How do you calculate the staffing ration for LTC

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Hello Everyone!

I am new here, and a new DON, I have been a hospital nurse for many moons and I have been working as a DON for the last year and I have had to train myself at both facility's I worked.

I know that the Surveyors like us to stay at 2.2. But how in the world do they come up with that number.

Can someone please give me a lesson in math on how to figure this. I have a 215 bed facility. No ADON, NO SDC, 2 MDS coordinators and a shortage of nurses. Am I crazy lol! More like stupid I think...

Oh and besides all that I have a female Administrator who own the Business and is the Administrator/DON (LOL). I micromanage but am trying real hard to accomplish this task before i throw in the towel any suggestions . or maybe prayers or a Stawberrie Daquari night might help!

Anyways show me how to calculate the nurse staffing ration for LTC!

Thanks

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I can try to find out.

Suebird :)

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Thanks for trying to find out! There has to be a formula some where that CMS uses......

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OK, I will try to explain how we do it at our facility.

The RN is =8 hours

The LPN is =7.75 hours

The CNA is = 7.5 hours

Then add all these hours up per staff at the facility on that said day or shift and divide by the number of residents in the facility

Per our facility or the state they like to see that our PPD is > or = 2.7

Hope this helps or I would just ask the administrator/DON for help. I only hope to someday be in your shoes. Good luck and hang in there.

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Thanks i will try this when i get to work and let you know ok!

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OK, I will try to explain how we do it at our facility.

The RN is =8 hours

The LPN is =7.75 hours

The CNA is = 7.5 hours

Then add all these hours up per staff at the facility on that said day or shift and divide by the number of residents in the facility

Per our facility or the state they like to see that our PPD is > or = 2.7

Hope this helps or I would just ask the administrator/DON for help. I only hope to someday be in your shoes. Good luck and hang in there.

We do it basically the same way.

Good luck to you! and YES...you are nuts:lol2:

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Specializes in Geriatric, Rehab, Hospital.

Or, if you are the Nighttime Charge Nurse, count on being short-staffed and over-worked

It's a GAS!!!

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Or, if you are the Nighttime Charge Nurse, count on being short-staffed and over-worked

It's a GAS!!!

:uhoh3: As I'm finding out!!

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"Originally Posted by gladtobeOB

OK, I will try to explain how we do it at our facility.

The RN is =8 hours

The LPN is =7.75 hours

The CNA is = 7.5 hours..."

gee, you adding up the confusion of our new DON here, but it was close though... let me explain it to 4rmgirlRN, but first i need to know what state are you located at, because federal regulations requirement minimum nursing hour per patient per day in LTC is a bit higher than what the state does, and that little loop is equals to reimbursement/revenue, so since right now theres 32 states wherein individually has theyre own set of minimum nursing hours per patient per day, that lead me to ??? since i dont know where you located at... let me know so i can be of help...

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Or, if you are the Nighttime Charge Nurse, count on being short-staffed and over-worked

It's a GAS!!!

Now why didn't you tell me this BEFORE I went to work in LTC?!!:lol2: :lol2:

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Specializes in LTC, Hospice, Case Management.

If I remember correctly (been awhile since I had to do this)..

I believe you take your PPD (2.2 in your case) and multiply by census (215 in your case). This equals 472 hours. You then have to determine how to best put those hours to work for your facility. Like an above poster mentioned - take into account that your nurses may work 8 hours, but CNA's only 7.5 hours. You'll probably also want to take into account that any speciality unit will probably need more hours than an easy ICF unit.

Also in my facility, nursing management (ADON, staff develp., MDS) is not counted in the "floor budget". They have a separate budget - you will want to find out how this is done in your building.

And last; 2.2 is really pretty low :uhoh3: . You may want to double check this before you start all this "figuring"

Good luck

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Thanks everyone I thought that was the right way!

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