Nursing Home ratios??

  1. Hi I work for an agency in PA, and I just recently worked a shift at my first nursing home ever.....and I had 21 patients. I have read somewhere the ratio is 1:20. This is outrageous! There is no good way to give "good" care to 21 patients. Meds, vitals, blood sugar checks, and charting in 8 hours...ha ha ha.

    anyone else have high ratios like this? What are other states ratios?
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  2. 20 Comments

  3. by   nightmare
    I work in a nursing home in Scotland and we have one trained nurse(RGN)and three carers for 35 residents at night.During the day they had twoRN's and five carers in the morning,and one RN and four carers in the evening.
  4. by   nurseygrrl
    I work in NY and I have 20 patients. It can get pretty hairy at times especially when I have emergencies and a ton of meetings to go to. The powers that be always seem to throw in an inservice or two on those days as well. I love it when I skip them and am asked 'Why didn't you come to the inservice?' Well, I have 20 patients and I work on the craziest floor in the building...that answer your question?
  5. by   tmiller027
    The nursing home I work in has 22 patients per unit, one nurse and 2 CNAs.
  6. by   JustJulesy
    why on earth do you people WANT to work like that? I was very stressed being my first time at the place and having soooo many patients, and I also felt so unfulfilled as a nurse, no time to teach, educate, just enough time to barely get meds and do a so so job.

    I give you all high regards for doing it, because I suppose someone has to.
  7. by   nursebedlam
    My last nursing home experience l had the ratio was 1 to 30, hell the shifts went fast.
  8. by   Town & Country
    Last time I did LTC, I was slated to have over sixty residents.

    All for me!!! :hatparty:

    Needless to say I am enthusiastically pursuing hospital nursing now...LOL

  9. by   CoffeeRTC
    Quote from JustJulesy
    why on earth do you people WANT to work like that? I was very stressed being my first time at the place and having soooo many patients, and I also felt so unfulfilled as a nurse, no time to teach, educate, just enough time to barely get meds and do a so so job.

    I give you all high regards for doing it, because I suppose someone has to.
    I guess you get used to it? I have about 24 residents with varrying acuity. Once you get into a routine you do get all your work done. Educating, teaching, just talking to residents and families is done during care and in between. I find it very rewarding and fulfilling, maybe not everyday, but most days. LTC is not for everyone, just like acute care.

    Ps are you anywhere near Pittsburgh?
  10. by   suehp
    Quote from nightmare
    I work in a nursing home in Scotland and we have one trained nurse(RGN)and three carers for 35 residents at night.During the day they had twoRN's and five carers in the morning,and one RN and four carers in the evening.

    I work in a Nursing Home in North Wales and have 1 RGN to 25 residents. In the morning we will have 4-5 Carers, in the evning 3 Carers and at night 1 carer. We have always worked those ratios. I am a Nursing Manager and I work on the floor with the Staff and have to find time to do my paperwork with maybe one extra trained for one shift a week if I am lucky! I have learnt to be super organised..not that it doesnt go pear-shpaed from time to time! :chuckle
  11. by   leslie :-D
    where i worked on a 40 bed floor, there were 2 nurses on 7-3 and 3-11; 6 cna's on 7-3, 4 on 3-11 and 2 on 11-7. and i worked a very high acuity floor; there are so many pts now that are dnh that we treat them at the facility. and of course, many sons/dtrs want everything done for them, no matter how invasive or futile. that's why i'll always maintain that working ltc should not get the bum rap that it does because you utilize many many different skills, as well as taking care of 20 pts.
  12. by   Hellllllo Nurse
    When I last worked in LTC, I was the only nurse for 60-65 pts w/ three CNAs on nocs. Didn't get a lunch break for over two years. Won't do that again.
  13. by   jenac
    I think 1:20/25 with two aides and a float is pretty much the norm around here, on day shift anyway. On midnights it goes up to 1:40/50.
  14. by   FROGGYLEGS
    Alzheimers unit = 1:28 with 3 CNAs on days / 2 on 2nd/ and 1-2 on nocs. This works out okay most of the time.

    Subacute floor = 1:22 with 1-2 CNAs on nocs / 2-3 on 2nd/ 3 on 1st. This is all but impossible considering their acuity.

    ICF = 1:54 with 3 CNAs on nocs/ ? on other shifts. This is a fairly quiet unit, but God help you if things start to go wrong.

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