I'm new to a large SNF with 3 units. All nurses are excepted to float all units ("so nobody gets in a rut", but really it feels like nobody is able to get into a time efficient groove because of this). We work 8.5 hour shifts. There are frequent call ins on both the Aides and nurses behalf. There is high staff turnover. Worse is, the schedule is poorly staffed to begin with. Nurses and aides are asked to work doubles ALL THE TIME, and we get called on our days off to cover shifts. It's crazy. It's making me feel like I should just move right in to the facility so I can be available at a moment's notice. (Kidding of course, not that I WANT to be available all the time). There are 2-3 aides per unit, no bath aide, and each aide generally is assigned 12-13 (sometimes more) residents. The nurses get 18-25 patients a piece. There is no admission nurse, unit coordinator, or assistant so if by chance an admit gets put on your unit (with no notice of course), you have to suddenly fabricate 2 hours of time in your already completely busy day to complete the 600 pages of admission charting. There is no team work, as in, the next shift accepts responsibility for following through with uncompleted admission charting. The onus is on the nurse who was on shift in the unit during the time the patient was admitted, not that they had any say in the matter. I have come in on my day off to complete admission documentation because of this. Imagine getting two admits? (shivers)
Are these staffing issues normal where you work too? To me, this is completely insane and I may have to become part of the "high staffing turnover rates" because of it.