I JUST found out yesterday that California is the only state with patient ratios. So in other states nurses can have 10 patients or six or a million? I’m not sure how I didn’t know this about my profession but please fill me in people. How many on average do you have? Is there ancillary staff to adjust with the extra load?
How do you make that work?
Depending on the unit, the most I can get is when I’m at emerg and that’s 5-6. But even at emerg, it depends on what section they assign me to. I float around in our critical care units and the ratio is always 1 to 2 pts per RN.
Keeping a ratio of 4-5 pts per RN should be a standard for floors cuz it really isn’t safe to have 7-8.
and you really don’t want the next shift to have to start their day like that
Happened when I was the incoming rn. The outgoing rn had a terrible night and I told her to go home and sleep but she felt so bad she ended up staying to help change it.
Pretty much the best learning opportunities you can get in nursing is when you’re thrown into the water. I wasn’t necessarily thrown into the deep end and left to drown today, I had awesome support, but I’m in the critical care resource pool so the last time I was floated to ICU to an intubated pt on a rate and a beta blocker infusion running was…5-6mos ago. I was at our cardiac science unit though and that pt was pretty sick. And and And, I had to travel for a CT abdo/chest.
But anyway, back to being thrown in the fire. I like floating to our different critical care units. It offers me a range of skills and expertise; it also allows me the chance to gain them. But, I don’t get to have an intubated pt on a rate and this kind of sick this often. I float. I’m in and out. I know that I like hearts and I like critical care. Am I ready to settle down on one unit yet? Yes. But I also LIKE NOT getting into the unit politics and gossip BS that goes down. And, I like the different units, personalities, and environment that I get to see. I don’t get stuck on one unit. Gah. But I need to fine tune my critical care nursing skills more.
…and you get to sort them out while your patient and their entire family watches you and all of the IV pumps are beeping nonstop.
Uh, try my pt was intubated today with a triple IJ and an art line and on the monitor.. Had to go to CT scan and let’s just say it took me almost 5mins to untangle everything as the porters, RT, radiologist watched and tried to help.
I love her. She breaks my heart again and again, but I love her.Troy - Reality Bites (1994)