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Nursing staffing



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No. 10
from SuesquatchRN
Old Oct 19, 2009, 04:57 PM

Default Re: Nursing staffing
Originally Posted by AnnemRN View Post
The Dept. of Health and Human Services has a preferred minimum staffing level recommendation for nursing homes. It says each resident should received a total of 1 hour and 45 minutes of care from a licensed nurse. An LVN/LPN can provide 1 hour with the RN providing 45 minutes. My understanding is if there is no LVN/LPN available then the RN should be able to provide the entire 1 hour and 45 minutes.
HAHAHAHAHAHAHAHAHA!

Oh, wait, I'm dying here...

I just got some meds rescheduled for my 6 am med pass so I can give each resident an undivided 6 minutes of time.
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No. 11
from CapeCodMermaid
Old Oct 19, 2009, 05:07 PM

Default Re: Nursing staffing
My facility has 41 beds....day shift 2 staff nurses, a nurse manager, and 5 CNAs. Don't tell me that is not more than adequate staffing....never more than 21 residents and at the moment, there are NO IVs, no wound vacs, and no complicated treatments. I've done the staff nurses' job so I know it can be done.
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No. 12
from AnnemRN
Old Oct 19, 2009, 05:44 PM

Default Re: Nursing staffing
Originally Posted by SuesquatchRN View Post
HAHAHAHAHAHAHAHAHA!

Oh, wait, I'm dying here...

I just got some meds rescheduled for my 6 am med pass so I can give each resident an undivided 6 minutes of time.
They will appreciate you spending more time with them.
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No. 13
from AnnemRN
Old Oct 19, 2009, 05:45 PM

Default Re: Nursing staffing
Originally Posted by CapeCodMermaid View Post
My facility has 41 beds....day shift 2 staff nurses, a nurse manager, and 5 CNAs. Don't tell me that is not more than adequate staffing....never more than 21 residents and at the moment, there are NO IVs, no wound vacs, and no complicated treatments. I've done the staff nurses' job so I know it can be done.
What's it like when there are IV's, wound vacs and complicated treatments. How many patients would you have then?
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No. 14
from CapeCodMermaid
Old Oct 19, 2009, 06:27 PM

Default Re: Nursing staffing
Nurses are licensed people with certain skills. As cold as it sounds, Medicare does NOT pay us to spend time with the residents/patients. And to answer the other question...21 residents even with IVs and wound vacs is more than doable...especially since not all 21 residents have IVs or vacs. By the way...a wound vac takes 5 minutes 3 times a week as opposed to a different kind of dressing done 3 times a day.
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No. 15
from AnnemRN
Old Oct 19, 2009, 07:14 PM

Default Re: Nursing staffing
I worked in a nursing home a few years ago and so many critical things were missed. Patients were dehydrated, many times labs were not checked. One patients INR was 10.2 and the nurses were still giving him his coumadin. The nurses were very busy.
I've performed many wound vac dressing changes, but have never been able to do them in 5 minutes. I just don't think these nurses are complaining just for the heck of it, that's just my opinion.
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No. 16
from CapeCodMermaid
Old Oct 19, 2009, 08:13 PM

Default Re: Nursing staffing
If and when the nurses get too busy, it's time for the supervisors/managers to step in and help. I review all admission charts, review labs, write orders, read charts from start to finish to figure out why someone is sick. It's why we have a team.
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No. 17
from noc4senuf
Old Oct 20, 2009, 10:53 AM

Default Re: Nursing staffing
It all depends on each individual facility and how they operate. Very doable on a LTC floor for 21 residents. On a TCu, then it would be a bit much... all depends on the acquity. When i worked the floor, I had 65 residents at night and on day shift there were two of us and a ward clerk.,,, certainly doable and we were a great facilty, things got done!!
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No. 18
from AnnemRN
Old Oct 20, 2009, 04:06 PM

Default Re: Nursing staffing
Originally Posted by CapeCodMermaid View Post
If and when the nurses get too busy, it's time for the supervisors/managers to step in and help. I review all admission charts, review labs, write orders, read charts from start to finish to figure out why someone is sick. It's why we have a team.
Okay, then why do you think the OP's nurses are complaining?
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No. 19
from CapeCodMermaid
Old Oct 20, 2009, 04:38 PM

Default Re: Nursing staffing
At the risk of getting flamed, perhaps it's because they don't think nursing is HARD work or that they are entitled to have just a few residents or they can't do the work or they have not helpful managers.
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