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. Visit  CynicallyVexed profile page

    About CynicallyVexed

    CynicallyVexed has '15' year(s) of experience. From 'TN'; Joined Sep '09; Posts: 75; Likes: 36.

    21 Comments so far...

  3. Visit  eatmysoxRN profile page
    1
    That's way too many. It's good you're getting out.
    sapphire18 likes this.
  4. Visit  mvm2 profile page
    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. Visit  yesidid profile page
    0
    Wow 50 paients is on alot and on dayshift? OUTRAGEOUS!
  6. Visit  unquisitivenurse profile page
    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. Visit  AudreyLangston profile page
    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. Visit  nnancy627 profile page
    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. Visit  snazzy-jazzy profile page
    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. Visit  snazzy-jazzy profile page
    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. Visit  BrandonLPN profile page
    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.
  12. Visit  pinkiepieRN profile page
    0
    I just interviewed for a SNF and was told I'd be responsible for 10-12 patients. At least 3 nurses and 2-3 techs on shift for 60ish beds. Is this unheard of?
  13. Visit  CynicallyVexed profile page
    3
    I'm actually an LPN in charge of doing medications/treatments/charting of 50 patients as well as charge nurse duties. Each floor is suppose to have two nurses and four months ago I had a second nurse and I no longer do and some of the other floors their nurses have quit as well or out on medical leave and they have yet to hire or replace any of them!!! Things get bypassed I will admit major treatments that require my initials are the only things I have time for. Med pass takes about two and half hours and that's only because I've been there so long I remember most of all of their meds. And I am looking I have applied at 7 other places as of now cause I'm over it and there is NO support, the only time I see management on my floor is cause they found something wrong and want answers. Sometimes I might get somebody that will help me for a total of an hour during a medpass to do a pass pull where I'll pull the meds and they give them, again another big no no I know. Which is another reason I'm leaving.

    Quote from BrandonLPN
    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......
    PriscillaC, BrandonLPN, and Esme12 like this.
  14. Visit  Jess6 profile page
    0
    Quote from dolcebellaluna
    I just interviewed for a SNF and was told I'd be responsible for 10-12 patients. At least 3 nurses and 2-3 techs on shift for 60ish beds. Is this unheard of?
    Well, the math isn't quite working out. Even with 4 nurses for 60 beds, that's 15 per nurse. While I realize SNFs don't generally run at 100% census, it sounds like maybe they're giving an optimistic ratio.

    I'd also expect the acuity to be higher with that sort of ratio, or for them to be more complicated patients.


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