What kind of staffing do you have?

[TiredRN-momto4]

Just curious as to what kind of staffing you all have in your LTC facilities.

I'm a new ADON in a facility with 65 residents. 15 of them are in a secure, locked unit. This is how we are currently staffed:

2 LVNs on the floor each shift. One takes care of all residents in the secured unit plus 1 1/2 halls outside of the unit, and the other gets 2 1/2 halls which makes the number of residents per nurse almost equal (33 residents for one, and 32 for the other). In addition to performing all treatments, assisting with meds, calling MDs, etc. one nurse must assist with passing trays and remain in the dining room during all three meal times (which wipes out approx. 3 hours of the shift). The other nurse remains on the floor answering call lights for the residents that eat in their rooms.

2 CNAs inside the unit, and 2 outside.

1 Med Aide for the entire facility, daytime only. Night nurses pass their own meds since they have more "downtime." The day nurses assist the MA with passing morning meds.

We do not have a treatment nurse.

Maybe I'm naive since I'm new to LTC, but this place seems way understaffed. Is this staffing the norm for a LTC facility?

[Nascar nurse, ASN, RN]

Do you know what your PPD staffing is? (Patient per day). Often it is somewhere around 3.0

[CapeCodMermaid, RN]

Post acute unit: 27 patients day shift 2 licensed, 4 cna's, 1 nurse manager, evenings 2 licensed 4 cnas, nights 2 licensed 2 cnas

2 long term units 39 beds: days 2 nurses + manager, 6 cnas, evenings 2 licensed, 6 cnas, nights 1 licensed 4.5-5 CNAs

dementia unit: same as above, but nights has 3 cnas

This is the best staffed facility I have ever worked in.

My last building on sub acute for 41 residents we had 4,3,2 cnas, long term / dementia for 41: aides were 5 5 and 2, and the other unit 4,3, and 2 with 41 residents half of whom were independent with adls.

[montecarlo64, ASN, BSN, LPN]

Sounds like it is way understaffed. 1 nurse to 20-30 is ok if all residents are stable with no complex stuff like traches, IVs, PICCs, frequent admits/discharges...4 CNAs to 65 is a little stretched, but the locked unit is separate and 2 CNAs for 65 patients is way overloaded!! I imagine the PPD is less than 2.5, maybe even less than 2.0 & that is a disaster waiting to happen!

[DixieRedHead, ASN, RN]

You are not going to believe this.

100 beds. 40 Assisted Living and 60 skilled.

Days, for 40 assisted living. 1 med tech & three CNAs

Evening the same

Nights 1 med tech/1 CNA

For 60 skilled.

Days:Three LPNs, 6 CNAs, 2 bath techs, 1 rehab tech.

Evenings:2 LPNs, 5 CNAs, 1 rehab tech

Nights : 2 LPNs, 3 CNAs

And you know their main complaint? They don't have enough help.

[pixie120]

Post acute unit: 27 patients day shift 2 licensed, 4 cna's, 1 nurse manager, evenings 2 licensed 4 cnas, nights 2 licensed 2 cnas

2 long term units 39 beds: days 2 nurses + manager, 6 cnas, evenings 2 licensed, 6 cnas, nights 1 licensed 4.5-5 CNAs

dementia unit: same as above, but nights has 3 cnas

This is the best staffed facility I have ever worked in.

My last building on sub acute for 41 residents we had 4,3,2 cnas, long term / dementia for 41: aides were 5 5 and 2, and the other unit 4,3, and 2 with 41 residents half of whom were independent with adls.

Would you mind if I asked what your PPD is? Must be about 3 or a little under/over? (For Skilled).

[cherbRN]

Skilled LTC

DAYS: 4 nurses plus 1 tx nurse (m-f) 9 CNAs, 2 rehab

EVE: 4 nurses 8 CNAs

NOCS: 2 nurses 4 CNAs

Avg census: 97

[cherbRN]

Skilled LTC

DAYS: 4 nurses plus 1 tx nurse (m-f) 9 CNAs, 2 rehab

EVE: 4 nurses 8 CNAs

NOCS: 2 nurses 4 CNAs

Avg census: 97

[sls73]

Census 59- Our PPD is in the high 3's and even in the 4's most days.

Dayshift:

1 RN

3 LPN

1 Rest Nurse

8 CNA

2 Restorative Aides

Evenings:

1 RN

2 LPN

6 CNA

Nights:

1 LPN

4 CNA