What is your nurse/patient ratio?

CapeCodMermaid, RN · Mar 26, 2014

My long term 60 bed units...1:30, all stable patients plus and desk nurse and a nurse manager.

Long term 46 bed unit: 1:23 plus a desk nurse and a nurse manager

Short term (with half long term) 46 beds: 1:23 plus a desk nurse, a nurse manager, and a unit secretary.

That's the day shift. Evenings 2 nurses on each unit. Nights..1 nurse on the 2 long term units and 2 nurses on the short term unit.

It works for us.

GulfcoastFLRN · Mar 26, 2014

Sounds like your PPD is higher. We do have a unit manager for each unit but no desk nurse. Our ppd is 1.08 for nurses which includes unit managers but does not include me (adon/sdc/infection control) it's very hectic to say the least!

NurseGuyBri · Mar 30, 2014

Hi again, GulfCoast! My facility is 120 bed mixed skill. On days and evenings, we are 1:30. On Nights, we are 1:60. Each unit has a unit manager and there is an RN in addition on every shift (24h/day). My NHpPD is approx. .95 on a bad day if we are full to 1.15 and CNA's run about 3.03 ppd. My skilled patients are mixed throughout, with approx. 20 at any given time throughout the building.

LLinsen928 · Jun 5, 2014

I work in a 120 bed LTC/SNF in FL. We have a LTC unit with 60 beds and the ratio is 1:30 an all three shifts. Our ST rehab unit has 60 beds as well and the ratio is 1:15. We are looking at adding another nurse on that unit to make the ratio 1:12 on 7-3. 3-11 the ratio is 1:15 and 11-7 is 1:20. We are also looking to hire a unit secretary for the ST rehab unit . Both of our units have Unit Managers and we have a DON and an ADON. We have shift supervisors on 3-11 and 11-7 too. Our average daily census is 115.

GulfcoastFLRN · Jun 5, 2014

I work in a 120 bed LTC/SNF in FL. We have a LTC unit with 60 beds and the ratio is 1:30 an all three shifts. Our ST rehab unit has 60 beds as well and the ratio is 1:15. We are looking at adding another nurse on that unit to make the ratio 1:12 on 7-3. 3-11 the ratio is 1:15 and 11-7 is 1:20. We are also looking to hire a unit secretary for the ST rehab unit . Both of our units have Unit Managers and we have a DON and an ADON. We have shift supervisors on 3-11 and 11-7 too. Our average daily census is 115.

That sounds fantastic! Our avg census is 98-100 and we don't have half that staff.

NurseGuyBri · Jun 14, 2014

Unfortunately, I just left a company with this being one of the major concerns. It was a 30:1 nurse ratio on the floor and 1 unit manager for 60 patients. No desk nurse. It was a mixed skill unit (about 25% skilled). It is way too much and very unsafe. My new company has many, many facilities, and the standard seems to be about 12-18 skilled per nurse on skilled care or 20-25 long term per nurse on non-skilled, plus a Unit manager for each 45 patients, supervisor all shifts, and lots of support from other departments and corporate. It's quite refreshing!

NurseGuyBri · Jun 14, 2014

Just for comparison, my old company PPD was generally 0.98 to 1.03 - RIDICULOUS - with only 0.23 (high average) of that being RN. My new company is much closer to DOUBLE that at average 1.9 to 2.2 NURSE (not cna, NURSE) ppd with 1.0 RN. So much better, the care truly shows! (and these is a similar skill mix from old company)

BerryhappyRN, MSN, RN · Jun 17, 2014

Ok, so I'm feeling really spoiled. On our rehab/long term floor, it's all mixed but we have 49 beds and 2 nurses at all times unless the census drops below 38. Then its 2 nurses on days, and 1 nurse at night. No unit secretary, just me the ADON doing my work and helping out on the floor.

marvelmom · Oct 9, 2014

Our day shift is 2:33 and night shift, which is my shift, is 1:33.

TardisMom · Oct 10, 2014

Ours is 1:20 on 7-3 and 1:30 on other shifts on the 60 bed units. On the 38 bed unit it is 1:38 all shifts. No desk nurse or anything like that.