Rehab Staff Ratio

  1. 0 Just wondering how many pt's per nurse is your facility giving you and where do you live??? They are trying here to give us 11!!!! 11 on dayshift!!! And of course we all know these rehabers are not walkie-talkies by any means...just trying to get a feel for how normal/unormal this is.
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  3. Visit  Pretty in Ink profile page

    About Pretty in Ink

    From 'Texas!!'; 33 Years Old; Joined May '07; Posts: 140; Likes: 71.

    14 Comments so far...

  4. Visit  SuesquatchRN profile page
    0
    That's low, if you have CNAs.
  5. Visit  SuesquatchRN profile page
    0
    Oh, I'm on nights, 40, 2 aides.
  6. Visit  TheCommuter profile page
    0
    When I worked subacute rehab, I had 15 patients on day shift and 30 patients on night shift. This was with the help of one CNA.
  7. Visit  Pretty in Ink profile page
    0
    I can't believe it!! I don't know how y'all did it! Seriously I am over here griping over 11 patients but on dayshift with 2 techs for 25 beds per floor, but these patients are not "walkie talkies." I have to pass meds usually 3x a day, do wound care, some pt's are on antibiotic tx at different times per day, do the admits/dc's, give peg feedings, usually 1/2 of my pt's are diabetics, i mean...to me it seems ridiculous. Plus charting....how do y'all manage that many???? Safely??? To me, my rehab seems like a med/surg floor with hips and knees thrown in...
  8. Visit  SuesquatchRN profile page
    0
    Days my unit has 2 nurses and a manager, plus 3 aides.

    We need a treatment nurse. But really, your load is quite doable. You have aides for the baths and toileting, so that leaves you 11 relatively stable people with orders that don't change much.
  9. Visit  lpnflorida profile page
    0
    They have just changed the matrix in our rehabilitation hosptial. It now starts with 6 patients can go up to 8 with admissions = 1 nurse and 1 aide. if working primary care you start with 3 patients and can go up to 4 .
  10. Visit  TheCommuter profile page
    0
    Quote from Pretty in Ink
    I can't believe it!! I don't know how y'all did it! Seriously I am over here griping over 11 patients but on dayshift with 2 techs for 25 beds per floor, but these patients are not "walkie talkies." I have to pass meds usually 3x a day, do wound care, some pt's are on antibiotic tx at different times per day, do the admits/dc's, give peg feedings, usually 1/2 of my pt's are diabetics, i mean...to me it seems ridiculous. Plus charting....how do y'all manage that many???? Safely??? To me, my rehab seems like a med/surg floor with hips and knees thrown in...
    Many of my rehab patients were bedbound, too. By the way, I am in Texas.

    On the subacute rehab unit where I once worked, we dealt with a lot of central lines, IV antibiotics, CPM machines, feeding tubes, suture removal, surgical staple removal, complicated wound care, ostomy appliances, diabetic management, casts, braces, splints, cervical halos, and so forth. Most of my patients had recently underwent surgical procedures such as laminectomies, knee and hip arthroplasties, kyphoplasties, CABGs, hysterectomies, limb amputations, colectomies, thromboembolectomies, and abdominal aortic aneurysm repairs.

    The non-surgical (medical) patients were admitted for recovery from CVAs, acute MIs, debility, cancer, fractures, status post pneumonia, deconditioned states, failure to thrive, status post falls, contusions, and generalized weakness.

    To deal with the heap of charting, every patient received virtually the same narrative nurses note unless something truly noteworthy occurred during the course of the shift.
  11. Visit  SuesquatchRN profile page
    0
    We chart by exception, except when someone is being monitored.
  12. Visit  ndyclh profile page
    0
    In Singapore, we had 3 RNs + 1 EN to 19 Patients under a subacute rehab ward. Is that lucky? In some good days, we will have another senior RN to assist and backup the 3 RNs in procedures like IV Abx, Meeting, etc...
  13. Visit  RITA2007 profile page
    1
    I'm at Healthsouth rehab hospital in Florida. Dayshift and evening nurses have 7-8 patients, 12 on nights, every patient has a nurse tech assigned as well. I feel VERY lucky after reading some of the other replies.
    Flame_07 likes this.
  14. Visit  sunshinewaters profile page
    0
    I am the ADON at a facility in Northern Virginia and our skilled unit has 37 beds....and our day shift consists of 2 staff nurses, one unit manager, one unit secretary, and 5 CNAs. Two days (7-3) per week we have a charge nurse (when our unit manager is tied up with meetings), and we have a 4 hour treatment nurse (PRN) when there is a high number of pressure ulcers / surgical sites.

    On 3-11 shift we have two staff nurses, one charge nurse, and 5 CNAs.

    On 11-7 shift we have one nurse and 3 CNAs....except when the census is above 32 and then we have 2 nurses.

    Hope this helps.

    Amanda
  15. Visit  makes needs known profile page
    0
    We have construction now and our census is low. Last night 30 pts, and 4 cna's. 1 nurse for passing meds and tx. And 1 nurse for doing paperwork all night. I pass meds and do tx and then nurse notes. I was almost 2 hours over my shift and I'm really getting sick of it. The nurse who does paperwork used to share floor responsibilities, but now she is supposed to paperwork that used to be completed by rn on the day shift. When our census returns to 40, there is going to be real problems. By the way, I became so tired last night at almost 1am in the morning I left some charting undone and I don't care. If the perfect charting that I always try to do is supposed to get us more money and staff, where is it?


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