ED RN's I could use your imput. During a recent survey in our ED one of the "dissatisfactions" that staff indicated was our staffing ratio - RN to patient. Could you share with me how your department staffs?
Specifically: # of RN's to patient
# of techs/CNA's per patient or RN
# of ED beds
daily # of patient's seen
type of area you serve: rural, suburban, urban
Trauma designation
Adult/Pediatric/mixed
Your imput will help us in our development of a plan to improve our staff satisfaction regarding this issue.
Rural, Level III, 13 bed ER plus 5 Fast Track beds that open at 5 pm weekdays, noon weekends. We use fast track beds during the day so 18 rooms available to us total. 3 RN's, one triage RN, one ER tech/CNA 10 am - 10 pm; Fast track staffed by PA and med tech assistant daily. See average of 70-100 patients daily, all ages. Manager ends up helping most days, have no on-call person, house supervisor frequently helping - too many patients, too few RN's. Example of staffing: yesterday 2 critical MVA's - one nurse each one, left 3rd nurse with 16 patients - many needing admission - many meds, many IV's - unsafe. No manager in-house, no house supervisor to help. Main gripe with all ER nurses in our facility is lack of appropriate staffing/planning for/staffing for rapid influx of patients.
gardengal1, ASN, RN
82 Posts
Rural, Level III, 13 bed ER plus 5 Fast Track beds that open at 5 pm weekdays, noon weekends. We use fast track beds during the day so 18 rooms available to us total. 3 RN's, one triage RN, one ER tech/CNA 10 am - 10 pm; Fast track staffed by PA and med tech assistant daily. See average of 70-100 patients daily, all ages. Manager ends up helping most days, have no on-call person, house supervisor frequently helping - too many patients, too few RN's. Example of staffing: yesterday 2 critical MVA's - one nurse each one, left 3rd nurse with 16 patients - many needing admission - many meds, many IV's - unsafe. No manager in-house, no house supervisor to help. Main gripe with all ER nurses in our facility is lack of appropriate staffing/planning for/staffing for rapid influx of patients.