Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Geriatric Nurses and LTC Nursing /

Staffing Models in ALF---What Works For Your Facility?



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,728 members! Join today to network with other nurses, laugh, share, and much more.

Apr 04, 2007 02:04 PM

Staffing Models in ALF---What Works For Your Facility?

by VivaLasViejas Staff

I'm the DNS for a 42-bed assisted living facility in Oregon. The administrator and I are considering changing our staffing model from what's basically NO model to a more formal arrangement, e.g. assigning a set of rooms or a floor to each caregiver.

Currently we have 2.5 staff---that's one med aide, one full-shift caregiver, and one short-shift shower aide/caregiver---for day and evening shifts (something I'm working hard to change, as it's NOT enough), and 2 (one med aide and one caregiver) on noc shift. All staff answer the call lights, serve out the meals, help out in the kitchen after meals, and help the residents who need it to get back and forth to meals, activities etc. The short shifter does all the showers/whirlpool baths plus assists with meals and caregiving.

I think it works well and prevents that "Oh, that's not my resident" mentality that seems to occur when staff assignments are divided up. But we, like almost everyone else these days, are trying to do more with less---well, not exactly less, but without adding extra staff. And the staff are getting burned out........several long-time caregivers and med aides are talking about leaving.

Any input would be appreciated. Thanks!


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
2 Comments
No. 1
Old Apr 06, 2007, 02:34 PM

Default Re: Staffing Models in ALF---What Works For Your Facility?
In my last work, we had lists of residents given to each carer at the start of each shift ( picked without seeing who was on the list) and now we assign carers to each area of the home at the start of each shift. I like it because you know who is where and therefore who is responsible for whom but I do find you get a lot of 'Mrs X needs the loo but she's not on my list and I have enough to do'. I think it is important to identify that residents needing the toilet is everyones issue regardless of who got them up that morning and also if the team works well together they will do favours for each other. We often have girls that say they will get residents up for other teams whilst they are on their break and then the favour is reciprocated. We find that with regards to nurses, the biggest probem with grouping is in care planning, a resident gets a wound and the nurse on duty wont write a care plan for it because she is not their named nurse which is improving through education on the legal aspects of documentation.
Top
 
No. 2
from nightmare
Old Apr 06, 2007, 05:44 PM

Default Re: Staffing Models in ALF---What Works For Your Facility?
Each of our residents have a daily care plan sheet,this is filled in by the nurse on duty if there are any occurences.Things like wound charts are individual so that ,again ,the nurse on duty fills one out when required.The Named nurse uses this to record in more detail in the care plan.Usually works well and the daily sheets are put into the care plan so that they can be consulted by the named nurse on a monthly review basis.
Top
 
Reply




Thread Tools


Who's Online
209 members
1,766 guests
1,975

3

Four Lehigh Valley Health Network nurses accused of...

46

lawsuit - But don't most RN's work through breaks/lunch...

0

Patient Evaluation of Retail Clinic Care

7

The hard to reach on-call doctor, and its effects on...

10

Woman charged with passing off prescription drug as...

23

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

14

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

14

Really interesting article on Indian open hearts






Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: