What does 1:1 mean exactly?

tigerRN2013 · Mar 22, 2014

It depends on your institutions- some hospitals will automatically assign just one nurse to a high acuity patient who has lots of equipment to manage....other hospitals (like where I work) will pair most patients even if it is 2 patients who have cvvh going, ect.

eCCU · Mar 25, 2014

TigerRN2013 ....is right depends on the facility policy as well as your Board of Nursing rules and regulations.

My facility charge doesn't take on any patients and yes that decision did not come easy! 1:1 automatic for all train wrecks.

catlunde · Mar 25, 2014

Hospitals and nurses thinking generally different. How do you feel about charge for 8 patients plus and plus charge? I think SERIOUSLY wrong and unsafe where does it stop..

catlunde · Mar 25, 2014

Boards of nursing have nothing to do with 1:1 policiesa seems wrong. How about the patients. If I knew I was a1:1 and my nurse was responsible for charge and something happened or didn't yeah I'm complaining! THink about the patients where are they ain any assignment scenerio in 2014!

eCCU · Mar 26, 2014

Boards of nursing have nothing to do with 1:1 policiesa seems wrong. How about the patients. If I knew I was a1:1 and my nurse was responsible for charge and something happened or didn't yeah I'm complaining! THink about the patients where are they ain any assignment scenerio in 2014!

Actually it does depend on your Board of Nursing and how far they go to protecting pt safety. ...

Safe Harbor (SHPR), which may be initiated by a LVN, RN or APN prior to accepting an assignment or engaging in requested conduct that the nurse believes would place patients at risk of harm, thus potentially causing the nurse to violate his/her duty to the patient(s). Invoking safe harbor in accordance with rule 217.20 protects the nurse from licensure action by the BON as well as from retaliatory action by the employer.

So yes it depends on your state board. Once invoked the CNO must be notified in my facility. Very rare because in my experience when a nurse invoked it they found a nurse really quick than call the CNO!