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Can you run a ward with one nurse at night?

  • Comments (22)

Data obtained by the RCN via a freedom of information request found five hospitals from 18 trusts in the east of England had wards with only one registered nurse on duty. This was compared with their establishment of two registered nurses and one healthcare assistant.

The RCN report said having only one nurse on duty would “result in delays for patients receiving pain relief and intravenous fluids” and outcomes for patients on such wards should have been recorded as “near-miss clinical incidents”.

Their investigation was sparked by anecdotal evidence from members of the public who said nurses in some hospitals “were looking after wards single-handedly with only a healthcare assistant in support” and “covering at night to support inexperienced junior doctors” because there was not enough senior-level supervision.

 

What are your thoughts on this story?

  • Comments (22)

Readers' comments (22)

  • Anonymous

    No, of course you can't run a ward with one qualified nurse, who on earth could possibly think this is safe or acceptable.
    Everyone suffers as a result of understaffing and inadequate skill mix.

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  • Anonymous

    Regularly happens at my place, managements and unions not interested.

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  • Anonymous

    and they wonder why nurses are leaving the profession?

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  • Anonymous

    1 rmn and 2 na/s is common at our trust and management aren't interested even when incidents occur. Culture of blame exists where trained staff on the ground suffer if they raise concerns. At the very least there should be 2 trained on shift if 3 staff is all they say they can provide and even then there should be 4 staff on duty as standard with a MAJORITY of trained staff not the other way around.

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  • Anonymous

    one staff nurse on a shift-
    hmm, let me think, is that ok, is that safe.
    no, sorry it's not.
    unless of course you think it acceptable that the nurse will be mega stressed out, the patients won't get their meds on time, ivi and ivabs won't get given, patients won't be looked after, the ward will be a complete mess.
    perhaps this is how you would like yourself or your family to be 'cared' for - on the cheap with the least amount of staff available.
    no brainer really.

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  • Anonymous

    Totally unsafe to have only one registered nurse at night, especially when there are less medical staff around as well, and less senior nursing staff. No wonder nurse are leaving and not re registering.

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  • FFS.
    STRIKE!

    Nationwide...its the only way to sort things out quickly and to get Nursing back on its feet.

    Oh...and sack some of those 'at the top'.

    NT - do you want to help organise this?
    Seriously...devote some of your 'drive' to organising a strike. When the Government realise this means business, things can change for the better and quickly too.

    It helps stop years of wasted polls, surveys, stress, accidents etc...

    RCN?
    UNISON?

    Or will your silence mean that you are concerned about your pay packets and social reputation?...
    Or we could do more years of polls, surveys, stress, accidents etc...

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  • Anonymous

    Stude, love

    I can't ever see a time when nursing unions will call an all-out strike. The RCN are a complete joke when it comes to action of any kind as most of their union reps are managers anyway. Unison/GMB are probably our only hope, but I think they too are very unlikely to call for national action - you might get a local walkout, but that's it.

    Nursing is scuttled on a national level: look at the shower at the chief nurses do, they inhabit another planet and are completely divorced from reality as is our wonderful regulator the NMC. This combined with Peter Carter's circus at the RCN - we don't stand a chance.

    Most nurses, it would appear, like to be walked over: subservient doormat seems to be the default position, unfortunately. You get the odd one with their head screwed on, but most like to bitch and whinge rather than saying enough is enough and walking out.

    The govt can and will do exactly what they like with pay and conditions etc as they know we'll never get our acts together and stop bitching about each other long enough to fight back. We're eff u cee kayed!

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  • Yeah, I thinks you might be right! :-(

    We need another union! Unfortunatly I dont know how to go about it!

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  • Anonymous

    this is also happening in wales. it's unsafe and dangerous

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