canada

I work LTC as RN. I have 80 residents I.am responsiable for. I have 2 RPNs and 8 HCAs. This for day shift with a heavy mix of residents. Several other floors have a different mix of staff but ideally its 1 RN with 2 RPNs and anywhere from 9 HCAs to 5 HCAs each floor. These floors are home to 80 residents per floor. Evenings is different with 1 RN in facility. 2 RPNs per floor with 1 to 2 less HCAs per floor. Nights 1 RN in facility, 1 RPN per floor , 2 HCAs per floor. Of course this all changed with call-ins and floors work short, sometimes VERY SHORT. :roll

At my facility, a LTC with 300 beds. We do not check any drug with another nurse unless its a narcotic. We use insulin pens for all insulin doses. RPNs give the majority of insulins and heparin is given by RNs. If you can find another RN to verify a dose you would be indeed lucky.