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LTC LPN to resident ratios

LPN/LVN   (2,522 Views 9 Comments)
by new to me new to me (New Member) New Member

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Hi Everyone!

I'm a brand new LPN and just got a job working in LTC. Just wondering about the nurse to resident ratios others are handling out there. I currently have Medpass for 25 residents and it takes me way too long to complete. I never seem to get anything else done on time either (treatments/vitals/paperwork/etc).

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NamasteNurse has 8 years experience as a BSN, RN and specializes in Pediatrics, Geriatrics, LTC.

4 Articles; 680 Posts; 9,601 Profile Views

our LTC is 43 pts/ 1 LPN :(

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33 Posts; 1,779 Profile Views

I am really lucky at the place I work, it is a 32 bed skilled unit. Day shift= 2 nurses, Evening= 2 nurses (though it used to be one nurse and a medication aide), Night shift=1 nurse. So a ratio of 16:1, except at night when it is 32:1, but far fewer medications/treatments. It's tough when you are new, but the hang in there the longer you do it you start to develop a routine, talk to the other nurses and see if they don't have a few tricks of the trade or tips for you.

I bought my own tympanic thermometer, and wrist B/P cuff that goes on my cart and I make a list of all of the vitals that need to be done, then I do them at the same time as meds. Also when you have have an admission or things get crazy remember that the aides can do vitals too.

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exit96 has 3 years experience and specializes in EMERGENCY, ICU,M/S.

414 Posts; 10,216 Profile Views

Brand new LPN here as well. I start orienting on the floor this afternoon, and I think I will have right around 25 residents....they are going to use me, per diem, on nights though, and I am told that i will have 50 residents (2 halls). I know most will be sleeping and morning medpass shouldn't be that bad. But I am nervous because it will take time to get organized and have a system in place. Good luck!!

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24 Posts; 1,921 Profile Views

Your ratio seems about right. My advice to you is to do your best. Even if you start to feel overwhelmed & have to cry the entire drive home, just remember: It will get better as you get the hang of things!!!:)

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SE_BSN_RN has 8 years experience as a BSN and specializes in LTC, Agency, HHC.

805 Posts; 13,343 Profile Views

There is no ratio in LTC like there is in the hospital.

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2 Posts; 355 Profile Views

Just started in LTC, skilled facility. It is me with 32-35 patients and 2 CNAs. My CNAs do not take kindly to being asked to do vitals, either, so I'm a very, very busy nurse.

Frequently, I can barely squeeze in time for my treatments, and charting gets done only when vitally important because I just don't have the time. I never take a meal break nor do I take 15 minute breaks. It's exhausting, and I hope it gets easier the longer I'm there!

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