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I have now a small to med acute program of about 1200 rxs per year. Previously i covered covered a larger regional prgram. 2:1 should be the standard except for ICU/CCU 1:1 patients. If your nurses also also do all the cleaning 4.5 hours rx is a good productivity number. If some one else is cleaning monthly disinfection etc 4.0 hours per unit of servive

I am a pediatric dialysis nurse in a small hospital based program. We have 17 PD patients and 7 hemodialysis patients. They just started flexing my budget. We get 1.5 caregiver hours per hemo pt on the day they are here. 1.5 caregiver hours on each PD pt every day. If we have an acute hemo we only get 1.5 caregiver hours.We are having a difficult time making this happen and feel it is unsafe to our patients and nursing does not feel that they are providing safe patient care. I would like to know how other pediatric units staff. How can I make a case for more staffing? How can I keep my nurses happy and want to stay in the unit?

I manage a 6 hospital program. We measure productivity by taking the hours that the person worked and divide it by the number of patients that were treated by that RN. So if the RN worked 7 hours and dialyzed 2 patients, their hrs/tx productivity is 3.5. You would have to compare it to what is your budgeted hours/tx. If you have a large unit with many patients to a few RNs, add up all the RN time and divide by the number of patients that were done. So if 7 RNs worked a total of 42.1 hours and dialyzed 10 patients, the days hours/tx (productivity) is 4.21. Hope that helps!

I also manage an inpatient unit. Our ratio is two patients to one nurse unless they are highly unstable then it is one to one. It is difficult to capture the productivity. I just use overtime hours and the number of treatements done in a day. If the acuity and number of treatements is high, then I can justify the overtime. I hope this helps.