Split Thread / Nurse workload ratio

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We do nursing assessments just different. Not every nurse will do lung/bowels assessments that is generally the role of doctors or nurse specialists, not saying some nurses don't do it just not a normal part of their role.

Although not nursed on a ward for a few years, know staffing levels have gotten worse though, my normal shift was 2 RN's for 28 patients, 2 sometimes 3 nursing aux (CNA) work load varied depending on type of ward you worked on ie medical or surgical but was responsible for everything including ADL's, medication (all, IV stuff, nebulisers) dealing with multi disiplinary teams, relatives, friends, cleaning, feeding if required. Tend to be jack of all trade master of none :) very good at moving beds around whether it be on the ward or transferring patient to another ward. Could say much more but really need to work in it to understand it

Wow..I have a lot of respect for you guys. I don't think I would have ever become a nurse if I knew I had to take care of 14+ patients on a daily basis.

Sorry to hijack the thread, but is there any move in the UK to limit nurse:pt ratios like there is here in the U.S.

Specializes in Advanced Practice, surgery.

Ayla as a newly qualified you will get plenty of support (I would hope) I know our newly quals get 4 weeks supernumery and then allocated a mentor. We also do monthly study days for our band 5 development program, make sure you ask at interview what support you will get.

I've just appointed 2 newly qualifieds they are great, it was a the best day of last week actually as they interviewed with some experienced nurses. The expereinced nurses had done not preparation and it came across that they almost expected the jobs when they were interviewed which irritated me. where as the newly quals had obviously done ots of prep, but they felt they didn't stand a chance so when I gave them the news one squeeled down the phone at me and the other cried. Fantastic. :yeah: :yeah:

Specializes in med/surg.

Yay well done XB!!!

Cariad - Sounds like a normal shift where I was in the NHS! One memorable time (in fact it was that day I decided to apply for the job I have now) I was the only fully qualified on (I was a "D" grade just 4 months back from my return to nursing program) - I had one adaptaion nurse & one HCA, the senior nurse was off sick, the agency didn't turn up. There were 16 patients on the ward, 1 blood transfusion, 1 hourly CVP & very sick, 2 hourly cath measurements, 2 terminally ill cancer patients, 3 dementia sufferers with CCF, 1 parkinsons sufferer with renal problems - plus a general mix of others. 8 patients were doubly incontinent & couldn't feed themselves. How I was supposed to feed & wash & do everything else was beyond me that shift & if there'd been an undercover reporter on that ward that morning I'm sure we'd have been all over the news. The modern matron didn't want to know - she just said other wards were in the same boat!! I admit that was an extreme shift but the vast majority were not much better. It started off ok but then the budget restraints started & wham bam we were left too short too often. The ward I have my US job on - if I ever get there - has nurse to patient ratio's of 1:3/4 plus CNA help & has periods of being not so busy - I know tht because I went there in person for my interview & spoke to everyone. I'd swap that for the above anytime!!

To the 3rd year student - don't panic but do fully research where you apply for your job. Make an informal visit & ask as many different levels of staff about how they feel in their jobs so you don't get put in that kind of situation. I'm confident you'll be fine. Most nurses thrive on stress anyhow!! I forget a lot more things when I'm not busy!! I also want to stress again that this was just a personal experience & by no means reflects the norm!

its different every night that i work, some nights can be less stressful and after everything settled down the other night it went well, apart from spending the rest of the night documenting, that can be continuous, a lot more than back home.. but i always think that some things cant be compared, they are like chalk and cheese.

but we love it over here regardless of the differences.

Specializes in med/surg.

You're absolutely right Cariad - lets face it - there's a massive difference between hospitals in the same city let alone different countries!!

As long as you find a job where you're happy & live a life that suits you then that's the best!

Specializes in surgical.

just thought i'd add my two penneth worth, i work in obs/gynae on a now downgraded to 8 bedded unit.there are 8 beds on the unit with capacity for 12 should the space be required. it specialises in all gynaecology surgery and gynaecological problems and provides care for gynaecology cancer patients and patients in pregnancies of up to 18 weeks gestation who are experiencing any problems. the unit also provides emergency care taking direct referrals from the ambulance service, gp surgeries, the hospitals own a&e and ladies can also phone the ward direct where they get a telephone consultation and advised to either attend the ward as an emergency, see their gp or reassured. all aspects of early pregnancy problems are dealt with including miscarriages, ectopic pregnancy and foetal abnormality and early stage social termination. in the course of a day i have to deal with all of that, inpatients and emergencies, telephone calls etc. the unit is more often than not opened to 12 inpatients, oh and i forgot to mention only 1 trained nurse with hca help, the unit last week had 96 emergency attenders and 36 inpatients through its doors, not bad going for 8 beds. last week on each shift i went home at 8 - 8.30pm instead of 7.30pm on one shift i had a ten minute lunch and 1 i didn't get a break at all, haven't had a coffee break for 4 years and people wonder why we uk nurses want to emigrate. no wonder i'm so tired:cry::bugeyes:

Specializes in med/surg.

Sounds about right! have you thought about working in the private sector?? It at least affords you some sanity when it comes to workload & educational support!!

There'll be a senior nurse post going at my hospital when I leave in the summer ;-) hehehe

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