How does this job offer sound to you? - page 2

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... Read More

  1. Visit  FloNightey} profile page
    0
    From my personal experience as an LPN at a LTC facility in NH----This sounds pretty standard----where we worked i was the only nurse with 4 LNAs....Its all about getting a good group of LNAs that want to together as a team....that is the key to success....Good Luck!
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  3. Visit  PeachPie} profile page
    0
    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.
  4. Visit  HeatherLPN} profile page
    0
    On my hall we have 3 aides from 2-10, with one nurse working from 6a-6p, and one from 6p-6a. I have 2 aides from 10p-6a. We run between 27-30 residents, and it's the dementia/behavior unit.
    Last edit by HeatherLPN on May 4, '06
  5. Visit  chadash} profile page
    0
    For a NA, this sounds like a doable ratio. I would have killed for this kind of load. (Not literally>>>)
    I do think less than this would be better for the patient, but I don't know anywhere on God's green earth that you could do any better than this....
  6. Visit  luvmy2angels} profile page
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    Sounds pretty normal to me. The last place I worked as an aide our assignements had 13 pts each. The new place I will be going as an LPN they have 44 beds, 1 RN 2 med nurses and 4 aides ( this is 3-11 shift), dayshift gets at least one more aide.
  7. Visit  Jennerizer} profile page
    0
    I agree with PeachPie...what is "said" and what is "reality" are usually two very different scenarios. Talk to other aides to find out the truth.
  8. Visit  Faby} profile page
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    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? I mean, who's responsibility is when the facility is understaffed. It's always the nurses's responsibility regarding anything that happens under these circumstances? it seems unfair to me. Thank you
    Faby
  9. Visit  Plagueis} profile page
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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.
  10. Visit  Kimbalou} profile page
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    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!
  11. Visit  Midwest4me} profile page
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    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!
  12. Visit  tatgirl} profile page
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    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
    :
  13. Visit  weirdRN} profile page
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    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.
  14. Visit  Faby} profile page
    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.


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