Nursing Home Nurses: How many patients are you respsible for?

Jo Dirt · Aug 24, 2004

One LPN, 2 aides, 42 residents.

webbiedebbie · Aug 24, 2004

In one facility I worked years ago in Ohio, I worked nights with 50 residents and 1 LPN!

txspadequeenRN, BSN, RN · Aug 24, 2004

I have had 45 residents at one time with all the meds,tx's and charting. Now I work with another nurse and a med tech and we have between 20-30 patients. I do all the G-tube meds she does the tx's and we both chart. This is a medicare floor everyone must be charted on daily!!:)

lastkiss32 · Aug 29, 2004

I work nights(3rd) and there are at most 33 residents- 2- G-Tube Feedings which are now not after 8pm except for 1 feeding thank goodnes. Very few meds except for PRN's which is somenights just as bad. Med Tech comes in and passes am meds. Do all treatments in the am that are very few, unless leakage form a dressing all charting on skilled residents. 1 LPN(Charge Nurse) and 2 CNA's

Days 1 RN Charge, our-1 DON does a lot of work-she doesn't sit behind the desk all day, 1 RN MDS's a Med Tech and 6 CNA's

2nd shift 1 LPN Charge Nurse and 3 CNA's plus a Med Tech- (nightmare shift)

johnson0424 · Aug 29, 2004

I am a supervisor on a unit that has 38 patients. I usually do the physician rounds,orders call the doctors, IV's etc. The LPN does the medicines and medicare charting and antiobiotic charting and all the hands on stuff. I think it is alot for the LPN's I know first hand when I had to give meds a couple days. Nevermind the patients getting skin tears, falling etc. We have a tx nurse for the whole building. it is a 216 bed facility

loveall · Aug 30, 2004

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.

Hi Butterflynurse, My TX's at the moment are mainly creams. So, I am lucky. At one time, I had 6 caths a shift, I have 6 tube feeders currently and fortunately no decubitus. Take care....

mlolsonny · Sep 10, 2004

WOW, I work in Heaven!

62 beds,

Days, 1 MDS RN, 1 Charge RN, if we have MD rounds, 1 RN for MD, 2 LPNs (one does Tx), 1 TMA, 8 CNAs (2 for baths and rehab).

PMs 2-3 LPNs (if 3 one is charge), 7 CNAs.

Nocs 1 LPN, 2 CNAs until 4 AM, then another comes in to deal with Q-one wanting to get up. (A lot of times one CNA is also a TMA and can pass Tylenol or whatever a resident requests...)

One big difference I'm seeing, our board is in house M-F 8-4:30, our administrator is in-house M-F 8-4:30 and on-call 24/7. Our DON is awesome, one of the most caring people I've ever met, also on-call 24/7 and has never ever said "I can't believe you're calling me for this...". Part of the mission is to be a great place to live and work. As a student, I can tell you that they will NEVER ask me to miss school to work.

We are a teaching facility for LPN students and we get a lot of apps from the students b/c they see what a great place it is. Even on a tough day, I wouldn't trade my facility for any other!

loveall · Sep 11, 2004

:) It certainly sounds like you have a great job at your facility. There should always be appropriate staffing for residents. Unfortunately, this is not always the case. They haven't figured out yet why so many nurses bounce back and forth from job to job. Hope you have many wonderful years there.

WOW, I work in Heaven!
62 beds,
Days, 1 MDS RN, 1 Charge RN, if we have MD rounds, 1 RN for MD, 2 LPNs (one does Tx), 1 TMA, 8 CNAs (2 for baths and rehab).
PMs 2-3 LPNs (if 3 one is charge), 7 CNAs.
Nocs 1 LPN, 2 CNAs until 4 AM, then another comes in to deal with Q-one wanting to get up. (A lot of times one CNA is also a TMA and can pass Tylenol or whatever a resident requests...)
One big difference I'm seeing, our board is in house M-F 8-4:30, our administrator is in-house M-F 8-4:30 and on-call 24/7. Our DON is awesome, one of the most caring people I've ever met, also on-call 24/7 and has never ever said "I can't believe you're calling me for this...". Part of the mission is to be a great place to live and work. As a student, I can tell you that they will NEVER ask me to miss school to work.
We are a teaching facility for LPN students and we get a lot of apps from the students b/c they see what a great place it is. Even on a tough day, I wouldn't trade my facility for any other!

redheadRN · Sep 21, 2004

Depends on the shift usually. I work 3 - 11, have 48 residents (hello butterfly, do I know U?) and do all charting, meds, tx's, help CNAs, etc. We have usually a gtube or two, occasionally a IV, and trach care on a smaller unit of 32 residents.

butterflynurse · Sep 22, 2004

Depends on the shift usually. I work 3 - 11, have 48 residents (hello butterfly, do I know U?) and do all charting, meds, tx's, help CNAs, etc. We have usually a gtube or two, occasionally a IV, and trach care on a smaller unit of 32 residents.

I don't know? Where are you from??

redheadRN · Sep 23, 2004

Sorry, didn't see you were from Georgia! :imbar Guess I don't know you, since I'm in NY.

butterflynurse · Sep 24, 2004

Sorry, didn't see you were from Georgia! :imbar Guess I don't know you, since I'm in NY.

That's ok. I had fun for the last day and a half trying to guess who you could be!:chuckle Neeless to say all my guesses were wrong..... :lol2: