CNA Patient Ratios?

  1. 0 What do you all think is an appropriate patient ratio per CNA?
    The facility I work at right now has one LPN and three CNAs for our 30 patient Alzheimer unit. It is a 180 bed facility, and there are many days where one of us is floated to another dept, and then there are only 2 1/2 CNA's for the 30 residents. Is 10-12 dementia patients per CNA the *average*? I work the day shift, so we have two meals to get out everyday...I think that it's too hectic, and that we can't spend enough time giving care to EACH individual, but is this how all nursing homes are? I am new to the field and just wanted some input.
    Thanks,
    Stacy
  2. Visit  StacyC417 profile page

    About StacyC417

    32 Years Old; Joined Aug '03; Posts: 43.

    14 Comments so far...

  3. Visit  Marie_LPN, RN profile page
    0
    The average that i've seen in LTC places are 7-8 pt. per CNA
  4. Visit  francine79 profile page
    0
    I worked in a nursing home about 7 years ago and they only had 2 aides for a 20 bed alzheimer unit. I wasn't a CNA, I worked in the kitchen, so I don't know how it was, but I know when we served meals over on that unit the place was a mess!
  5. Visit  ChainedChaosRN profile page
    0
    Depends on the type of resident being cared for. Totally dependent with all ADL's will require more staffing, more independent less. Care levels and layout of a facility are big factors in ratios.
  6. Visit  AlixCoastRN profile page
    0
    In Oregon the ratio by rule is 10:1 on day shift, 15:1 on eves, and 25:1 on nocs no matter the resident - this is state standards for minimum staffing res to CNA. The company I work for chooses to have more CNAs on during the day and evening shift, including restorative aide on days.
  7. Visit  PROFETA548 profile page
    0
    DOES ANYONE KNOW THE RATIO FOR NY STATE FOR LTC!!!!! THANKS!!! SOMEDAY WE HAVE 6 CNA'S FOR 40--- THEY HAVE TO ALSO DO OUT-TRIPS WITH THE RESIDENTS WITH APPOINTMENTS. LEAVING SOMETIMES ONLY 4 CNA'S ON A UNIT!!!! AND ON THE WEEKEND---------- ONLY 4 CNA'S ON A UNIT FOR 40 ON THE DAY SHIFT!!!!! IS THIS LEGAL -- SCAREY RIGHT!!!!!!!!!!!!!!
  8. Visit  Catsrule16 profile page
    0
    Staffing ratios in SC

    1st shift 1 CNA to 9 residents
    2nd shift 1 CNA to 13 residents
    3rd shift 1 CNA to 22 residents

    Nurses 1 - 44 residents
  9. Visit  canada profile page
    0
    I work LTC as RN. I have 80 residents I.am responsiable for. I have 2 RPNs and 8 HCAs. This for day shift with a heavy mix of residents. Several other floors have a different mix of staff but ideally its 1 RN with 2 RPNs and anywhere from 9 HCAs to 5 HCAs each floor. These floors are home to 80 residents per floor.

    Evenings is different with 1 RN in facility. 2 RPNs per floor with 1 to 2 less HCAs per floor.
    Nights 1 RN in facility, 1 RPN per floor , 2 HCAs per floor.
    Of course this all changed with call-ins and floors work short, sometimes VERY SHORT. :roll
  10. Visit  MandyInMS profile page
    0
    Originally posted by ChainedChaosRN
    Depends on the type of resident being cared for. Totally dependent with all ADL's will require more staffing, more independent less. Care levels and layout of a facility are big factors in ratios.
    I agree..that's the way they SHOULD staff, based on acuity..sadly it's all about numbers and money though :/
  11. Visit  Marie_LPN, RN profile page
    0
    My average for night shift me for every 30 pts. But this is ok in a hospital because most are self-sufficient, they just can't kick the IV pole to the bathroom and walk at the same time.
  12. Visit  KaroSnowQueen profile page
    0
    When I worked in LTC, my floor had 39 patients and three aides on days and one on second and thirds. We were considered ICF but had a lot of total care patients.
    The SNF floor had 50 patients, four or five aides on days and three on second and third.
    These people who posted 7 or 8 patients each for LTC -- I am astounded, I have NEVER seen such low ratios!!!!!!!!!!!!!!
  13. Visit  Marie_LPN, RN profile page
    0
    There's a lot of places around here with bad ratios, but it's a matter of realizing you're only human, and not letting yourself get overextended when you can avoid it.
  14. Visit  maeyken profile page
    0
    I worked LTC this summer, and we had 2-3 HCA's per unit (of approx. 30 residents) depending on the level of care required, and one nurse per unit (RN or RPN). That was for day and evening shifts. Night shift had 1 HCA/unit, and one RN in the building (96 bed facility). And there was one more HCA who floated between the units. It kept us busy, cuz pretty much all the residents were total care or close to it! I'm glad I didn't have more to do!!

    ~mae


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