My workplace (an older nursing home) is thinking of admitting stable vent patients in order to raise the census and profits.
When I lived in California, the subacute facilities would be full of these stable vents. However, the nurses only cared for perhaps 10 or so patients due to the acuity level. My current place of employment staffs 1 nurse for every 30 residents. We already have residents with simple IV meds, PICCS, trachs, colostomies, etc.
I am willing to work with stable vents as long as nursing staff is increased, and as long as I am properly inserviced, oriented, and trained by the company to care for patients on ventilators. However, the company does not plan to increase staffing. The turnover rate for nurses is already profound.
I am praying that the admissions manager chooses not to admit the stable vent patients if they don't plan to include training and employee retention in their plans for the future of the facility.
I work full-time weekends (16 hour shifts on Sat and Sun) which enables me to attend school during the week. I need a weekend job for as long as possible, which is why I work at this place.
I hope someone tells me I'm overreacting.
How many of your patients out of the 30 would be vent patients? Would you also have a respiratory therapist on the unit? We have 2 trach patients per 41 (max census) and it's hard enough keeping up with their needs. I am really tired of having to drop everything when one of the trach patients asks for suctioning or a nebulizer treatment. I don't think there is anyway I could keep up with a vent patient with the kind of ratios I have to deal with but then again we don't use med aides. Why aren't they creating a unit solely for vent patients? Where I work the vent unit isn't a bad place because the staffing is much better (2 nurses, 1 RT, and 3 CNAs for 18 patients).
How many semesters until you graduate?
Last edit by Lovely_RN on Mar 18, '09