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no more techs for us....

Posted

Specializes in Emergency Room.

Small ER, (14 beds, 5 fast track from 11-2300). See about 100 per day during busy winter season (now starting, yeah:o). Been having 4:1 ratio (which I think is too high). Now......mgmt has fired all techs. No more techs. ????????? Something about having more nurses instead (hasn't happened). They base the amt of nurses allowed by how many patients we see. This seems so backwards; how do you know how many patients you are going to see???? You can't know until the day is over!!

Does anybody work in an ER without tech? We used to have only 1 tech for each 12 hr shift, but they were soooo much help. Now we do everything ourselves. If we can't, we have to find another nurse to help. We are all so busy, this is difficult. No float nurse, charge takes triage or full assignment.

ick

opinions?

I want my techs back.

I know they did this at a hospital near me, my mom refused to work for the group of hospitals because they fire all their techs. Then when everything has gone to heck and all the nurses have left they rehire the techs. It happens every couple of years, housecleaning to get rid of experienced nurses I imagine.

If your place is going down this road I would bail it's just not worth the stress and heartache. I would try to find out if this is a pattern with this place.

Best of luck!

ERRNTraveler, RN

Specializes in Peds, ER/Trauma.

a 4:1 ratio isn't that bad, it's pretty much standard nation-wide. In some areas, like New York City, the ratio is as high as 8:1 (which is pretty ridiculous), but 4:1 is basically standard.

bill4745, RN

Specializes in ICU, ER. Has 15 years experience.

We have 4:1 with 2 techs, a float, and a charge with no patients.

S.T.A.C.E.Y, LPN

Specializes in Emergency. Has 2 years experience.

4:1 is what I've heard as standard. And techs, well we have one, but all the tech does mostly is just stock supplies. Other than that, its all on the nurses.

mom2michael, MSN, RN, NP

Specializes in Rural Health.

My PRN job doesn't use techs and we have a 3:1 or 4:1 (depending on time of day) ratio. One a great day, we have a float RN or Medic that can double during our busier times, but since that doesn't happen often....we usually do it all w/o a tech or an extra set of hands.

My full time job uses techs, but our techs are mainly to stock, order supplies and give breaks to admission people. They don't do much in the line of patient care anymore.

MAISY, RN-ER, BSN, RN

Specializes in ER/EHR Trainer. Has 6 years experience.

4:1 patient ratio in 55+bed ER. Tech assigned to approx 10 beds-as ekg tech too! Never enough technicians! Don't know about you guys, but we have been holding patients quite a bit, so patients with a million orders and MI next to each other. Not a good combo. What kills me is that on the floors, orders are put up by secretaries, labs drawn by phlebotomy, neb tx given by RT, test follow up performed by unit clerk, etc etc. HOWEVER, while patient remains held in ER I must do all of the above, and care for my respiratory distress, MI or anything else. Lately, we have gone 5:1 and 6:1. Even using Fast track for complex patients. That's another whole story! Can you imagine? A steady stream of minor injuries, that need whole package-triage, notes, discharge AND several workups that need the works!

ER is getting tougher and tougher.

Stay safe. Hoping your patient loads are manageable.

Maisy

Uptoherern, RN

Specializes in Emergency Room.

our secretary ( which butt must be firmly planted at her desk due to high volume of calls,orders, requests, etc., is now expected to "get up off her butt" and do tech work. HA HA HA! IF she has time to do "tech work" who ever is next to phone or can put orders into computer has to take over her work. What a bunch of bull. Of course, mgmt thinks this is great.

kstec, LPN

Specializes in Geriatrics/Family Practice. Has 1 years experience.

JMO, LPN's would be a great attribute to ER's. I would love too, even if it was a tech. We could do EKG's, resp. treatments, dressing, stocking, start IV's, give po meds, hand stock IV solutions, help with "data collection", not assessments, observe psych patients while the RN is doing other things and so much more, but no, we must stay in the nursing homes doing that stuff. And yes the hospitals around here use techs in ER, but no they are not LPN's, they are CNA's with special training. Sorry just had to put my two cents in, I'm one of those LPN's who just wants to be utilized and am not, please continue your thread.

Uptoherern, RN

Specializes in Emergency Room.

i would take anyone. We have LPN's, they are great.

AnnieOaklyRN, BSN, RN, EMT-P

Specializes in ED, Pedi Vasc access, Paramedic serving 6 towns.

I almost feel spoiled, almost. I work in a 25 bed ER (not including our 5 non-urgent beds), we have a 4:1 ratio which is fine and 3-4 techs on at a time. We see about 55,000-60,000 patients a year. I can honestly say if management said adios to the techs I would be saying adios to management.

Sweetooth

S.T.A.C.E.Y, LPN

Specializes in Emergency. Has 2 years experience.

wow.....4:1 ratio plus 3-4 techs for the department! That must be awesome....must leave you with so much time to actually assess and follow up with patient care.

We don't have any tech's in our ER but we only see about 30 a day. We have 3 RN's during the busy times of the day.

BriBriRN

Specializes in Cardiac, ED.

4:1 patient ratio in 55+bed ER. Tech assigned to approx 10 beds-as ekg tech too! Never enough technicians! Don't know about you guys, but we have been holding patients quite a bit, so patients with a million orders and MI next to each other. Not a good combo. What kills me is that on the floors, orders are put up by secretaries, labs drawn by phlebotomy, neb tx given by RT, test follow up performed by unit clerk, etc etc. HOWEVER, while patient remains held in ER I must do all of the above, and care for my respiratory distress, MI or anything else. Lately, we have gone 5:1 and 6:1. Even using Fast track for complex patients. That's another whole story! Can you imagine? A steady stream of minor injuries, that need whole package-triage, notes, discharge AND several workups that need the works!

ER is getting tougher and tougher.

Stay safe. Hoping your patient loads are manageable.

Maisy

I hear ya Maisy....It's the same in our ER. And to any floor staff reading this....this is why we didn't get that paper work done...hehehehe

hospitalstaph

Specializes in ER. Has 3 years experience.

JMO, LPN's would be a great attribute to ER's. I would love too, even if it was a tech. We could do EKG's, resp. treatments, dressing, stocking, start IV's, give po meds, hand stock IV solutions, help with "data collection", not assessments, observe psych patients while the RN is doing other things and so much more, but no, we must stay in the nursing homes doing that stuff. And yes the hospitals around here use techs in ER, but no they are not LPN's, they are CNA's with special training. Sorry just had to put my two cents in, I'm one of those LPN's who just wants to be utilized and am not, please continue your thread.

We do use techs (mostly senior RN students) who do everything that you decribed except the PO meds and RT treatments. We would welcome LPN's but I doubt any LPN would want to work for tech pay of $12/hr. Our ER seems to use the senior RN students as a way to recruit staff and it works very well.

LoveMyBugs, BSN, CNA, RN

Specializes in Pediatrics.

In my ED,(24 beds) the nursing ratio is 3:1, and depending on the room 2:1, with one RN as a task and one RN who floats, and the charge RN. There are two CNAs in the back one for each 12 bed pod. We also have a fast track with one doc, one RN, and one tech. There is also a CNA who also is just for helping the triage nurse. I think that we see on average 120 people a day. The cardiology department does all EKG's up untill 9pm, and then (we/I) the CNA's do them. My hospital is also now requiring that all CNA's become a level II CNA and for us in the ED they are going to put us through phelbotomy training so we can start blood draws, along with a splint class, casting class and basic wound care class, so we can do more than stock and transport patients.

longjourneydream

Specializes in ER/ medical telemetry.

We have 4:1 with 2 techs, a float, and a charge with no patients.

That right there sounds realistic...

That is what they try to go with in our ED, but many times it is no techs, a charge with an assignment and a 4:1 that at times turns to a 6:1 (only for a short while) very frustrating, when you cannot even help your co-workers, d/t keeping your own head above the waters.

The thing is they tell me to delegate, but many times there is no one to delegate to...

What is an ER nurse to do? :down:

CainRN

Specializes in CVICU, ER, Flight. Has 5 years experience.

I'm a bit curious, what are your techs responsibilities? I work as a tech in an ICU, but most of my day is consumed with baths. I would imagine baths are few an far between in the ER. I would guess there would be a lot of EKGs, but what else?

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