staffing ratio in critical access hospitals

FL_Nurse92 · Dec 14, 2015

On my floor (PCU) we range from 1:4-1:5

kskarzin91 · Dec 14, 2015

We have set ratios in all areas. My hospital is a non-profit magnet hospital if that makes a difference. Medsurg is 1:6 max. Intermediate/PCU is 1:4 max and ICU's are 1:2. ED is 1:4. We have a very large float pool and PRN's that Will come in at 1100 or 2300 if needed to maintain ratios. And charges take patients sometimes if needed so floor nurses aren't shafted

VANurse2010 · Dec 15, 2015

In a perfect world: 1:1 ICU for any devices beyond vents with minimal support, 1:2 ICU, 1:5 M/S, 1:4 telemetry, 1:3 IMU.

In a reasonably non-dangerous world: 1:2 ICU, 1:6 M/S, 1:5 telemetry, 1:3-4 IMU.

Neural · Dec 15, 2015

3-4:1 for the floor.

2-3:1 for progressive care (usually 2:1).

1-2:1 for critical/intensive care.

We count both LPN and RN in the nurse-to-patient ratio, but the LPN only work on the floor, not progressive or critical/intensive care. For instance, 5 patients with 1 RN and 1 LPN for a 2.5:1 ratio.

bouncingbird · Dec 16, 2015

Awesome! I thought a float pool/prn like you describe was a fantasy. It is a fantasy in my area. Glad to hear this kind of support exists somewhere. :)

kskarzin91 · Dec 16, 2015

Not a fantasy. I am actually going to PRN soon. Large incentives to do so and you can work full time hours if you want. $10 more dollars an hour. Catch is they can float you anywhere within your experience so I can go to any med surg floor.