Quote from knottygirl
I was reading some of the posts, and I remember my days as a CNA and the patient-load I had, yes after a while it did get easier, but I'm wondering how many patients you have at an LTC unit. I was reading another post where the lpn had almost 50 patients in a shift.
I know it takes time but how do you manage so many patients? Do they teach time-management skills in school or is it something you have to learn yourself, kinda like learn-as-you-go type of thing? Probably a dumb question, but what if you don't get everything done? Do you stay, or does it go to the nurse relieving you? How stressful is that? How do you deal with it?
Sorry, lot's of questions, but after reading these posts for a while I've wondered about it.
As of last week I had 30: I'll find out later if it'll be my unit max of 32. It takes a little while, but you will create your own routine that will constantly be modified when you get new patients with new behaviors and needs. As far as staying over, these days facility management is watching everybody for overtime. At my facility the administrator and his assistant walk the halls and will look at the clock and ask "when did you get here?; why are you still here? They want the work done in the time allotted and if you can't finish, they want you to "pass it on" because "nursing is 24 hours." As for dealing with it, it just depends on what it is. If it is wound care tx that I'm supposed to do and I can't get to it, I unfortunately pass it on. I've mentioned this to nurse management that some things create an unnecessary hardship on the nurse relieving you; but, nothing has changed and nothing will until nurse management and administration engage their nurses to propose how to fulfill the responsibilities and goals of the shift thus minimizing overtime which should include UTILIZING ALL LICENSED NURSES IN THE BLDG! As long as nurse management continues to burden the floor nurse with additional duties on top of what they already have to do, there will always be "passing on" additional work to the nurse coming behind you which will p*ss her off, cause her to complain, create frustration, burn out, less time spent with "patient care," and initiates employee turn over which COSTS MONEY! With all that said, I provide the best care that I can with the time I have.