What's the ratio of the # of nurses covering the night shift compared to the day shift?
At the hospital I work at, we have one 'floor' that caters to in patients, which varies from recovery to observations to long term stays (waiting for nursing homes/other permanent stay situations), detox and other stuff. It's a 21 bed hospital, with 1 overflow on the floor.
So during the day, optimum nurses for a full house, as it were, is 4-5 nurses. Night shifts 3-4. There IS an 8 hour shift during the day in there but I'm not sure if it's full time or part time.
A lot of the time, there isn't that many nurses. It's more likely to see 3-4 during the day and 2-3 at night.
Also, we have Emerg where the nurses there are supposed to come relieve the floor RN's at night, but that doesn't happen much at all.
With that, sometimes because it's needed, we have three beds in Emerg that are designated 'overflow' as well. Normally that's for patients who are waiting to go to the floor, but if the floor is full, then they stay until someone is discharged. They don't stay there long and I can only remember once or twice where someone stayed longer than a day. The problem with that is those beds are now taken from Emerg use, and nurses there have to answer bells for those in patients, as well as deal with normal Emerg patients. Staffing there during the day, from 7 to 4 is maximum 3 nurses (with one doing clinicals and helping when not busy) and from 1900 to 7, two nurses. The ward clerks there can help a little - our ward clerks do more in our facility than in, say, Moncton - but they're only there for the two 8 hour day shifts. There's no clerk at night (though I can do some of their duties). We also do Day Surgeries at our place and if it's a horrible staffing day, sometimes a nurse will be pulled from there once the last case is done to work in Emerg to cover.