http://health.groups.yahoo.com/group/NIHMBL/ NIHMBL - Nurse Manager List Tue, 08 Jul 2008 17:06:20 GMT hbelott http://health.groups.yahoo.com/group/NIHMBL/message/3295 http://health.groups.yahoo.com/group/NIHMBL/message/3295 Hello, Our hospital is looking at starting a cardivascular center. We will have an interventional vascular surgeon performing procedures from varicose vein Tue, 08 Jul 2008 17:06:14 GMT andrew Harding http://health.groups.yahoo.com/group/NIHMBL/message/3294 http://health.groups.yahoo.com/group/NIHMBL/message/3294 Step Down: AACN: 1:2 to 1:4 (RN to patients) DHPPD: 8.8 to 12 (think about your acuity) Getting MD buy-in to sending patients from the ED or ICU is tough.  Tue, 08 Jul 2008 17:05:42 GMT ACMUCHA@... http://health.groups.yahoo.com/group/NIHMBL/message/3293 http://health.groups.yahoo.com/group/NIHMBL/message/3293 I supervise 3 10 bed intermediate care/stepdown units. Ratio is 1:2 to 1:3, with charge rn out of the count. care assistant on day and eve shift, secretary Mon, 07 Jul 2008 23:21:25 GMT Bonnie http://health.groups.yahoo.com/group/NIHMBL/message/3292 http://health.groups.yahoo.com/group/NIHMBL/message/3292 We have an intensive neuro unit within our neuro med/surg unit. We do not have uniionized staff. We really didn't have problems that I recall in terms of the Mon, 07 Jul 2008 23:15:53 GMT Bonnie http://health.groups.yahoo.com/group/NIHMBL/message/3291 http://health.groups.yahoo.com/group/NIHMBL/message/3291 Same at our hospital. A suicidal patient in my hospital is never left alone. Bonnie Mon, 07 Jul 2008 21:21:40 GMT ajr19j http://health.groups.yahoo.com/group/NIHMBL/message/3290 http://health.groups.yahoo.com/group/NIHMBL/message/3290 Hi there, We have been trying to implement a Neuro Critical Care Unit of 12 beds within a 30 bed med/surg/neuro ICU. Ideally we would like to have a core group Mon, 07 Jul 2008 16:53:30 GMT hbelott http://health.groups.yahoo.com/group/NIHMBL/message/3289 http://health.groups.yahoo.com/group/NIHMBL/message/3289 Our nurse:patient ratio for dayshift and evening shift is 1:4. Our ratio for night shift is 1:6. We do use nursing assistants. The nursing assistants carry an Mon, 07 Jul 2008 16:52:40 GMT Michelle Rankin http://health.groups.yahoo.com/group/NIHMBL/message/3288 http://health.groups.yahoo.com/group/NIHMBL/message/3288 1:4 Patients, no nurse aids Michelle Mon, 07 Jul 2008 16:52:27 GMT Jynae Foulk http://health.groups.yahoo.com/group/NIHMBL/message/3287 http://health.groups.yahoo.com/group/NIHMBL/message/3287 A year ago I managed an ICU Stepdown unit. The following is what my staffing was for a 28-bed unit that took drips and vents: The HPPD was 10.00 1:4/5 Nurse to Mon, 07 Jul 2008 16:51:42 GMT cvourna@... http://health.groups.yahoo.com/group/NIHMBL/message/3286 http://health.groups.yahoo.com/group/NIHMBL/message/3286 We have a 3:1 ratio for step-down patients and 4:1 for less acute patients. We have 2 HUCs during the day shift and 1 from 3-11, none at night. We staff 2.5 Mon, 07 Jul 2008 16:50:23 GMT gilpinrn http://health.groups.yahoo.com/group/NIHMBL/message/3285 http://health.groups.yahoo.com/group/NIHMBL/message/3285 At our hospial the stepdown unit is an 8 bed Cardiac step down. It is staffed with 2 nurses and 1 assistant. The monitor tech for CCU watches the rhythms for Mon, 07 Jul 2008 16:49:59 GMT Cole,Annette http://health.groups.yahoo.com/group/NIHMBL/message/3284 http://health.groups.yahoo.com/group/NIHMBL/message/3284 We staff a 1:4 ration on days and 1:5 on nights. We use CNA's at an ideal ratio of 1:7 but they sometimes are as high as 1:12 depending on availability. We Mon, 07 Jul 2008 16:49:37 GMT KERI AMBERGER http://health.groups.yahoo.com/group/NIHMBL/message/3283 http://health.groups.yahoo.com/group/NIHMBL/message/3283 We are an rural 8 bed ICU/CCU.  We try to staff for a ratio of 2:1.  We have a Unit Clerk on days and eves and no monitor watcher.  We get a nurse aide on Sat, 05 Jul 2008 02:47:09 GMT karensinclair http://health.groups.yahoo.com/group/NIHMBL/message/3282 http://health.groups.yahoo.com/group/NIHMBL/message/3282 Wanting to update staffing pattern for my Stepdown Unit. What is your patient to nurse ratio? Do you use "nurse aides"? If so what is the ratio? Do you use Thu, 03 Jul 2008 16:49:51 GMT karen-lori-grace bauman http://health.groups.yahoo.com/group/NIHMBL/message/3281 http://health.groups.yahoo.com/group/NIHMBL/message/3281 If the patient is awake and alert enough to act on a suicide attempt or elope, they have a 1:1 sitter.  If they are unresponsive or otherwise not in any state