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- by ComicRN Apr 28, '01Hello fellow nurses! I tried to post this message in another forum and got no replies. Thought I'd try here. I am the new nurse manager of a 20 bed rehab unit in my facility (LTC). We are getting very little support from the administration. They thought that all that was needed to market the "new" rehab unit was to offer free TV's and telephones and that was it. They never even thought about things like staffing, acuity, education, etc. We are understaffed and the staff is getting burned out and threatening to quit (I don't blame them). I've also thought about quitting but I know the unit has potential. I have finally found someone in the administration to listen to me. She has asked that I benchmark for staffing patterns in other facilities so that I have some facts to go to the rest of the administration with. Can anyone help me with this? I need to know the type of facility, the number of rehab beds and the types of staff on each shift (RN's, LPN's, CNA's, etc). This would be very helpful to me and much appreciated. Thanks!! Jan
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- Apr 28, '01 by Jenny PJan, don't foget to go to your own staff and get their input also. They are the ones dealing with your patient population; ask them to help you find other rehab units in your area. Encorage them to get involved in helping solve the problems your unit is facing. Once they find they have a manager who listens to them, they can be very creative in helping you find solutions.
- Apr 28, '01 by grnvillechickJan, 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 !!!!
- Apr 30, '01 by ComicRNThanks very much for the input. I agree with you both about the input from the staff. I have done that and agree with what the staff has said. Now it's just a matter of getting the administration to go along with it! The more information I can give the administration.....the better it will be!! Thanks again.
- May 15, '01 by ecbI work in a NH/rehab setting
we have about 10-15 patients for Rehab in a 180 bed facility
we have 1 pt, 1 ot, and 1 st.
we have 2 CNAs who work Restorative for each of 3 floors(step down from Rehab) and all of our CNAs are given additional training to do step 3 restorative.
we have 2 LPNs and 1 RN for each of the non skilled floors, and 2 RNs and 2 LPNs for the skilled floor, and a Wound care nurse who does our Stage III and Stage IV, Surgical, and unstaged Wounds (the ones from the hospitals mostly)
We have 2 ADONs, and 1 DON who cover the administrative stuff, and deal with the contract PROBLEMS (you know what I mean)
and 2 RNACs, and 2 Social Workers
its about that busy for them, and the LTCers
(personally, I LOVE IT)