What nurse/patient ratios do you work with?

Nurses New Nurse

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I'm just curious as to how many patients other nurses have. In my last semester of nursing school, during preceptorship, I had 5 patients, which would be reasonable except that these patients were difficult. Because I have chosen to work in a community hospital, most patients are very sick when they finally get care (because sadly they're uninsured) and have additional health issues other than the reason for admission. Here, in the southwest, we have ALOT of diabetic patients (fingersticks, insulin, dialysis and wound care, especailly on their feet). Often, I'll have an isolation patient. A couple of patients usually have critical morning lab values (that means calls to the MD's before I can even start assessments). And often I'll get one of those patients whom you can set your watch by because they're on their call light wanting their pain meds. And in the afternoon, I usually get a fresh post-op or an admission from the ED. Also we don't have computer charting (all paper!).

I love nursing and I love the hospital I'm at because everyone (from the doctors to the housekeepers) is wonderful. We really feel we're being of service to God. But, as a new nurse, I always feel I'm so far behind in my work. I often eat while I chart or skip lunch all together (and eat a protein bar on the fly). It's not usual for me to stay until 8 pm to catch up on charting. When I was in clinicals (at a different hospital where I got plastic surgery patients and "easy" patients), I had all my assessments done and charted and morning meds passed by 0930

Am I whining or are my patient teams as heavy as they seem? What kind of patient ratios do you all work with? Thanks for your feedback.

Specializes in ER.

i work in a very busy er on the west side of chicago and our ratio for anything other than lower acuity is 3:1, as it should be. if we are on "green team" it is 4:1 and if we are in fast track it is 5:1. these are some pretty decent ratios for most hospitals and they should be mandated by law.

and yes, the business/profit model does not work in health care.

Specializes in PeriOp, ICU, PICU, NICU.

I work medsurg/tele floor noc shift = 8:1

I work 7p-7a med/surg/tele unit. Usually start out with 6-7 pts but can end up with 8-10 with the admits. There are many nights that I feel that all I did was minimal care. Sometimes I feel like charting ATBBFDW (appears to be breathing from doorway). Luckily I work with a great group and we all pitch in to help each other whenever possible. Like most hospitals, the bottom line is $$$. More nurses would be of benefit to the patients and staff but not to the profits. Maybe if administration, don, managers all went on the floor and had to actually work instead of walking through, they would see what really happens instead of living in their dream world of "we're in the money".

Specializes in Psych.

I work in a small community hospital and several years ago they decreased the ratio so that they could keep nurses. It worked, the percent who stay is now above 90%. I figure they had to do this to compete with the large, well-known hospitals within commuting distance that pay a little better. To me, it's much better to have a reasonable workload (and maybe less "exciting" patients) than make a little extra money. And you better believe that all the nurses know what the ratios are all the hospitals around here!

BTW, on my Med-Surg Tele floor, it's 4:1 days, 5:1 evening, 6:1 nights. I think Days and Evenings are backwards. On the Surgery and Cardiac units it's less for each shift (I know Cardiac is only 4:1 at night, as I've floated there).

This was the #1 reason I picked this place to work. Everywhere else I looked had worse ratios. I thought it would be boring after doing my internship at a large big-city hospital but I'm not bored, I still am learning a lot. And I'm grateful that I can often get out on time.

Specializes in OBGYN, Neonatal.

I'm an OB nurse and we have been having 5 - 7 couplets per nurse (meaning 10-14 patients considering mom and baby each a patient) with 5 being more common and then you will get one to two admissions in the course of a shift, sometimes the assignment has a few moms only (if the baby is in nicu). That is very full for our unit. We do not usually have aides so that means we do our patient care plus pass and pick up meal trays, all vital signs, bed changes, etc. Sometimes we will get an aid and then we are super happy and will bend over backwards to thank our aides who are awesome when we do get them! :):)

Its probably crazy everywhere, at least thats what I keep telling myself LOL!

Specializes in OBGYN, Neonatal.
Nursing shortage is there not because the hospitals are unable to get nurses!!!!!!! Firstly, they are unable to keep nurses due to the high nurse patient ratio....they quit and go to some other speciality. Secondly, management wants to save money by not increasing the number of nurses per shift.

As new graduate nurse I have noticed the floor assignment for senior staff is less patient vs the new graduate nurses. Even if the new nurse stays longer to complete her/his assignment the management pays them less vs if a senior nurse would be paid for the overtime.

To me the shortage is a self created one....it is a money saving agenda vs nurse patient ratio.:banghead::banghead:

Ditto ditto ditto ditto oh yeah did I say ditto? I do believe from what I've seen in my short (10 month) career as a nurse, that staffing deficiences are often self created b/c management (or someone anyway) doesn't want to spend the money to have x number of nurses on the floor. It stinks! :angryfire

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