Re: Licensed Nursing Home Administrator
In PA and NHA does not need to be a nurse. I think it is a 120hr class and Adm in training "clinicals". Not sure on the hours. I'm sure it will vary from state to state, but for the most part, no they do not need to be nurses. Yes......it would be awesome to have someone with a nursing background that actually worked as a nurse. I've had some ADMs that went to school for nursing (never passed or didn't sit for the exam) and a few that were BSNs but never really worked the floor..still...that is different and not the same as walking the walk. I've had others with just a business background that were excellent! All depends
Tips....sounds like a high ratio for a sub acute unit. Most sub acutes staff higher than that. Now if it is just a typical LTC...depending on the shift..that might be legal. Is is right...no. I seem to have a limit of 25-26 residents max. I've worked in places with more and I just can't seem to get my head around it. I've been doing LTC for about 13yrs now and like I said...I know my limits.
It has to be against some labor law working OT and not getting paid for it. I'd look that up in your area or state. Some days you just can't seem to get it done in 8 and staying over to chart or finish little stuff happens. Not getting paid..Nope, not in my book.
Pt load..I have a lot of GTubes, o2ers with pulse ox, diabetics, crushes, complex wound care, multiple IV abtxs, infections (mrsa, cdiff, vre) but probably only about half of my pts are kinda sub acute material..the other half are intermediate or LTC with dementia and behavior issues. If I'm lucky, I will get a A and 0, independant walky talky soon to be d/c'd.
Still..sounds like a rough situation...I'd start looking around. Hiding in rooms to chart, not having a nursing station or at least some breaks........BURN OUT.
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