Experienced acute care, recently started agency work and go to many skilled nursing homes, my take:
There is no way in h... that a nurse, even if she/he knows every patient and their meds can pass on 30 patients and still have time to take regular cigarette breaks or sit around the nursing station.
I kept inquiring " what is the routine you follow in SNF, I am needing some hints".
I never once have goten an answer.
One night it occurred to me what was happening.
I said to the staff nurse...I just figured out how you all do this and have time for so many breaks...you do not do everything you sign.
She just smiled and walked away.
So, the system is a fraud. And nurses are hungry so tey are doing what they have to do, isn't right, it just is.
There is a bill up to congress H.R.4293 another nurse posted information on.
It will change ratio in nursing home 1:15. This bill has been sitting around the desks of this sleepy congress but perhaps after first of yr and new congress we can show our support to move this bill forward.
Nurses are on the front line lets advocate for innocent people in nursing homes.
Index of /congress
See 109th U.S. Congress (2005-2006)
H.R. 4293: Nursing Home Staffing Act of 2005
To amend titles XVIII and XIX of the Social Security Act to establish minimum requirements for nurse staffing in nursing facilities receiving payments under the Medicare or Medicaid Program.
This bill is in the first step in the legislative process. Introduced bills go first to committees that deliberate, investigate, and revise bills before they go to general debate. The majority of bills never make it out of committee.