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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?![]()
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!
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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!
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gwenith, BSN, RN
3,755 Posts
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.