[Michigan RN]

If I had to deal with that, my two weeks notice would be submitted in no time.

[nightmare]

I can't believe your ratios. We have one RN and two carers on nights for 32(at the moment)During the day we have one or twoRN's and four carers per morning and evening shift and we don't consider that enough.Our acuity rate ,while high on total patient care ,does not include IV's PEG's (at the moment)etc.I don't think I could work under those conditions!

[Rexie68]

What shift are you working? Are you saying there's one nurse and 2 CNA's for 147 residents? Wow. I was told that the state minimum in PA is 1 staff member (RN, LPN, or CNA) for 20 residents, so you'd be below even the minimum allowed for us. Of course, if there's another unit with more staffing, that counts for yours, too. That's how some facilities get around it.....it's one staff for 20 residents total in-house ratio. I can understand that point of enabling the CNA's IF you were doing their work while they were sitting around, but with that amount of staff, everyone would have to pitch in and do whatever they can. Heck, as nurses, we can't sit by and let residents suffer, no matter what they need. We've all done vitals, changed attends, fed someone...it's part of being a nurse. *sigh* Good luck and GOd bless.

Oh, and in answer to your question...well, yes, you do get a little numb, or you can't stay in nursing. Of course you still feel, but you don't go home and cry every night, or you wouldn't be able to function. I still advocate for my pts and try to change things, but I've had to learn when to let it go, too.

[Rexie68]

Ooops! I read your post again. One nurse and 2 CNA's for 28 residents. Again, on what shift? Technically you're "ok", but it would be nice to have another staff person. We have 5 CNA's and 2 nurses for 50 residents (also high acuity) on days 3-4 CNAs and 2 nurses on evenings, 2 CNA's and 1 nurse on 11-7.