I stumbled onto this thread. I am a new nurse working for a nursing home. Im struggling on finding a way to organize my info on the patients. I work in the Skilled Acute Rehab portion. At times we can have up to 45 patients. Currently managing 36 with 3 CNA's and sometimes a med tech if the acuity is high. They do not have a hand off report. Not sure if anyone has experience with having that many patients some can stay a couple of months and leave or some may only need a couple of weeks. Any insight would be greatly appreciated.