CNA ratios by state

[ctmed]

This makes me kind of peeved. A fellow co-worker asked me if there were state or federal mandated ratios for CNA to Patient in a hospital or LTC setting. I pride myself on being pretty well informed and did a bit of research. My research uncovered horror! I hate to stir folks up, but I thought I should post this)

What is really sad is that some of the few states that do have ratios also include RNs/ LPNs, etc who WILL NOT do "aide" work. (Dont flame me RN/LPNs :) .. some of yall may help from time to time,

but for the rest of us it is all on us as far as changing/turning/ etc... and the "I-did-not-get-a-degree-to-wipe-buttocks attitude very common. "If we have to touch patients we don't need you..)

Staffing ratios- CNA/Resident– per state:

AK NONE

AL NONE

AR DAYS: 1:6 EVENINGS: 1:9 NIGHTS: 1:14 (This can include nurses)

AZ NONE

CA NONE

CO NONE

CT NONE

DC DAYS: 1:6 EVENINGS: 1:10 NIGHTS: 1:15

DE DAYS: 1:7 EVENINGS: 1:10 NIGHTS: 1:15

FL NONE

GA NONE

HI NONE

IA NONE

ID NONE

IL NONE

IN NONE

KS NONE

KY NONE

LA NONE

MA NONE

MD NONE

ME DAYS: 1:5 EVENINGS: 1:10 NIGHTS: 1:15 (This can include nurses)

MI DAYS: 1:8 EVENINGS: 1:12 NIGHTS: 1:15

MN NONE

MO NONE

MS NONE

MT **Complicated formula used; 4 hours care for each resident; no actual mandated numbers of staff**

NC NONE

ND NONE

NE NONE

NH NONE

NJ NONE

NM NONE

NV NONE

NY NONE

OH 1:15

OK DAYS: 1:6 EVENINGS: 1:8 NIGHTS: 1:15

OR DAYS: 1:10 EVENINGS: 1:15 NIGHTS: 1:20

PA NONE

RI NONE

SC DAYS: 1:9 EVENINGS: 1:13 NIGHTS: 1:22

SD NONE

TN NONE

TX NONE

UT NONE

VA NONE

VT NONE

WA NONE

WI NONE

WV NONE

WY NONE

[SeattleJess]

Oregon ratios Changed as of 03/2014

http://www.oregon.gov/dhs/spd/adminalerts/Nursing%20Assistant%20%28NA%29%20Staff%20Ratio%20Chart.pdf

Day shift

NAs needed for 1:7 ratio

Evening shift

NAs needed for 1:9.5 ratio

Night shift

NAs needed for 1:17 ratio

How do you have half a patient??? (I'm guessing you and a partner share 19 of them.)

[SeattleJess]

The nursing home where I did my clinicals gave each CNA 12 patients each in the morning and afternoon.

KB24, were you caring for those patients alone during your clinicals or were you shadowing a CNA?

[SeattleJess]

I just began working at a Rehab facility in Washington specializing with brain injury. The ratio of NAC/CNA is 1 to 14-18 residents. All of them are incontinent and highly dependent.

This just sounds wrong and impossible, too. I cannot see how you can care for an incontinent and highly dependent patient with half an hour each or less. Sounds like a recipe for injury or patient harm. How are you handling that job? If you can do it, I'm thinking you're Superduperman. Or woman.

[betm, CNA]

I'm in Wisconsin and I work a 1:20 ratio and this has been the resident load I've worked at every facility, multiple shifts but mostly NOC, in the last three years. Most or all are dependent, incontinent, and some fall risk dementia residents.

[studentnursemon86]

When I worked in PA in a nursing home I worked all 3 shifts.

Days

1:5 residents

Evenings

1:8ish residents

Nights

1:25 residents

I worked on a locked Alzheimer's/dementia unit.

[Kathycna09]

Why doesn't every state apply a restriction this will give more safety for patients and staff

[ladytigers15]

my best guess would be because they are so understaffed within the facility that they cant get the help that is needed... I would in a nursing home and from what I hear from the DON and the Administer, they are allowing 5 aides on day, 5 on afternoon, and 4 on midnights; however that's not the case as I've seen anywhere from 2-6 on day, 3 or 4 on afternoon and 1-3 on midnights.. then you have some that are state tested but work in other departments, but they don't help at all (well maybe 1 does but that's cause she cant do a lot as there's limited washing machines).

[Donnetta]

It has been awhile since the CNA to Resident Ratio rates were updated. Would anyone know the rate for Kansas at this time?

[robin willis]

how can I get the state to update or apply ratios

[tonniea]

On 8/2/2014 at 11:58 PM, SeattleJess said:

How do you have half a patient??? (I'm guessing you and a partner share 19 of them.)

They will usually give an extra one to the more able person or give a few easier ones. They have never been shared at my facility.

On 8/3/2014 at 12:05 AM, SeattleJess said:

This just sounds wrong and impossible, too. I cannot see how you can care for an incontinent and highly dependent patient with half an hour each or less. Sounds like a recipe for injury or patient harm. How are you handling that job? If you can do it, I'm thinking you're Superduperman. Or woman.

Night shift, maybe? If not, that would not work so well.