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whats the average nurse/patient ratio

mka126RN mka126RN (New) New

I was offered a job at a nursing care/rehab center, and I just found out that its a 40 bed unit. The nurse/patient ratio is 1:20. I think this ratio is unsafe and crazy....I was also offered another job on a cardiac unit in a hospital. The nurse/patient ratio on that unit is 1:8....

I have no experience with cardiac nursing, just rehab. I don't know which I should take.....any suggestions?:confused:

I was offered a job at a nursing care/rehab center, and I just found out that its a 40 bed unit. The nurse/patient ratio is 1:20. I think this ratio is unsafe and crazy....I was also offered another job on a cardiac unit in a hospital. The nurse/patient ratio on that unit is 1:8....

I have no experience with cardiac nursing, just rehab. I don't know which I should take.....any suggestions?:confused:

gwenith, BSN, RN

Specializes in ICU.

What is the accuity?

!:8 sounds LOTS better than 1:20 but if the eight patients are all unstable requiring multiple interventions while the 20 patients are all self-caring independant then you are beeter with the 1:20.

For further information look up the term "patient nurse dependency"(PND). One of the BIG pushes here in Aussieland is to use PND computer programs to accurately assess nursing requirements per shift.

gwenith, BSN, RN

Specializes in ICU.

What is the accuity?

!:8 sounds LOTS better than 1:20 but if the eight patients are all unstable requiring multiple interventions while the 20 patients are all self-caring independant then you are beeter with the 1:20.

For further information look up the term "patient nurse dependency"(PND). One of the BIG pushes here in Aussieland is to use PND computer programs to accurately assess nursing requirements per shift.

MelRN13

Has 9 years experience. Specializes in critical care, med/surg.

Our cardiac telemetry is 1:6, not counting support staff. We've explored this issue numerous times, try the search button in the upper right hand corner, and you may find what you're looking for!

Good luck on your decision.

MelRN13

Has 9 years experience. Specializes in critical care, med/surg.

Our cardiac telemetry is 1:6, not counting support staff. We've explored this issue numerous times, try the search button in the upper right hand corner, and you may find what you're looking for!

Good luck on your decision.

LilgirlRN, ADN, RN

Specializes in ED staff.

Look for another job. You don't HAVE to take either of these jobs.

LilgirlRN, ADN, RN

Specializes in ED staff.

Look for another job. You don't HAVE to take either of these jobs.

I would look for another job.

Our tele was 1:8 and it was TOTALLY insafe.

I would look for another job.

Our tele was 1:8 and it was TOTALLY insafe.

live4today, RN

Specializes in Community Health Nurse.

On dayshift, our telemetry unit's nurse/patient ratio is usually 1:5...no more than 1:6. It's more than enough to care for when they are cardiac telemetry patients. :)

gwenith...we call PND's Patient Acuities in American hospitals.

live4today, RN

Specializes in Community Health Nurse.

On dayshift, our telemetry unit's nurse/patient ratio is usually 1:5...no more than 1:6. It's more than enough to care for when they are cardiac telemetry patients. :)

gwenith...we call PND's Patient Acuities in American hospitals.

gwenith, BSN, RN

Specializes in ICU.

Ta cheerfuldoer different language. I don't join in the patient nurse ratio arguement a lot since we have a DIFFERENT hospital setup here in Australia.

gwenith, BSN, RN

Specializes in ICU.

Ta cheerfuldoer different language. I don't join in the patient nurse ratio arguement a lot since we have a DIFFERENT hospital setup here in Australia.

1 Rn per 8 pts sounds unsafe to me. I spent the past 3 years on a tele floor. We staffed 1:4 for days, 1:5 pms, and 1:6 nocs. Sometimes the RNs would be responsible for an additional 2-4 pts shared with an LVN. We had 1 CNA per 12 patients days & pms, often NONE on nocs. Sounds dreamy in theory, but factor in some VT, chest pain, nitro drips, cardizem drips, a couple cardioversions here & there, post heart caths, EKGS, etc. and it can get really hairy.We had a lot of overtime on that floor...an hour a day not unusual, and often no breaks.

I would ask for a tour of the unit...find out what kinds of patients they take. Is there a teletech? Is there a lead RN? Does the lead RN take an assignment? Are you expected to "cover" LVNs? Do they staff any better for certain higher acuities (some floors will add a "kicker" where if you have a cardiac drip, you get one less patient).

If you have never worked tele before, I would find out if they pay for your dysrhythmia/ACLS classes. How much precepting will you get?

Why not ask if you can shadow a nurse for a few hours? You might get a better idea of the job requirements.

Hope you find the best job for you! Keep looking, and don't settle for less. There are some decent jobs out there. Good luck!

:cool: ;)

1 Rn per 8 pts sounds unsafe to me. I spent the past 3 years on a tele floor. We staffed 1:4 for days, 1:5 pms, and 1:6 nocs. Sometimes the RNs would be responsible for an additional 2-4 pts shared with an LVN. We had 1 CNA per 12 patients days & pms, often NONE on nocs. Sounds dreamy in theory, but factor in some VT, chest pain, nitro drips, cardizem drips, a couple cardioversions here & there, post heart caths, EKGS, etc. and it can get really hairy.We had a lot of overtime on that floor...an hour a day not unusual, and often no breaks.

I would ask for a tour of the unit...find out what kinds of patients they take. Is there a teletech? Is there a lead RN? Does the lead RN take an assignment? Are you expected to "cover" LVNs? Do they staff any better for certain higher acuities (some floors will add a "kicker" where if you have a cardiac drip, you get one less patient).

If you have never worked tele before, I would find out if they pay for your dysrhythmia/ACLS classes. How much precepting will you get?

Why not ask if you can shadow a nurse for a few hours? You might get a better idea of the job requirements.

Hope you find the best job for you! Keep looking, and don't settle for less. There are some decent jobs out there. Good luck!

:cool: ;)

WOW you guys are complaining about 1:8? Our sugical tele floor on nights is 1:12 and the med tele is even higher.

WOW you guys are complaining about 1:8? Our sugical tele floor on nights is 1:12 and the med tele is even higher.

Incredible, Kewl

Maybe those nurses should let their feet do the talking.

Incredible, Kewl

Maybe those nurses should let their feet do the talking.

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