Re: nursing ratio's Originally posted by kathi yudin
i am all for the ratio's.. having enough nurses should always be a priority to ensure safe care.. i currently work at a skilled nursing facility in newport beach.. we have 96 beds and have 93 residents in house at this time.. we run with 12 cna's on during the day ... 8 on 3-11 and 5 or 6 on 11-7.. nurses i generally work with 3 during the day 2.5 on 3-11 and 2 on 11-7.. i have been trying to hire nurses for 4 yrs.. rn's don't want to work unless they can be supervisors and do no patient care.. no meds.. or charting.. just admissions.. and orders.. and telling the lvn's what to do.. i won't use rn's that way.. it is a waste of a nurse.. in addition.. we are in a terrible nursing shortage.. there just are not enough nurses.. so.. the question is.. how do you meet your ratio's when there aren't enough nurses with which to do so???.. i ran an add last week.. got one resume!!!!.. this is the usual.. we bring students in to see what long term is like and to possibly have nurses to hire when they are done... we attempt to be competetive.. the nurses that are out there are ones that go from job to job for the money.. and don't care.. soooo again.. how does one meet the ratio????.. any suggestions/?? my ideal is 3-4 nurses on days.. 3 on 3-11 and 2 on 11-7... every time i get close... some one leaves for better pay elsewhere... kathi
Gosh I wish I knew the answer to this question!
It is embarrasing to read about registered nurses who do not want to care for patients, just supervise.
Many years ago as a CNA in a nursing home I experienced a nurse like that.
I don't know your LVN to patient ratio and am not current on conditions in free standing snfs but your certified nursing assistants are probably caring for too many patients unless licensed nurses are able to help.
7-8 on days, 11-12 evenings, and 18-19 on nights is not conducive to quality care.
Where i worked the linens were rationed and locked up. It was impossible to keep patients clean even if I had time.
Do you know what the ratios making their way through the legislature are?
Now I know it is just HPPD and the (OK I'll say it) lazy "supervisory RN" counts as though he or she is actually providing care.
One point is that we need to respect the work of skilled nursing workers and home health aides. They need to be paid fairly. That may require government action which needs at minimum educating legislators. Probably workers and families of patients need to lobby the staff of the elected officials in their area and write those far away.
I hope you don't mind being included in my prayers.
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