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Discussion

lvn training

hello, i applied lvn job online thru the internet, after a wk they called, scheduled me for an interview then the night after they called again for orientation, it just happened so fast, now its my 5 day training, i am handling 24 patient in a nsg facility, med pass, charting, doctors order, labs, etc, i dont know if i can all do this on my own, i know they told me that its really hard when your new and starting, yes i understand, is it really 1:24 ratio for nsg homes?what can you advise?im trying to still look for home health jobs, and based from my research their employees resigned and transfered to a gov healthcare jobs thats why theyre really hiring, very much in need of lvn. im thinking theyre overworked in this facility. i dont know if ill continue the training, or should i continue be an lvn, i dont really enjoy this job as much as i should, i want a career that i would love to do everyday not stressing me out so much, should i change my career?i dont know what to do, i find it really hard😢😢

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    • Featured Replies

    I work 1:31. But my resident have very low acuity and the ratio is very manageable. If people start crumping, or I get an admit, or things get crazy, then the nurse supervisor comes to help out.

    When I float to skilled rehab, it is 1:15 and also manageable.

    Just st depends on how supportive the management staff is and how well you can time manage.

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    How long have you been a nurse? Those are pretty standard ratios in LTC.

    Don't get ready to quit yet, you haven't even gotten your feet wet. I would hang in there & get a schedule down at work. Every job can be overwhelming at first, until you get in the swing of things.

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    • Experts
    is it really 1:24 ratio for nsg homes?
    A 1:24 ratio in the nursing home/LTC setting is actually decent. I've had as many as 68 residents while working night shift as an LVN at a nursing home.
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    Why not just try it out first?

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    Any time you start a new job, you are going to feel overwhelmed. 1:24 in LTC is pretty reasonable. I have had as low as 20 and as high as 35. First thing you need to do is make a generalized schedule for yourself, with blocks of time. Write in what you should be getting done during that block of time. Then familiarize yourself with how each resident takes their meds. Make your self a list such as crushed, crushed with applesauce/pudding or whole with applesauce/pudding and whole with water. That is a big help there. When I first started, I even put an N by those who received a Narcotic during each med pass. If you are electronic, that part won't be necessary as it will come up on the schedule and you will know it is a Narc.

    It takes a while to get use to everything, but once you start gaining speed and confidence, you will more than likely change your mind about this doc.

    Wish you well in this job.

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