RNs in LTC

No, I haven't heard of that happening where I live in PA, but one never knows....in fact, where I work now, the majority of staff nurses are RN's.

Our facility has all RN's as management teams, and several who work as shift supervisors also...Our LPN's are all floor nurses...I'm not sure what you consider "staff" nurses.

Nursenan

I have about half and half LPNs and RNs. The interesting thing I have to contend with is that our RNs don't want to lead! I have LPNs as unit managers and they do a terrific job.

Well I'm in Canada and in my province the move is to drastically reduce the RN positions and have only LPN's. It is happening at many facilities now. Legally there should be 1 RN in the building for consult and the rest could be LPN. Seems if they can find a way to get rid of the 1 RN they will do that too.

QUOTE=surfnbeagle] Hi I am an RN and work as a staff nurse in a SNF in FL. Has anybody heard that facilities are looking to hire LPNs and not RNs for staff positions?[/quote]

It is happening in Ohio.

renerian

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I also work in Canada Ontario to be more specific. We have 3 RN (unit managers) on day shift weekdays with 3 LPN's on Evenings we have 1 RN supervisor with 3 LPN's and on Nights we have 1 RN supervisor with 1 LPN the rest of the staff are made up of HCA.
The HCA are the best you could find and we rely on them immensely with out them life would be HE**. Our LPN's are responsible for the medication passes and general assessments.
As a Unit Manager I am responsible to ensure the residents have all there needs met and I chip in and do anything that needs to be done at the time as well as deal with family members and paperwork Doctors etc.
Our system is great and it works. On my floor we work as a great team and in reality that is the most important.
You need a good team leader regardless of the title.

Here in California, Title XXII requires one RN per shift for any building over 99 beds. For buildings < 99 beds, you must have one RN on duty for an 8 hour period. Ideally, the RN is not the DNS. We have a lot of difficulty finding RN's who will work in LTC.

In my facility, we have one RN for about 38 residents on days and evenings and one LPN which float between the two. The LPN is not there to run the floor but to assist and complement the RN and the RCA's with tasks such as passing meds, helping the care aids with some care, and they do some assessing but always confer with the RN. I think it works this way. On nights we have one RN for both floors, about 76 residents.

I'm in Northeast Ohio, and in our area there seem to be more LPN schools than RN schools.