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- by adamsmom2 Jul 29, '12My ALF does not have a nurse 24/7 in house. But someone is on call. I was wondering what facilities have 24/7 in house nurses. We do have aides and med techs so someone is always there to help.
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- Jul 31, '12 by DSkelton711I work in an enormous ALF that has LPNs for morning and afternoon shifts. It is a bit like a LTC. Lots of charting, orders, meds, ordering meds from the pharmacy, assessments (called an LPN summary) that are due monthly, care plans, etc. Same for our SCALF only it has a LPN all three shifts. I am the RN in charge. I oversee about 100 residents and staff of 30. I love the residents and my immediate boss. Overall, it is probably one of the nicer Retirement communities to work for (LTC, SNF, ALF, SCALF, Independent Living).
- Jul 31, '12 by adamsmom2But do you have a LPN there all the time? If not how late?
- Jul 31, '12 by DSkelton711Our SCALF (on third floor above our ALF) LPN is in charge. There is also a CNA at night of ALF. Two CNAs on SCALF. It's a little inadequate but we manage fairly well.
- Aug 3, '12 by noreen lamoureuxMost AL's do not have nurses 24/7. I have worked at one that did but difficulty keeping nurses who had to do aide & housekeeping duties as well. As a former D.O.N. of an AL, I know 24/7 nurses usually not necessary.
- Aug 3, '12 by DSkelton711Where I live, nurses are not required. However, because of the sheer size of our facility and how it is run it is necessary for us to have LPN 24/7.
- Aug 3, '12 by CapeCodMermaidWhat is a SCALF?
- Aug 3, '12 by BrandonLPNI'm going to guess it's a skilled care ALF. (I never heard of it either)
- Aug 4, '12 by livvymk3I am the LPN at an ALF. I am overseen by an RN who has to sign off on all meds I add/discontinue to the MAR and is responsible for the initial and 6 month assessments. The CNAs/aides are trained to assist in passing medications after I have checked them in from the pharmacy or set them up in med sets per MD orders. Our facility is fairly small (16 resident capacity.) I am always "on-call," meaning I can be called for med questions, falls, changes in order from MDs, etc. In my 11+ years in AL, it has been my experience that the residence runs fairly well with the aides; really no need for 24/7 nursing.
- Aug 4, '12 by adamsmom2Thank you for the replies. I am coming from a home health case manager job to a ADON in a ALF. It is going well so far. Alot less stress and no hours of homework. The pay is much less but with school aged kids having a mon-fri set schedule and not having to work every weekend is great.