What is the Registered Nurse Patient Ratio at your hospital?

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Specializes in ICU.
I work on a critical care unit nights. We generally have 3 to 4 patients with once in a great while 5 if staffing is short. If we are titrating drips then we try to keep it at a 3:1 ratio

That is a crazy ratio!!!

floridaRN38

186 Posts

Boca Regional ED 4:1

Baptist ED iN Dade county 4:1 or 3:1 due to acuity

Delray Trauma Center 5or6 to one in ED.

HOPE THIS HELPS!!

Specializes in ICU.

I work in a specialty icu where the ratio of patient to nurse is 2:1 or 1:1. Never any higher than that. We close rooms down if we don't have the staff.

BSN16

389 Posts

Specializes in ICU, trauma.
I work in a specialty icu where the ratio of patient to nurse is 2:1 or 1:1. Never any higher than that. We close rooms down if we don't have the staff.

My ICU has the capabilities to hold 25 pts, however due to staffing concerns we only have 16 rooms open. Still working on building up our staff to be full and functioning.

TiffyRN, BSN, PhD

2,315 Posts

Specializes in Nurse Scientist-Research.

Neonatal ICU in the Southwest.

Depends on the acuity of the infant. The vast majority of the assignments are 2 infants to 1 nurse.

The least acute infants (minimal respiratory support etc. . . ) are 3 infants to 1 nurse.

The sickest infants will have 1:1, I have seen 2 nurses for one infant, but that is usually just for a couple of shifts. We don't do ECMO.

It is very important to figure in ancillary help. Where I work, we moved all our non-licensed into secretary positions a few years ago. Their responsibilities are purely clerical and managing visitor traffic flow at the front desk and cleaning equipment. When we had bedside support staff, we took more infants per nurse.

Specializes in Emergency.

Cardiac...5:1 most days...4:1 on a good day...rarely 6:1

floridaRN38

186 Posts

Wow. That many per nurse in the ER. how the heck do u know who your pts r. My friend worked in NYC and said it was like that. She pretty much said she did a "roll call" to make sure she knew which pts were which. Crazy

Specializes in Med-Surg/ ER/ homecare.

I guess things are bad in nj.

HeySis, BSN, RN

435 Posts

Specializes in PACU.

When I did Med/Surg we were 4:1 or 5:1

Surgical was 5;1 on days, but normally there'd be a couple of hours in the morning that your patients are with PT, so you can catch up on charting, get discharge instructions in order and use the bathroom.

In the PACU now 1:1, I'm told that every once and a great while there'll be a 3:2 ratio, and we have a transporter/tech for the unit during the busy part of the day.

Specializes in ICU.

Cardiac/medical ICU

1:2

1:3

Very often have 1:3. Sometimes almost the whole floor 1:3.

We can have two vented pt.s and still have a third.

Not unusual to call safe harbor once a week.

S.O.S.- TX

oncivrn

52 Posts

Midwest hospital oncology floor:

1 nurse: 5 patients

On rare occasions we had 4 patients and that was perfect.

Now I do outpatient infusion and we have 3 patients at a time, probably do 8 infusions average per nurse per day.

Specializes in MICU/CCU, SD, home health, neo, travel.

Last place I worked, big city hospital in VA, Progressive Care. When I was hired I was told it would be 1:4 with a tech. Big laugh. On nights it was always 1:5, no tech in sight. It's since been combined with the Cardiac Step-down next door and it's even worse than it was. My best friend from that unit has transferred to another one with a better ratio. I've been gone from there awhile and I'm retired now.

Before that I was a travel RN. Some assignments: Cardiac Observation, NE TN, nights, 1:3-4, no tech; Tele, No VA, nights, 1:4, tech always; Progressive Care, western MD, nights, 1:3 usually, tech always; Tele, central VA, weekend days, 1:6-7, tech; Cardiac Intermediate, eastern NC, nights, 1:4, tech always; ICU, Beltway area, nights, 1:2 usually, tech mostly; Progressive Care, southern OH, 1:3, rotating, tech always.

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