1-1 ratio for nurses

Are there units that still have one to one nurse/patient ratios, or have they long gone to the wayside?
You'll find them occassionally for very critical patients in the ICU. There are also 1:1's for patients that are safety risks, but the 1:1 isn't usually an RN. ICUs are really the only place you'll find 1:1 ratios.The typical ratio for ICU is 1:2 or 1:3.

All of our fresh CABG's , IABP and CRRT patient's are 1:1 regardless. Other than that both of the units I work in ICU and CVICU our ratio is 2:1

Critical care is 1:1. Imagine constant monitoring for 2 to 4 patients. And you get a code blue. Or worse, 2 patients have cardiac/pulmonary arrest at the same time.

Quote from hannahmaepunkCritical care is 1:1. Imagine constant monitoring for 2 to 4 patients. And you get a code blue. Or worse, 2 patients have cardiac/pulmonary arrest at the same time.

home health completely 1:1

Quote from hannahmaepunkCritical care is 1:1. Imagine constant monitoring for 2 to 4 patients. And you get a code blue. Or worse, 2 patients have cardiac/pulmonary arrest at the same time.

Quote from MomRN0913The ICU I worked in was 1:2 or 3. We had 1:1 ratio on balloon pump patients. Which were very rare.I did have a coworker whos 2 patients were coding at the same time. The one night hospitalist stood between the 2 of them to run the codes. They both died, she bagged her bodies and went home....

Our vents/ICU patients are 1:1..... only ever 2:1 if they're right beside eachother (within eyeshot) and stable. But typically 1:1.

OR is 1:1, as is cath lab, and GI lab.Preop in my friend's stand alone GI lab is 1:1.

It's 1:2 where I'm at. I had a night recently where both of my patients crashed at the *exact* same time. A rarity, and I wouldn't have made it through the night without my coworkers, who are completely stellar. Rarely do we have 1:1 patients but it does happen for those that are very critical.

Quote from RoozeykAre there units that still have one to one nurse/patient ratios, or have they long gone to the wayside?

My PICU is usually a 1:2 ratio unless a child is extremely unstable or just won't sedate well and is a risk of self extubating. Once we had a child who actually required two nurses initially with an open belly, numerous chest tubes, vented, maxed out on 3 pressors. Coded over 5 times, stroked, and that girl is alive (neurologically intact and rehabing beautifully) today! :0)