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Rehab/LTC: Ratio too high?



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Jul 05, 2009 05:17 PM

Rehab/LTC: Ratio too high?


After reading the thread about the highest number of patients anyone has taken care of, I was prompted to post this question: I'm a new grad RN, who recently was hired at a LTC/rehab facility. When I'm working in the LTC area, I have 36 patients that I have to do a med pass, assess, do treatments (most are very stable.) I have 2 CNA's working with me. Then, when I'm in the Rehab area (hip/knee replacement, post-accident with back/neck braces, post-CVA/MI) they are giving me 18 patients. I also have 2 CNA's. This is seeming way too high of a ratio to me. Am I being unreasonable, or this normal? I just feel like I run my butt off the entire shift.


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6 Comments
No. 1
from ktwlpn
Old Jul 05, 2009, 07:00 PM

Default Re: Rehab/LTC: Ratio too high?
That is way more then any one nurse is responsible for in the ltc where I work.Our smallest units are 21 bed and they each have one nurse on day shift-all of the other units which average 42 beds have at least 2 nurses on days and most often 3. The larger units have 2 med carts.We generally have 6 cna's on my shift-sometimes 5 or 7. We are a facility with close to 250 beds-we also have a full time supervisor on each shift (2 on days) I usually like my job.. it's great knowing the residents received the care they deserve at the end of the day...
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No. 2
from Ms.RN
Old Jul 05, 2009, 07:43 PM

Default Re: Rehab/LTC: Ratio too high?
Do you work midnight shift? Usually during midnights theres only one nurse on duty, but during the day and afternoons, they have two nurses. When I worked at rehab facility, I had 15-20 patients. Lot of people think midnight shift is easy but its not. They have more things to do, like monthly renewals and lot of patients need pain medicine.
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No. 3
from FLArn
Old Jul 05, 2009, 08:44 PM

Default Re: Rehab/LTC: Ratio too high?
It sounds about the norm (I almost said right) to me. The last SNF I worked at was staffing 30:1 LN each shift with varying numbers of CNA's most on 7-3 , fewer on 3-11 and for 11-7 there were 3 CNA's for the skilled rehab units (2 - 30 beds units in a T shape. So I had 30 patients with 1 1/2 CNAs.
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No. 4
Old Jul 05, 2009, 09:00 PM

Default Re: Rehab/LTC: Ratio too high?
Nope--I work 2:30-11 p.m.
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No. 5
from nicolegrow
Old Jul 05, 2009, 10:22 PM

Default Re: Rehab/LTC: Ratio too high?
I interviewed for a LTC/SNF recently and their ratio was 30:1 LTC and 12:1 for the skilled section. I was told that as you master your time management skils the stable patients won't seem like too much. Give it time.
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No. 6
Old Jul 05, 2009, 10:26 PM

Default Re: Rehab/LTC: Ratio too high?
12:1 for the skilled would be great.....that's the ratio they told me it would be when I interviewed.
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