How is this acceptable? 50 patients ltc/skilled DAYSHIFT!

  1. 0
    So obviously I work LTC/Skilled facility and the facility itself is nice all private rooms nice furnishings/finishings etc etc, even nursing has computer tars/mars/charts on the med carts.... All the floors have 50 patients. how is it acceptable to have ONE nurse to fifty patients? I'm job hunting now cause I'm over it. Maybe this is just a rant, but i'm not the only one in the building that is being staffed like this and several more nurses are leaving and Management only want to ***** about the stuff that doesn't get done...
    Last edit by Esme12 on May 2, '13
  2. 21 Comments so far...

  3. 1
    That's way too many. It's good you're getting out.
    sapphire18 likes this.
  4. 2
    Wow I can not believe that ratio! Is that even legal?? what is it on the night shift? Is the ratio for the CNAs just as bad? Yes leave and don't look back!! I'd unite all the nurses and cnas if their ratio is this bad and leave them!! You have worked way to hard for your licence. Protect it, and yourself and find a much better place.
    PriscillaC and Janey496 like this.
  5. 0
    Wow 50 paients is on alot and on dayshift? OUTRAGEOUS!
  6. 0
    Depending on the state they're some nurse to patient rate laws....you should check it out. Definitely try to leave ASAP if you don't see any improvements. It's unsafe for you and for the patients.
  7. 0
    Yikes, I've had 32 on a regular day at a LTC job in the past and I think that is B.S. I find working in LTC is putting my licence on the line. I had to get out.
  8. 2
    Fifty patients is laughable, if not sad- but almost an overthought, compared to the fact they are PRIVATE rooms. The amount of physical space (distance) you have to traverse in a shift is logistically impossible. Much less passing the meds, and etc. It simply cannot be done.
  9. 0
    That was me not long ago, in addition to that I was also a new grad with only 2 shifts being buddied. After that I was in charge of 160 patients, however I did have Nursing Assistants to help and someone licenced to assist give meds, lucky it was night shift and not many to give. Another time I had 50 on my own that I had to give meds and insulin too, and I'd just finish one round and have to start on the next. Finally (after discussing the situation with Management and asking for at least another buddy shift) I was asked to do the night shift where I would be on my own with 25 patients on the dementia unit, some with other diagnosises such as schizophrenia. I was told I wouldn't need a buddy shift, it was 'easy' said Management... I had nurses tell me otherwise, and I think they actually knew what they were talking about compared to the 'new' management in place... I resigned after 2 weeks.
  10. 0
    I couldn't do it, but was made to feel like I was a failure and was told it was all because I was just a new grad and lacked the experience. I did 50 with some on insulin and then got halfway through my second round, all without a break. And I almost forgot I had to give DD's as well, lets not discuss the corners I would be expected to cut on the administration of those babies so as to get done in time.

    I thought it was me, I'm starting to realise after reading these forums that it wasn't, and I probably did pretty well considering.

    Quote from nnancy627
    Fifty patients is laughable, if not sad- but almost an overthought, compared to the fact they are PRIVATE rooms. The amount of physical space (distance) you have to traverse in a shift is logistically impossible. Much less passing the meds, and etc. It simply cannot be done.
  11. 2
    Do you actually have 50 pts all to yourself? Meds and treatments and everything?

    Or is this one of those "I'm the only nurse (RN) for 50 pts...... except for the LPNs who do all the meds and tx" posts?

    If you're really the only nurse, I agree that 50 residents is undoable. The med pass alone would be impossible, let alone dealing with all the little charge nurse "stuff" that pops up.

    If you have LPNs to work the floor, I'd say it's very doable. Not easy, but doable.

    If you're "it" for 50 residents, I'd leave, too. Seems like they spent too much money on all the fancy computers and furniture......
    silverbat and salvadordolly like this.


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