Rehab Staff Ratio

That's low, if you have CNAs.

Oh, I'm on nights, 40, 2 aides.

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.

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.

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 .

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.

We chart by exception, except when someone is being monitored.

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...