Reply To: Staffing ratios

  • Alisa Case

    November 9, 2022 at 8:52 pm

    We are a mixed peds unit in a large university hospital. Day of life-22 years of age and all medical and surgical diagnoses. Our ratios are 1:4 or 1:3 for IMC assignments in general. Chemo as a standard can be in the 1:4. But charge pays attention to when you are hanging it to not give you new patients during that time etc. We also space them out amount assignments so typically one nurse wouldn’t have multiple pts to run chemo on in the same assignment.

    However there are special consideration for certain chemos that are more complex with more possible side effects. For example patients receiving dinutuximab are in a 1:2 for the 5 days they receive it because of the titration, monitoring, and side effects. Also bone marrow transplants have varying ratios during their stay. They are 1:1 day of transplant and will usually be 1:2 sometimes 1:1 depending on how sick they are post transplant. Our Hemeonc team prefers to maintain them on our unit instead of transferring to the picu with only has one positive pressure room.


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    Original Message:
    Sent: 11/9/2022 6:33:00 PM
    From: Brandi O’Dell
    Subject: Staffing ratios

    Hi everyone!

    Can anyone share their standard nurse patient ratios for their areas? Does it change based on acuity? Are you a mixed hem/onc, general peds unit?
    If you have active chemo does that change your ratios?

    Thank you!

    Brandi O’Dell, MSN,RN,CPN
    Des Moines, IA
    United States