Published Aug 21, 2004
Just curious. At the one i work at it can be up to 48 patients for one nurse.
On days it's 22 per nurse for meds and charting. There is a treatment nurse to do the treatments, and a nurse on each desk in addition to the med nurses. On evenings it's 22 per nurse for meds, charting and treatments, with a supervisor . On nights each nurse has 44 and there is a sup.
That sounds nice. The least patients per nurse in my nursing home is 27 per nurse for meds and charting and that is the "tube feeder hall" where nearly all patients are tube feeders. We have a treatment nurse also. I wish we could have a nurse at each desk. I think sometimes the people in the business office think we are at the desk all day and when we are in a room busy they page us to the phone and page us over and over, like they don't know how to take a message!
Hi there, where I work I have 45 pts. and a supervisor. I do all the TX's and meds + all paperwork and charting.
When I worked LTC I was responsible for 62 residents. When working 3-11I was lucky enough to have a med tech to pass meds. When covering nights it was myself and 3 CNA'a and i was responsible for the same amount of residents including morning meds and tx's. Needless to say I got out of there pretty fast, It was very frustrating and I was running myself to death trying to make sure everyone was safe.
Thank goodness we have a tx nurse. Do you have a lot of bad txs to do? I could not imagine having to do my meds, charting and txs too! It used to be that way where I work at before I was a nurse.
And my staff (some of them) still think they can't possibly work under these conditions and do a good job. Nurses from other facilities who come here, however, think they went to heaven!
May I add that we have a very low key environment, one tube feeding, no iv's etc. No vents, trachs, suction, things like that. We also have two unit clerks as well as two unit assistants and two restorative aides in the day.:) And my staff (some of them) still think they can't possibly work under these conditions and do a good job. Nurses from other facilities who come here, however, think they went to heaven!
That does sound like heaven. What state are you from? I may need to move:)
On a good day about 25 residents/patients...on a bad day about 35 to 40. And we do all the meds, tx's, charting...and we do have IV's, suction, trachs.
We have 3 different units at my SNF. On the 41 bed Alzheimer's unit for day shift-1 LPN for meds and treatments, and one for paperwork with 4 CNA's...evenings and nights one nurse with 4 and 2 CNA's
On the 60 bed long term floor-day shift 2 nurses for meds and treatments with a unit manager and 6.5 aides, evenings 2 nurses and 5 or 6 aides and nights one nurse with 3 aides.
On the subacute 41 bed floor..day shift 2 nurses for meds and treatments, one charge nurse and a nurse manager and a unit secretary..with 4 CNA's...evenings there are 2 nurses and 3 or 4 aides and nights one or two nurses depending on census with 2 aides.
Day supervisor M_F and QO Weekend...evening sup. 5 days a week.
30 residents. Meds, charting, txs divided between days and PM, T/F.
Mister Chris, MSN, NP
I am a Registered Nurse working nights in Aged care facilities.
Some of these facilities are as follows and all staff on duty as follows:
Nursing Home/Hostel 128/68 - RN + 4 Assitant Nurses
Nursing Home/Hostel 132/15 - RN + 5 AN
Nursing Home 106/6 - RN + 4 AN
Nursing Home 51/5 - RN + 2 AN
(where #/ are high care and mostly nonambulant and incontinent.
and /# are low care but most need supervision.)
It can get very busy1
We just keep going!
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