How does this job offer sound to you?

Specialties Geriatric

Published

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? :confused: Trying to decide whether to take it. Is this a typical pt load?

Specializes in Long Term Care.

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.

Specializes in ER, Med Surg. ICU, Mgmt. Geri. Hme Care.
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? :confused: 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.

Specializes in Psych, Informatics, Biostatistics.

Sounds like the norm.

Specializes in Nursing assistant.

Wonderful ratio for a CNA! Where in the world did you find this place? :)

Specializes in long term care.

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!

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:

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.

question...are all of the ltc assignments for travelers this bad?! i'm not a traveler but have left the snow in new england for sunny so.cal but the staffing here is awful. where was your favorite?

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