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Hi to everyone,
Just want to broaden my knowledge and have a question on Nursing ratios as they apply to long term care facilities. Any comments?
Where I work, during nightshift there are two CNAs to the 12 patients in the PC unit (and in the entire building, by the way; it gets to seem pretty quiet when everyone is asleep! :chuckle ). We are also have to answer calls from our apartment residents (ones who are more retirement-home-ish), and during a good night two of them call several times a night. So that's 14 pts per 2 "nurses" at night. I'm not sure if this is the norm or not.
Hope this helps a bit.
I recently spent four days orienting to a health facility that has long and short care patients....many are skilled nursing patients which is nothing more than a step down med/surg unit from what I could tell. Each nurse has 20 patients no matter the shift. Needless to say, due to many things I witnessed and heard during my four day experience there, I chose not to stick around for more abuse.
7-3 at our facility is 2 nurses each nurse had 20 subacute patients (read med/surg and take medically stable as fiction) and 10 long term care. 7-3 also has a unit clerk and a treatment nurse. 3-11 its the 2 nurses again with 20 subacute patients and 10 long term care residents. 11-7 is 1 nurse to all 60 patients. There is also a house sup on all shifts to handle admits, discharges, incidents and accidents. But as mentioned with call offs and other issues......it is usually less than ideal....
Oh, I would love to post a copy of this thread at my facility. We have 90 beds, but our census is always closer to 80. On 7-3 there are two supervisors, four primary care nurses, two unit clerks, ten nursing assistants and two bath aids, and two unit assistants. There is a wound nurse three days a week. On 3-11 there is one supervisor, unit clerks stay till six, four primary care nurses, ten nursing assistants. On 11-7 there is one supervisor and two primary care nurses, along with five nursing assistants. We usually have extra help on all shifts with "pre nats", kind of act like unit aids. These are people we have on the units before the nurse aid training program starts or they are students in the local tech school's NA program. We also have hospice during the day and so they send an aid each weekday to do our five or so hospice residents. We have students from the Vo tech to help with care one day a week and LPN students from a local college here one day a week. We have no sub acute. We also have a nurse practitioner working for Evercare, in which twenty of our patients are now enrolled.
In my LTC facility there are two stations. One station has 36 pts. 1st shift has one lpn, one med tech, and either 3 or 4 aides. 2nd shift has one lpn, a med tech until 4pm, and either 3 or 4 aides. Third shift has one lpn and two aides.
The other station has 56 pts. It's supposed to go like this: 1st shift 2 lpns, 2 med techs, 6 aides. 2nd shift (where I work) 2 lpns, 1 med tech, 4 aides. 3rd shift has 1 lpn and 3 aides. If the other nurse calls off though, you're usually by yourself. It can get pretty busy, I'll tell you. Especially when you get admissions.