to 10

what is the ratio for patient:CNA? Teamed with the RN, at higher census we'll have an extra 'floater'

Do you have a free charge nurse? what does he/she do? Not any more - we now have a 'lead' on days only, which has a smaller group (2-4) to help with med passes and admits; charge with full load on evenings and nights, as well as weekend days

How often do your patients get showered? Daily if they agree; scheduled day or evening, offered daily

Do you track I&O's on all patients? Not strictly; meal % unless ordered or appropriate to the pt

Is your charting computerized? Yes, entirely

Do all nurses complete the entire FIM on each shift? Score is done on bowel & bladder every shift; all data collected & scored 1st 3 days and day before discharge; data is otherwise collected but not scored during the stay

On a scale from 1-10, how busy/stressed do you feel on a daily basis? 8-9

How do the CNAs/Nurses get along on your floor? We have a bit of new staff vs older staff (lots of longevity on my unit)... shift to shift as well. there's some animosity, there's some bitterness, and some resentment... negativity varies depending on what's going on...

Lola77 · Sep 10, 2010

thanks. The FIM thing is interesting. We do the whole freaking thing (including scoring) every shift, every day. What you do makes more sense. We are talking about maybe doing that in the future because doing 6 complete FIMS is a lot of time wasted in my opinion (plus I hate them lol)

Our ratios are about the same. We try to keep it to 4-5 patients but 6 seems to happen most days. I love having 4-5 - gives me more time to chart and to help the CNAs with toileting and transfers and stuff.

Not charting I&Os seems so weird to me. . .I find myself doing it anyway out of habit.

R.NICU · Sep 18, 2010

what are the patient:nurse ratios (for day and night) on your acute rehab floor in a hospital setting?

-on days it's supposed to be 6:1 but it never is. it's usually 7-10 patients to a nurse

what is the ratio for patient:CNA?

for the techs it's 1:8. it's common for them to have 9 or 10, and occassionally, 11 or 12.

Do you have a free charge nurse? what does he/she do?

-charge has no patients. She figures out where new admissions will be placed, gets pre admit paperwork started, there for complaints from families, makes shift assignments for next shift, and handles a lot of random tasks.

How often do your patients get showered?

-Every other day. Depending on the room number, the person will have a day or night shower. Sunday is a no shower day but we always end up giving them anyway or people complain.

Do you track I&O's on all patients?

-No.

Is your charting computerized?

all paper baby. remember Kardexes :)

Do all nurses complete the entire FIM on each shift?

-Not currently, but we are switching to a new flowsheet/charting form and we will be required to do FIMs everyday. What we've been doing is FIM-ing on the first three days of stay and the date of discharge.

On a scale from 1-10, how busy/stressed do you feel on a daily basis?

-Depends on the day, and there are several factors that play into that. Who's my tech, are necessary resources available, patient load, acuity of patients, family matters, number of admits and discharges, and so forth.

How do the CNAs/Nurses get along on your floor?

-I work in an acute rehab hospital and we are all like family. Many of us hang out after work, go to school together, work out, and everything else. I like all the techs and i would like to say they like me too :).

veryblessednurse · Oct 1, 2010

what are the patient:nurse ratios (for day and night) on your acute rehab floor in a hospital setting? ON DAYS USUALLY 5:1

what is the ratio for patient:CNA? WE COULD HAVE 1 CNA FOR APPROX. 7-8 PATIENTS

Do you have a free charge nurse? what does he/she do? WE HAVE A DAY SUPERVISOR/CHARGE NURSE, SHE TAKES OFF ORDERS ATTENDS MEETINGS AND IS AVAILABLE FOR ASSISTANCE TO THE STAFF

How often do your patients get showered? EVERY OTHER DAY

Do you track I&O's on all patients? YES

Is your charting computerized? YES

Do all nurses complete the entire FIM on each shift? YES

On a scale from 1-10, how busy/stressed do you feel on a daily basis? 7

How do the CNAs/Nurses get along on your floor? VERY WELL

Just curious. I am working on my 2nd acute rehab floor and it has gotten me thinking about all the differences and what the "standards" are :)

EMM2erl · Oct 7, 2010

I've been on an acute rehab unit going on three years. After trying different areas in nursing. I' ve found an area in nursing to "cruise" for the rest of my career until I retire. I've been studying my butt to get certified.) With that said, I am the 7p-7a charge nurse who does have her own patient load,depending on census. I take less patients. We always have a PCA (CNA) on the floor not unless we have 9 or 13 on our census, then the PCA gets floated. Mind u we have to get these patients up before breakfast. I am fortunate i have seasoned PCA'S and we get along. At times I have to share my PCA with the orthopedic staff so the nurses know when to help out. The patient bathe every other day. The PCA assist with filling out the FIM sheets. All of our charting is computerized. We chart our I/O'S. My stress level on average is 6. If i am staffed with agency -double that number. :bugeyes:

groovy jeff, RN · Oct 8, 2010

what are the patient:nurse ratios (for day and night) on your acute rehab floor in a hospital setting? on days usually 5:1
what is the ratio for patient:cna? we could have 1 cna for approx. 7-8 patients
do you have a free charge nurse? what does he/she do? we have a day supervisor/charge nurse, she takes off orders attends meetings and is available for assistance to the staff
how often do your patients get showered? every other day
do you track i&o's on all patients? yes
is your charting computerized? yes
do all nurses complete the entire fim on each shift? yes
on a scale from 1-10, how busy/stressed do you feel on a daily basis? 7
how do the cnas/nurses get along on your floor? very well
just curious. i am working on my 2nd acute rehab floor and it has gotten me thinking about all the differences and what the "standards" are :)

i wanna work where you work!!!

we have 8 most of the time and our techs usually 10 (if i had 5 pts i would think i had died and gone to heaven). i have only been a nurse for a year and i'm at a 8-9 stress level every day i am on; my hope is that this number will ease some. i try real hard to take time with my pts and help my techs as much as i can, we are not computerized and we do fims. for the most part we have a great crew.

the issue that is beating up our staff right now is that are pts are continually getting more medically complex; the acuity just keeps higher and higher and that is whats killing me!

Gallaxy48 · Oct 13, 2010

What are the patient:nurse ratios ( on your acute rehab floor in a hospital setting?

For days it's usually 5:1, or 4:1 if one of the patients is a burn. Nights it's 6-7:1.

What is the ratio for patient:CNA?

10-15 patients per tech both days and nights. Only responsible for assisting with ADL's and vitals

Do you have a free charge nurse? what does he/she do?

During the week we have a clinical liaison(basically an assistant manager) from 8-4 that coordinates admissions and helps with things like discharges or hard IV sticks. We then have a charge nurse every shift who takes less patients, 3-4:1 and does the same things the liaison does but during evenings, nights, and weekends.

How often do your patients get showered?

Everyday if they accept. OT rotates doing ADL's with patients so it's typically half the floor is nursing and the other OT.

Do you track I&O's on all patients?

Yup. Dietary passes and picks up trays in our facility and records meals on a flow sheet. Then there are the special strict I&O's and such.

Is your charting computerized?

Everything is electronic. Just recently went to computerized physician order entry so even MD orders are electronic now.

Do all nurses complete the entire FIM on each shift?

Nurses are only responsible for the following FIMs: eating, toileting, toilet transfers, bowel and bladder, and the cognitive domains.

On a scale from 1-10, how busy/stressed do you feel on a daily basis?

I would rate it 5-6 during the week because it's just so busy. Patients and staff running every where. The weekends are much calmer and laid back so about 4 at the worst. Occasionally it could be higher if staffing groups all the people with poor teamwork skills on the same day.

How do the CNAs/Nurses get along on your floor?

Techs and nurse get along surprisingly well. Nurses share the call light load. Of course you have the few nurses that depend a little too much on their tech.