Short nursing staff

  1. I get so angry when we are short a nurse or 2. The pts suffer and so does the nursing staff. I know our LTC wants to keep costs down, but the pts don't get proper care and nurses get burned out and quit or miss important charting. When we are short I am responsible for 29 residents and 4 rehab pts. I hv never been so stressed out. The DON & ADON know this and aren't doing anything about it. I really like where I work but I'm getting worn out. Our charge nurse was brought to tears last week bc we are all overwhelmed. Does this happen everywhere? I'm dreading this week bc I know we will be short.
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    About nurseywifeymommy1

    Joined: Dec '12; Posts: 106; Likes: 70


  3. by   exit96
    I was in LTC as LPN for a year, and did some CNA work a couple years prior to that. I don't think that THAT issue will ever be resolved. There are always too mant pt's to care for (short staffing). It is amazing and sad how we, as a society pay lip service caring for our fellow humans, but with financial holocaust in place we can't properly care for our LTC residents. Maybe consider getting out of LTC? Like I said, I was in there for 1 year, I am a hustling hard worker and the expectations, from what i have seen and heard, are just unreasonable and a pipe-dream.
  4. by   nurseywifeymommy1
    Just heard another nurse is quiting thru the grapevine.
  5. by   PacesFerryBSN
    I think nobody cares anymore
  6. by   sunny3811
    Unfortunately, everything in LTC or healthcare in general is ruled by the almighty dollar. :/
  7. by   turnforthenurse
    I think LTC gets hit the hardest regarding this, but this happens everywhere...not just in LTC. I was reading an article (I think it was from the AJN or something, can't remember) stating that it is actually more cost effective to hire additional staff than to work short-staffed because of potential patient harm and potential lawsuits. Why facilities cannot grasp this is beyond me.
  8. by   Keep_Calm
    That's awful. I am currently working LTC (and hopefully getting out soon) and have 18 residents on 2nd shift with psych/alzheimers and rehab into the mix. THAT is hard sometimes depending on acuity. Unfortunately, it is the exception for a LTC facility to be fully staffed and have a high job satisfaction least in my experience. I don't know how it can be changed except for at the state level, and even then it's highly doubtful.
  9. by   beckster_01
    Aww I was hoping this was going to be a discussion on "vertically challenged" nursing staff. Like, why do they always have to move the IV pump down so low on the pole??

    But purposefully scheduling shifts short is not acceptable. Most of the time when we are short it can be blamed on sick calls, people are on disability leave, or simple scheduling snafoos (it can't be an easy job).

    But seriously, those short nurses always drop the computers in my rooms halfway to the ground too...seriously?
  10. by   joanna73
    The unfortunate reality of nursing....working short everywhere. Administration would rather cut costs. After less than 3 years of nursing, I am also feeling close to burnout, as many are. Soon, I'm switching to PRN just for a break. Is reducing your hours a possibility?
  11. by   multi10
    What is the deal with so many drugs we have to give in LTC? How come doctors prescribe ten or fifteen drugs for each patient? Does anyone pay attention to possible negative effects of mixing some drugs with others? It takes so much time, as an LTC nurse, to drag the med cart around and give so many pills. (We used to have a person that was not an RN giving the pills but his position was eliminated so now he cleans and turns residents q 2 hours.)
    I guess it's about the money. (I'm being facetious, of course it's about the money.)
    I bet that in Canada and Europe the long-term-care patients don't have to swallow 15 pills a day.
    Last edit by multi10 on Mar 5, '13
  12. by   joanna73
    Probably some of the meds are redundant. At 90, a Calcium pill is not going to be very effective. But the large med passes are the same in Canada also.
  13. by   nurse4sale
    Why doesn't anyone call the State Health Dept.? You can do it anonymously and pretend you're a family member with real concern of injury for your loved one. The same thing happens in hospitals, especially the Med/Surg floors and ER. Always not enough staff. Why do they do this? Is it because we are nurses and they really don't care about us and we are a dine a dozen? I'm sure they have more than enough money with all the new wings they're adding and new hospitals they're building. It's strikes me as funny how doctors are treated with the up-most respect, while nurses get the ****** end of the stick. Oh well, why complain, it's our job.
  14. by   BSNbeauty
    I agree. I have to admit, and I know this was wrong but sometimes I did not administer a calcium pill when I had 50 plus residents to pass meds for. It was circled and documented.
    On another note: I have worked at a nursing home that was really nice. 1:20 was the ratio, each aide had 5-6 residents, and it paid decent.
    I'm trying to go back there PRN, it was lovely.