Is this understaffing (or is it me?) - page 2

I recently interviewed at a 120-bed, LTC facility. 118 beds are currently occupied; 16 are a locked Alzheimer's unit and the rest are two wings consisting of fifty + residents. I would be working... Read More

  1. by   joni p
    Don't go there! Do not risk your license. Do not risk making a mistake because you feel rushed and hurried. There has to be something else out there.

    Don't touch it!

    Joni
  2. by   BabyRN2Be
    This reminds of something that happened recently in my family. My fiance's grandma had to move from her LTC because it was closing. Unfortunately, my future MIL was in a rush to find a place to take her and really didn't look at all the options in the area. She put her in a place that was fairly inexpensive, and said just about anything to get their business. They claimed that they could handle an Alzheimer's pt, they did it all the time (no, this was not a locked facility). My future MIL was called because her mom actually left the building twice over her first weekend - they were actually surprised that she did that!

    They were very open with her about staffing though - one LPN for 50 residents. No CNA's, techs, etc. It was insane.

    Needless to say, they moved her to another facility the following week. It's a locked unit, but her mom is really messed up from all the moving. I feel really badly for her. She's very anxious, wandering, etc. I wish I could do something, but she doesn't remember me. I do expect this, but I wish I could help more. She's really a doll and I wish I had known her before the Alzheimer's really affected her.
  3. by   Hellllllo Nurse
    Quote from SunStreak
    .......I hope and pray I never end up in one of these so-called "nursing" homes.[/b]
    They are so pretty from the outside but inside the lights are on but NO NURSES ARE HOME........OR CNAS FOR THAT MATTER....GOD HELP THE RESIDENTS!

    You said it!
  4. by   BHolliRNMS
    on 11-7 we have 1 nurse to 60 residents. The 11-7 nurse is responsible for acute charting, supervision of cnas (3-4), PRN meds, emergencies, 6am FSBS, and 6am meds (mainly the tube feeders). I have worked it many times and it isn't bad.
  5. by   mead
    hi there,
    Iam an r.n. at a249 bed facility in Canada. On nights- 11 to 7, there is two nurses and 3 hca's for 98 residents! On evening which is my shift, I have myself 2 lpn's and 6 hca's. Iam responsible for 32 residents meds , treatments and all in between plus over all be respnsible for the three wings. We have a great group but do we work HARD! It sounds like the work load is the same everwhere.
  6. by   Catsrule16
    Quote from SunStreak
    I recently interviewed at a 120-bed, LTC facility. 118 beds are currently occupied; 16 are a locked Alzheimer's unit and the rest are two wings consisting of fifty + residents.
    I would be working weekend option on nights.
    I asked about the staffing and was told that on my wing (50 + residents), there would be a nurse (me), and 2 nurse aides.
    That's it.

    I feel that is ridiculous.
    In SC this would be inadequate staffing. Minimum Staffing requirements:

    Nurses all shifts 1 for every 44 residents

    1st shift (7-3) CNAs 1 for every 9 residents
    2nd shift (3-11) CNAs 1 for every 13 residents
    3rd shift (11-7) CNAs 1 to every 22 residents.
  7. by   GPatty
    This is pretty much the staffing I have where I work. 56 residents 2 CNA's and 1 nurse...me.
    I have 5 G-tubes, numerous IV's, labs to get, treatments to do, vitals to get, charting and assessments to do, 4 colostomy changes and a ton of other little trivial things that *MUST* be done....

    all this and 2 CNA's (1 of which is a bi*ch that is very snotty and crass) that take 2 1/2 hours to do rounds and while they are busy, I am answering their call lights, all this WITH the DON's insistence
    and
    finishing up the previous shifts orders and labs (because they didn't have time to get done..)

    I think that although it is do-able....it is also too much and should be either a 3rd aide (to free up the nurse from answering lights) or add a second nurse to be able to get things done.
  8. by   pj_marie
    The staffing where I work looks like this:

    6a-2p
    4 nurses, 8-11 CNAs, 2-3 Restorative and 2 unit clerks

    2p-10p
    3 nurses, 6 CNAs

    10p-6a
    2 nurses, 4 CNAs

    and 6a-2p shift has to have everyone that is not bed-bound up and at breakfast by 7:15a. Damn near impossible to do too!

    PJ *Proud CNA*
  9. by   donmomofnine
    Quote from pj_marie
    The staffing where I work looks like this:

    6a-2p
    4 nurses, 8-11 CNAs, 2-3 Restorative and 2 unit clerks

    2p-10p
    3 nurses, 6 CNAs

    10p-6a
    2 nurses, 4 CNAs

    and 6a-2p shift has to have everyone that is not bed-bound up and at breakfast by 7:15a. Damn near impossible to do too!

    PJ *Proud CNA*
    How many residents?
  10. by   pj_marie
    Right now we have 83 of 95 beds filled. Maybe 5 of those beds are bed-bound.

    PJ
  11. by   donmomofnine
    We have ninety beds with a census that runs around 84. We have a sup and four nurses along with 10 aides for 3-ll and a half unit assistant. We have a sup, two nurses and five aides for 11-7. On days we have two unit managers, four med nurses, a treatment nurse, two unit clerks and twelve aides and two restorative aides and one and a half unit assistants.

    :uhoh21: I wish my staff wouldn't complain about our numbers!
  12. by   Mister Chris
    Quote from SunStreak
    I recently interviewed at a 120-bed, LTC facility. 118 beds are currently occupied; 16 are a locked Alzheimer's unit and the rest are two wings consisting of fifty + residents.
    I would be working weekend option on nights.
    I asked about the staffing and was told that on my wing (50 + residents), there would be a nurse (me), and 2 nurse aides.
    That's it......................what do you all think?
    Well! I work nights in several nursing homes (aged care) as an RN.
    106 beds 4 nursing aids + me (RN).
    128 approx 4NA + me.
    156+ 5NA and me!
    65+ 3NA and Me!
    Yes the work can be very full on some nights. The NA's on the whole are very good. I do try to find time to work with them on the rounds but mostly I am caught up in pills, potions, lotions, paperwork and dressings - yes I did say night duty!
    The worst part is the pay - lot less than in General or Psych nursing in a Hospital!
    Mister Chris.
  13. by   PRILLY515
    hello all, i am new to allnurses. I currently have 4 more classes left for my BS in health science but i plan to attend nursing school in the spring. I've been reading the posts for several days now and it has helped me answer some questions that i had. But as for the 50 patients per 1 nurse, that is crazy! I work in a hospital here in Miami and it is usually 1 nurse and 1 cna per 5-6 patients. I couldn't imagine anything more.

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