How does this job offer sound to you? - page 3

by Spring_Peeper

I just completed LNA training and got my first job offer. I would be part of a team of 4 LNAs and 2 nurses, caring for 35 total care and hospice patients on a 3-11 shift. Does that sound like a lot? It sounds like a very big... Read More


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    Quote from PeachPie
    One thing to consider: Are there always going to be that many CNAs? At my old place, management advertised us as having 5-6 CNAs, but in reality, it was usually 3-4.
    This is a common problem around here. The nursing homes are supposed to post the number of CNAs that work each shift in a public area, but the numbers are posted in the morning before the 7-3, 3-11, and 11-7 call-outs begin, so it isn't accurate. I don't know how many times we were told that we would have "plenty" of CNAs the day before, but the next day comes, and we are short-staffed because of call-outs.
  2. 0
    Quote from Hellllllo Nurse
    The staffing ratio sounds great to me. When I worked nocs taking care of 65 total care and hospice pts (trachs, tube feeds, incont, all of that) I was the only nurse working w/ 4 CNAs we busted out butts on that unit.
    And I thought I had a bad night my first night in a new NICU. Give me ONE sick baby any day. I used to be a CNA in LTC, but these places sound terrible now!! My sympathies!
  3. 0
    Quote from Faby
    Hi everybody: I'm sorry but looking at all the information posted here I'm wondering; does anybody knows if there's some kind of ratio stablished? Faby
    Sounds like a decent pt load to me but how acute are the patients?

    In my state there are regulations on ratios: For day shift: 1 CNA to 10 pts; on swing shift: 1 CNA to 15 pts.; on night shift: 1 CNA to 25 pts. In one facility where I worked when we were short-staffed, the nurse picked up 2-3 pts and did CNA duty care for those pts in addition to her nursing duties!
  4. 0
    Wow! the unit I work on has 1 LPN (me), 1 RN, and 4 CNA's for 33 pts. I spend all day passing meds, doing treatments, and trying to restock the med cart "when I have time". I am a new grad and quite frankly I am considering a change. I like the people I work and love the residents, but am concerned about the nurse to pt ratio.

    Wendy
    :
  5. 0
    In the NH where I currently work, the staffing for 3-11 is as follows:
    1-RN or LPN -Med pass, Tx and charting Q shift.
    2-4 CNAs -Personal Care, VS and charting Q shift
    32 residents -Give or take one or two.

    On night shift, double the patients. Same CNAs same RN/LPN.

    The acuity is mixed. We have several total cares, and some that require just some supervision and guidance. We have some Alzhiemers pts. that have to be watched.

    As an earlier poster said, the key is to have a good group of people who are willing to work together to get stuff done. I stop and help out now and then and the aids are really good about helping me when I need it.

    Nursing is a 24/7 job and in our LTC, no aids stay over unless they have charting to do.
  6. 0
    Quote from Spring_Peeper
    I just completed LNA training and got my first job offer. I would be part of a team of 4 LNAs and 2 nurses, caring for 35 total care and hospice patients on a 3-11 shift. Does that sound like a lot? It sounds like a very big responsibility to me, but what do I know? Trying to decide whether to take it. Is this a typical pt load?
    Hi: It doesn't sound too poor, compared to my facility, where we have for 65 LTC pts, 7 CNA, and 3 nurses, LPN or Rn , doesn't matter for them. I have 33 pts to do meds myself, in addition to some treatments, some feedings and part of the desk,if the desk nurse has admitions to do, or something unusual happens. Bottom line I never end before 1AM.
  7. 0
    Sounds like the norm.
  8. 0
    Wonderful ratio for a CNA! Where in the world did you find this place?
  9. 0
    well if there are only going to be four nursing assistants on your shift that means you are going to be responsible for at least 8 patients yourself . if they are total care like you say that means you are going to be responsible for seeing each one is fed ,taken to bathroom every 2 hrs, turned every two hours,oral care, linen changes etc, sounds like a big job for one aide to eight residents. i would try to find a job where there have a better staff to patient ratio!
  10. 0
    Quote from greenbird
    well if there are only going to be four nursing assistants on your shift that means you are going to be responsible for at least 8 patients yourself . if they are total care like you say that means you are going to be responsible for seeing each one is fed ,taken to bathroom every 2 hrs, turned every two hours,oral care, linen changes etc, sounds like a big job for one aide to eight residents. i would try to find a job where there have a better staff to patient ratio!
    You work in long-term care and you think she's going to find a better ratio than 1:8 for a CNA?

    But seeing as she posted her original question two months ago, I'd say she's probably come to a decision by now. :deadhorse:


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