What is the state guidelines for nurse to patient ratio in SNF's/LTC for California?

It doesn't make sense to most of us but it is what it is and it will get even worse if the government cuts back on Medicare and Medicaid payments. Those two main insurers haven't caught up with the times and the acuity of the people we now have in our buildings. Call your senators and congressmen and urge them to preserve (and even increase) the reimbursements. I'm lucky to be well staffed in my building. It's a very small community and even the townspeople get involved. They would flip if I cut the staffing.

Hi. I'm a new grad RN and I am thinking about applying to a couple snfs. I noticed that a lot you are also new grads (or were) when you started working at a snf. I created a thread asking for some advice regarding questions I should ask before jumping head first into a SNF RN position. I would really appreciate any advice.

The thread>> http://allnurses.com/general-nursing...sk-416324.html


Thank you.

You WILL get the hang of it. I work at a SNF/LTC AND I have 24 and after about 6 months I got to where I could take my lunch, sit down and read the newspaper and in general have a pretty laid back shift. Sometimes it gets busy but for the most part I am comfortable with the amount of attention I can give the patients and comfortable with their safety.

We dont have a desk nuse and last night (PMs)I was doing a new admit and had one pass away in the middle of my admit so I had no free time but I was suprised at the end of the night I wasn't stressed at all. I think I have totaly adapted. 50 percent of it is knowing your patients and having good CNAs working for you. The rest is time management, prioritizing and nursing skills. After awhile you can do your routine charting, treatments and med passes with your eyes closed. The first three months were ABSOLUTE HELL though.