Jump to content

Working in MedSurg with ONLY RNs...

Nurses   (4,933 Views | 50 Replies)

172 Profile Views; 1 Post

You are reading page 4 of Working in MedSurg with ONLY RNs.... If you want to start from the beginning Go to First Page.

vintagemother specializes in Med-Surg, Psych, Geri, LTC,.

2,703 Posts; 44,575 Profile Views

We staff only RNs for night shift. It is difficult, some nights, to say the least. When you might have 3 total cares and 2 needy pts...

Our ratio is 5:1RN. Sounds nice but it can be hectic.

Share this post


Link to post
Share on other sites

13 Posts; 389 Profile Views

I'm a new grad as well, I work in Montreal Quebec on a high acuity oncology/hematology floor. I have honestly never seen an RN only unit in all the hospitals I've done stage at in montreal. On my floor we have 3 pods and each pod has 3 nurses with 4 patients each. Each pod is assigned what we call a PAB who takes care of all of the feeding, cleaning, changing, answering call bells etc. we have a free nurse during the day who is not assigned patient but goes from pod to pod and assists any nurses who may need it. The assistant head nurses also pitch in and our nursing educator helps as well . Some other floors also have LPN's (nursing assistant) but ours is too high acuity. All floors in the hospital have a similar situation, some even have more PAB's then we do. I really think it might be your specific hospital.

Share this post


Link to post
Share on other sites

T-Bird78 has 6 years experience.

851 Posts; 14,353 Profile Views

I'm an LPN and the healthcare system I work for (Atlanta area) doesn't use LPN's in the hospital, just RNs and techs. The "techs" are actually LPNs but are categorized and paid as techs. I don't know the ratios but every time I've been a pt there, there's been one RN and one "tech" each shift, but I don't know how many pts they have. I'm in an outpt setting with the system.

Share this post


Link to post
Share on other sites

Fiona59 has 18 years experience.

1 Follower; 8,301 Posts; 53,242 Profile Views

I'm a new grad as well, I work in Montreal Quebec on a high acuity oncology/hematology floor. I have honestly never seen an RN only unit in all the hospitals I've done stage at in montreal. On my floor we have 3 pods and each pod has 3 nurses with 4 patients each. Each pod is assigned what we call a PAB who takes care of all of the feeding, cleaning, changing, answering call bells etc. we have a free nurse during the day who is not assigned patient but goes from pod to pod and assists any nurses who may need it. The assistant head nurses also pitch in and our nursing educator helps as well . Some other floors also have LPN's (nursing assistant) but ours is too high acuity. All floors in the hospital have a similar situation, some even have more PAB's then we do. I really think it might be your specific hospital.

Are you saying LPN's are being used as care aides?

No wonder so many want to leave la belle province!

Share this post


Link to post
Share on other sites

CocoBug20 has 1 years experience.

14 Posts; 152 Profile Views

I'm curious now seeing all of the different terms used in both countries- can an American trained nurse move to Canada and get a job or would she have to re-train like in some other countries?

Share this post


Link to post
Share on other sites

13 Posts; 389 Profile Views

Are you saying LPN's are being used as care aides?

No wonder so many want to leave la belle province!

I didn't say that at all... care aids are PAB's. I said LPN's don't work on our floor because of the acuity, but on the floors they do work they work at full scope of practice...

Share this post


Link to post
Share on other sites

13 Posts; 389 Profile Views

I'm curious now seeing all of the different terms used in both countries- can an American trained nurse move to Canada and get a job or would she have to re-train like in some other countries?

From what I recall you would only have to transfer your license, most Canadian provinces do the NCLEX as well.

Share this post


Link to post
Share on other sites

theRPN2b specializes in Medicine.

144 Posts; 4,527 Profile Views

I'm curious now seeing all of the different terms used in both countries- can an American trained nurse move to Canada and get a job or would she have to re-train like in some other countries?

You would have to contact the nursing governing body of the province you'd be interested in working,as each one might have slightly different requirements

Share this post


Link to post
Share on other sites

Fiona59 has 18 years experience.

1 Follower; 8,301 Posts; 53,242 Profile Views

I didn't say that at all... care aids are PAB's. I said LPN's don't work on our floor because of the acuity, but on the floors they do work they work at full scope of practice...

What you did say was LPNs (nursing assistants). Huge difference. A nursing assistant doesn't have a practice permit, isn't permitted to wound care, assess or medicate patients. These are all duties performed by an LPN.

Share this post


Link to post
Share on other sites

275 Posts; 3,908 Profile Views

They've gotten rid of a lot of LVN/LPN positions in hospitals over the past few decades in the US. A lot of it had to do with saving money, as you don't have to pay a tech or a CNA as much an LPN. The problem with this is is that you CAN'T delegate skilled nursing tasks to CNA's/techs that you can to an LVN/LPN. So that leaves the RN with a hell of a lot more work because they have to do ALL of the skilled nursing care.

Share this post


Link to post
Share on other sites

13 Posts; 389 Profile Views

What you did say was LPNs (nursing assistants). Huge difference. A nursing assistant doesn't have a practice permit, isn't permitted to wound care, assess or medicate patients. These are all duties performed by an LPN.

What? I'm confused here... A nursing assistant is an LPN, who have a license, and can most certainly do wound care, assessments or medicate patients, I never said that. Your sentence contradicts itself. I only said that LPN's don't work on MY floor because the patients are critically ill. We have the nurses, and the PAB's which is the french term for "care aid". LPN's work as LPN's on the floors they work on, not as care aids.

Share this post


Link to post
Share on other sites
×