RN to patient ratio on Comprehensive Stroke Certified units

Our new strokes go to the ICU, post TPA have a 1:1 if at all humanly possible due to the frequency of neuro exams. We created an ICU position to fly and be pulled if there is a new stroke.

I'd give you my hospital, city and state but that'd give me away...

I believe the ratios are 5-6:1 on the floor and 3:1 On stepdown. In the ICU they try to make the pt 1:1 for the 1st 8 hr post tPA (it usually isn't feasible to do 2 hrs of q 15 neuro checks and 6 hrs of q 30 min neuro checks, if you have a 2nd pt.) Otherwise they're 2:1.

I don't share my specific location or workplace on AN, sorry.

Hi, our hospital is currently applying to be a comprehensive stroke center....but we are a neuro telemetry floor. Since I am in the state of CA, our telemetry ratios are 4:1 AM and PM. If they need Q2 hour vital/neuro checks...they go to PCU so they can be 3:1. Hourly neuro/vitals go to ICU 2:1. It sounds like your hospital has appropriate ratios during the day.

Our unit is stroke certified with spine surgeries and tele and 36 beds. We are magnet certified on EPIC. Step-down takes immediate strokes, we take them 24 hours post TPA. VS and neuro checks are hourly for all stroke/brain surgeries/lumbar drains. If a nurse takes 2-3 brain/strokes, ratios are 4:1 which includes a surgical patient (or two, if we are short staffed). If a nurse has 4 brains/strokes, it stays 4:1 with no taking on any fresh post ops and keeping same patient assignment next day. We are a 500 bed small hospital in a rural state in the west.

We have a 4-6:1 ratio. Rarely do we only have 4:1 because one of us RN's will most likely be floated to another floor. I think staffing needs to consider the patient acuity before leaving our floor with 4 nurses, but they don't... this is only increasing our turn over and burn out rate.

Well sounds as if they are in the regs, and you work at a nice place. Often I see nurses stuck with 5 all day and night. Thank goodness for PT/OT delivering mobility

We are a stroke and tele floor in a Chicago suburb.

Days is 4-6:1, but usually 4-5:1 (regardless of whether they are new strokes or not).

Nights are 5-8:1, usually 5-6:1

Day cnas are 8-12:1 and night cnas are 12-24:1.

2 nights ago I had 6 pts - 2 were brand new strokes (q2 vitals, neuros q4, etc...), one was a tele pt who kept flipping into Afib with RVR, and 1 was in 4 pt violent restraints, yet still managed to almost fall out of bed multiple times).

There's no such thing as a "Comprehensive stroke certified unit". There are Comprehensive stroke certified facilities. The appropriate ratio for these patients is completely dependent on the level of care they require as a result of their stroke, which varies widely.