Eek, Is 48 patients by myself too many for a nightime LTC center shift? - page 2

by hettink

4,194 Views | 13 Comments

Hello, I am a new nurse. I passed my NCLEX a couple weeks ago and will be starting a job in the next few days. I was told that I will get 2 weeks training before I will be on a night shift with 48 patients! I have no idea what to... Read More


  1. 0
    Good for you! Many times it's easier to start off on a busier shift (days or evenings vs. nights) so that you can get a good grasp of your time management and prioritizing skills, plus get to know your residents' norms much better prior to having them at night (even though it is unclear from your posts if you are even going to be moved to nights eventually?) 24 residents is a "reasonable" amount for a day shift with other nurses on the floor, given the acuity of residents and the amount of hands (CNAs) you have helping you out. At my facility, a day shift has 3 nurses (3 halls) and 8 CNAs spread amongst approx. 64 residents, so I think that I "got lucky" at my facility...

    Good luck, and hang in there!
  2. 0
    DEPENDING on what floor i'm on, I can have 60 patients 30 skilled and the locked unit (dementia unit), or 60 on a separate skilled unit I pray that when I work no one falls, my Cna's don't " forget " to tell me about any skin tears, falls, or changes in patient conditions, and that I don't overlook any new orders not noted on MAR. OH! and I forgot LOL My relief comes on time HEE HEE
  3. 0
    When I was night shift I sometimes had around 130-135 patients with 2 staff on each of the 4 units (and maybe an LPN if I was lucky). Know what you can delegate, and don't be afraid to do so.

    I do find your situation a bit much for a new grad... Speak up if you're not comfortable, in the end if something happens, it will be you who is responsible.
  4. 0
    I am in similar situation as u except my facility has 75 beds and only 1 nurse at night with 3 aids. I've been asked to work nights several times and each time i've turned it down and they just won't stop pushing! I just don't feel comfortable with so many patients and me being so new anything can go wrong. If something happens, I don't want my license or patients to be in jeopardy. Don't be afraid to say NO, what's the worst that can happen? Have them fire you? Just look for a new job and it's part of the nursing law (i think i read it somewhere) to not accept any assignment that you're not comfortable with. Speak up for yourself and protect your license!


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