The facility I work in takes 18-64 year olds and we have a max limit of 22 patients. When I first began working here there on day shift there were 3 nurses and 2 CNAs, nights was 3 nurses and 1 CNA (one nurse would drop down and help with 15 minute rounds after meds). We have been short staffed for 2 months and administration is now saying we will drop to 2:22 ratio for nursing. There will be 2 CNAs.
Some days our acuity is high and 2:16 is extreme. Most staff at our facility is already talking about leaving because of the lack of nursing staff that is going to be available. With violent codes and high acuity we all feel like it is unsafe for staff and other patients.
So my questions are:
What are your staging ratios? What program or what’s in place for patients that are being violent? Does your facility use restraints?