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I'm still orienting but I take on about 5-6 patients. Normally we will have 6-7 sometimes 8. I work in NYC. What are the ratios in other states or hospitals? 7 patients is crazy! Granted, not all are super sick, but still, time management is one of the top skills needed, perhaps the hardest for a new nurse. Thoughts?
3-5 depending on acuity, more often than not 4:1. Trauma bay 3:1, but usually 2:1 because we reserve one room for the traumas that will need the level 1, intubation, etc., which we don't get every day. But of course, any nurse that has an actively dying patient will get help from other nurses whose loads are lighter.
We get as many as we get, meaning it can be as few as 5, and on a particularly bad night up to 12+ EACH! Completely unsafe, and the pt load depends on how busy the ED is as well as staffing. This is a level 1 trauma ED in NYC. Whoever posted that working NYC EDs was similar to working in third world countries was spot on in their assessment. I've done both, and it ain't much of a difference :-(
After thinking about it, I am not sure any of these numbers have a lot of meaning. While, as I posted above, our 'standard' is three, often with a fourth 'hallway appropriate' patient, we are expected to get our patients out within 2 hours in most cases (admitted or discharged). So we are just as busy as those with 'up to 12+' each, I would *assume*.
I can't imagine moving those patients very quickly when, as the math calls for, you only get to spend 5 minutes per patient per hour. YIKES!
DC :)
sleepRN, ADN, BSN, RN
19 Posts
Med-surg 4-6:1 on days and eves. 7:1 on nights.