Jan, Agree with above..include your staff and they will work harder for you!! I
was a charge nurse in an 83 bed short term rehab facility..of a large well known nationl rehab company..was also the weekend supervisor and feel fairly informed on staffing...we had 3 units..
one was 16 beds---our head injuries,vent pts, and severe strokes..that was staffed with one RN, one LPN,and one tech
one was a 28 bed unit...mainly the stroke patients went here...staffed on 7-3 with 2 RN's and 2 LPN's and 4 techs(everyone got a bath and dressed and OOB QD) on 3-11 staffing was 2 RN's 2 LPN's and 3 techs...on 11-7 there was 1 RN, 2 LPN's and 1 tech
the last unit had 45 beds -- mostly the ortho pts-- and this was always our problem unit....the staffing was:
7-3 3 RN's and 3 LPN's and 5 techs
3-11 --the hardest shift to staff--was 2 RN's , 3 LPN's and 3 techs
11-7 was 1 RN, 2 LPN's and 2 techs
I can tell you we ultimately went to 12 hour shifts which did help in staffing..though never on the weekends. I reccomend weekend diffs, encourage rehab certification in your nurses and set up workshops for your techs...I cannot tell you how many subluxated shoulders of CVA pt's we had because they were lifted or repostioned wrong!!! I also reccomend your total 150% committment to this endeavor...wanting to do it isn't enough...visit your staff on all shifts..during thier down time ( and each shift has one)...I used to serve fruit and cheese trays to the units at 3 pm on the weekends I supervised. I would re do the schedule to accomadate the hard workers...and I never struggled to find someone to stay over or come in early or come in extra. I am giving you state secrets, okay>>
??? good luck and let us know how it turns out !!!!