LPN for 60 patients

Sep 10, 2006 02:08 PM

by mom2saul&amaris

I have been an LPN for 4.5 years and am currently working on a med-surg floor in a small community hospital PRN. I have worked med-surg, LTC and a general surgery clinic in the past.
When I worked LTC in the past I had 20-25 patients.
I have recently decided to work LTC as PRN 11-7. My concern is I will have 60 residents to care for. Which of course entails meds, & charting. The DON promised no wound care on this shift and if any resident worsens, fall etc it is immediate transfer to the ER.
I will orientate 4 days then on my own. Is this too much?

Any feedback would be appreciated.

*Daytonite* · Sep 10, 2006, 04:07 PM

Sounds doable. With no ordered treatments and a real minimum of medications to give, I'm betting that most of what they have you doing is paperwork (weekly summaries, checking orders, reconciling the new month MARs/TARs before they go into the notebooks at the beginning of the month, skin checks, that sort of thing) and supervising the CNAs, of course!

banditrn · Sep 10, 2006, 05:27 PM

Re: LPN for 60 patients

Depends on how many CNA's you have. I only have 1 on 11-7 and a lot of my time is taken up with CNA type things. I can never complete a med pass without stopping to potty or clean up some of the residents.

suebird3 · Sep 10, 2006, 05:48 PM

Re: LPN for 60 patients

My facility is non-Medicare, and I had 60 rezzies on 3-11. On 11-7, I had all 120. I have some decent Aides, so that helps. The most GT's we ever had were maybe 7 at one time, and 2 were Bolused. Once you get a routine, it is very do-able.

Suebird

CapeCodMermaid · Sep 10, 2006, 07:07 PM

Re: LPN for 60 patients

Originally Posted by banditrn

Depends on how many CNA's you have. I only have 1 on 11-7 and a lot of my time is taken up with CNA type things. I can never complete a med pass without stopping to potty or clean up some of the residents.

Do you work on a pediatric unit?? POTTY?? Yikes, they are old people not little kids.
But,back to the subject--my old facility had a 60 bed long term unit with one nurse and 3 CNAs. She only had about 4 meds to give out at 6am and spent most of the time doing paperwork.

suebird3 · Sep 10, 2006, 07:09 PM

Re: LPN for 60 patients

Believe it or not, we have one or two who say "Potty". Meant as BR AND goofy.

CapeCodMermaid · Sep 10, 2006, 07:15 PM

Re: LPN for 60 patients

Holy Moly!!! 120 residents skilled or not seems like too many for one licensed person no matter how many CNAs you have.

suebird3 · Sep 10, 2006, 07:17 PM

Re: LPN for 60 patients

Been at the job for over 7 years. Once you get a routine, you're good to go. Very decent place, I think.

jetscreamer101 · Sep 10, 2006, 09:45 PM

Re: LPN for 60 patients

For 11-7 in my LTC, it's usually 1 LPN and 3 CNA's for 76 non-skilled beds and 1 LPN and 2 CNA's for 42 skilled/medicare beds. This includes some treatments and 1 pretty heavy am med pass (all Accuchecks, eye drops, inhalers, insulins, patches and quite a few before breakfast meds like carafate, actonel, fosamax, reglan). Occasionally, if there is a call in, there may be just 1 LPN for all the beds for 2-4 hours.

mom2saul&amaris · Sep 10, 2006, 09:45 PM

Re: LPN for 60 patients

Thanks for all the feedback.
I am looking forward to it.
Hopefully all goes well after orientation

Thanks again
mom2saul&amaris

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LPN for 60 patients

LPN for 60 patients

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