LPNs called to come in and work as Aides? Is this common? - page 4

by lisaannjamRN

2,938 Visits | 32 Comments

Hello Everyone, I am a brand new LPN grad, a brand new LPN in LTC, and brand new to allnurses. I love this site! It has been so comforting to me as a student and now as a new nurse. I have a few questions and would really... Read More


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    Thank you ALL so very, very much for your insight and wisdom. It means more to this new nurse than you could possibly know. I can honestly say that while on the Dementia Care floor, the aides are so over-burdened, that functioning as one of them, while also performing all of my nursing duties, IS interfering with my nursing abilities. And the other nurses who work on this unit, who have much more experience then me, have the exact same complaints and worries. It is not a matter of "helping out" with the residents. That is absolutely no problem. But my Administrator has made this "her baby", as she quoted to me the other day, and is bound and determined to make this work. The nurse on the Dementia Unit of 17 residents has 2 aides and 1 LPN who must be LPN and aide on the 7-3 shift. I have found one nurse is out on permanent disability and like I said the others have fled. I feel this is unsafe for the residents. I will inevitably miss something important by being so caught up in making beds and serving lunch, while giving out morning and afternoon meds. I plan on looking for other employment. I don't feel this is safe and I am not comfortable with it. I've got to go with my gut.
  2. 0
    Quote from leeannjamLPN
    Thank you ALL so very, very much for your insight and wisdom. It means more to this new nurse than you could possibly know. I can honestly say that while on the Dementia Care floor, the aides are so over-burdened, that functioning as one of them, while also performing all of my nursing duties, IS interfering with my nursing abilities. And the other nurses who work on this unit, who have much more experience then me, have the exact same complaints and worries. It is not a matter of "helping out" with the residents. That is absolutely no problem. But my Administrator has made this "her baby", as she quoted to me the other day, and is bound and determined to make this work. The nurse on the Dementia Unit of 17 residents has 2 aides and 1 LPN who must be LPN and aide on the 7-3 shift. I have found one nurse is out on permanent disability and like I said the others have fled. I feel this is unsafe for the residents. I will inevitably miss something important by being so caught up in making beds and serving lunch, while giving out morning and afternoon meds. I plan on looking for other employment. I don't feel this is safe and I am not comfortable with it. I've got to go with my gut.

    I think you said the ratio is an RN and an LPN plus two aids for 17 patients? I wonder if I am missing somthing because if that is the ratio it doesn't get any better than that. Most facilities have up to 35 patients, one nurse, and three aids per floor. I am in a SNF and consider myself very lucky to have 22 patients and two good aids on my floor.
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    I work as a nurse on the "memory care" unit. On the am shift there is 1 TMA, 1 nurse, and 4 aides. On the pm, 1 nurse, 1TMA, 3aides. Noc, 1nurse, 2 aides. There are 36 residents. The nurses are LPNs or RNs. I help the aides as much as I can, I feed residents at dinner (have to be in the dining room for safety reasons anyway). Seriously, I couldn't do the aide's job. It is hard physically, and the residents are hard to deal with. It takes a very special person to redirect over and over, sometimes agressive and combative people. It can be exhausting to care for these people and keep them safe. Still, we maintain a sense of humor and love on my unit. I love my job and consistent staffing is key to trust and routine on a dementia unit. Its not for everyone.


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