Reda

amoLucia great Ideas... I like it... KSA is Saudi Arabia. I work in LTC hospital 160 bed, with a ratio of 1;6 with 2-3 pca per floor. on average the floor is 30-38 patients. I am also from out of KSA and the staff are mostly from filipins (Small bodies usually) turning/bathing is a hell for them! thats y I try to get the big bodies as a PCA out of desperation, I joined this allnurses, and I can see that it is VERY helpful. it is always a great idea to reach out and ask for help.. and that is when you can explore new ideas, it will be a combined experience. Thanks, dear.

I guess the work settings here in saudi arabia are different than other countries... here we offer accommodation with transpo.. in my hospital rarely there is a nurse with his own car and house... so this free parking won't be of a help for the nursing dep. but good idea though.. I have looked into some books and articles.. I found that more than 35% are rethinking the non renewal of contract because of the sufficient appreciation from his boss.. I. Guess I should start reorienting the headnurses :)

the problem is that quitting was one of my thoughts, but after 4 years starting as a nursing supervisor until being a nursing director now, I am pretty sure that caring about quality care or caring about the nurses is the least bothering thing to them.. so quitting will just let the nurses lose someone who is looking for solutions, rather than just sitting there for the money.. egg122 the majority of the nurses are from abroad, mostly Filipinas. most of them are here as a plan for a couple of years and back home.. so investing in them personally won't give a good outcome. PS: They love it when I buy food for them :). for me personally I don't like it.. but for them.. they love it ?

egg122 NP, thanks for this reply.. I will look into lean management as you said. yes, I am really in a position where I am tied up, so I'm trying as I said to decrease the burden off nurses as much as possible. any motivational ideas also?

Nunya, and Jedrnurse. I totally understand that the nurses are suffering... the problem is in the administration. I am struggling to provide additional PCA.. plus I am not able to retain any nurse what so ever... so I was reaching out to see any new methods... or if anyone has an idea which can be implemented.. and cheap at the same time. I am an ER nurse for 10+ years.. I know the struggle but I am new to the admin world and I HATE IT.

I totally agree with you and according to my experience, yes 4-5 is an optimum ratio, however the COVID situation made things worse... the nurses who leave we couldn't replace them because there is no replacement. So I am really struggling to find a solution to decrease the workload as much as possible and I am open to suggestions, I was thinking of decreasing the nursing care as much as possible, here we are taking the vital signs q4, were I am searching for a reference to backup the idea of taking v/s q12/q8/q6 according to patients condition. So if you have any idea's I will appreciate it.

Hey guys, I work as a nursing director in a hospice/LTC hospital in KSA, we have 160 bed capacity with an occupancy rate of 90%, I cannot find any research or resource for the exact needed amount of nurse or PCA(patient care assistant). currently, we are doing 1 to 6, 1 to 7 in a 36 patient unit. on the shift there is 2-3 PCA helping out. all of the patients are bedridden, and some have a tracheostomy. any inputs? I feel that the nurses are really struggling..