Need Advice ASAP!

  1. I have been offered a RN charge nurse position at a LTC facility.
    The "unit" I'd be working has thirty-plus residents.

    I will be on the 7p-7a shift.

    I asked the ADON about staffing.

    She said there is ONE nurse, and ONE cna for thirty-plus residents; and NO med tech! Which means I'll have to do ALL the 2100 meds, and PRNs, insulins, treatments, charting, etc., on thirty-plus residents????

    What about the residents who require more than one assist to get them up?

    ONE CNA FOR THIRTY PLUS RESIDENTS?????


    I need a job ~ bad! ~ but I don't even know whether to take it!!!!!

    WHAT WOULD YOU DO?????

    Please answer asap!

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  2. 22 Comments

  3. by   flowerchild
    If you are for real about the situation which is actually very apalling, my advice to you is RUN FOR THE HILLS!
  4. by   rebel_red
    As an aide who cares for 22 residents on night shift.....18 of whom are incontinent, 4 of whom are wanderers and require 1:1, and one of them is always up.....One word....RUN........

    I love my residents and we are just experiencing the summer "jumping of the ship" in terms of staffing. People can make more money waitressing, so why take a job that is physically demanding, emotionally challenging, and spiritually (at times) draining. And it is hard because with the 18 all I have time for is to perform the basics. Clean, dry and turned. No time to do the little extras and raise the bar for quality care. I would like to jump ship myself.....Can't abandon my residents or coworkers though....

    If those are normal ratios RUN RUN RUN.......

    Tres
  5. by   donmurray
    Better to have no job, if it means keeping your license. Something better has to be around.
  6. by   AndyLyn
    I agree with everyone else... keep lookin'
  7. by   Nurse Ratched
    Sadly, you are very likely to find most LTC jobs with similar stats. If there is a God, bless the long term care nurses - they need it. The care with which we treat our elderly in the country continues to appall me. Those wonderful Don Quixotes of the ECF's have my eternal respect.
  8. by   ucandoit
    Don't touch that job with a 10 foot pole!!!
  9. by   Todd SPN
    And just wait until the CNA calls in sick...
  10. by   Monica RN,BSN
    Good Point Todd, about The CNA calling In.. Boy would that be an ugly mess. I know that our staffing ratios will permiy a nurse to have up to 40 patients and still meet state compliance, ( though this is still crazy) But at least there are 3-5 CNA's depending on census for the night shift.

    I would Not advise taking this job, It is a lawsuit waiting to happen, and I am so sure you don't want to be it.....

    Happy Hunting!!!
  11. by   Town & Country
    God bless and thank you all!

    I was sooooooo excited to get this job!
    I went today to have my TB skin test read and a physical and do paperwork....that's when I really delved into the staffing question.
    I was appalled when she told me there is only one nurse, one cna, and NO MED TECH for over 30 residents!!!

    It is a private facility.
    Wonder if that would have anything to do with it.

    When I went to get my physical, he asked me where it was for. I told him, and he said he does ALOT of physicals for them, "They must have a high turnover rate....."
    Then he started asking me about FACTORIES where I live!!!

    (hint, hint!)

    Gawd almighty, all I want is a job where I have a decent nurse/patient ratio, so that I can actually TAKE CARE OF THEM.

    Is that so much to ask?



    Anyone knows of any good places to work around the Evansville, IN area.....clue me in...or Western KY.

    Also Carbondale, IL. That's where my fiance lives...I may move up there.
  12. by   redwinggirlie
    I turned down a position exactly like the one you describe. When I kept pressing the ADON for questions about my role and the staff to support the pt's needs, the Q never was answered directly.
    I ran.
    Please copy me....
  13. by   VivaLasViejas
    Take it from one who's been there: DON'T accept the position. If they told you this much on your initial contact with the facility, I guarantee that it's far worse than that.
  14. by   angelbear
    I agree if that is what they were willing to fess up to I would hate to see reality there. RUN

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