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We have a 4 : 1 rato that we try to stick to. Occaisionally we end up with 5 if we are short a nurse. But as you know that you may have HAD 6 throught the shift if you had 2 discharges then got 2 admits. (aaahhh day shift)
I work on med/surg tele floor in Massachusetts. On day shift we have 4 or 5:1, eves 5 or 6:1, nights 6 or 7:1, can take up to 8. We almost always have CNAs and secretaries. On noc one secretary for the whole hospital, so Rns often have to enter all the orders themselves. I wish the supervisors took acuity into consideration, but they usually don't. Assignments are made relying on numbers only. They do try to give you the same pts from previous day, and they group patients into blocks of nearby rooms.
KAYBDT6, BSN, RN
1,602 Posts
5 to 1!