"Proper" staffing for subacute unit?

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What, in your opinion, would be the minimum staffing for a subacute unit of a SNF?

This unit receives admissions from an acute care hospital, and a rehab hospital.

# is residents on the unit currently is 46.

Currently at least one trach, several tube feeders.

Numerous bed-bound, total-care patients.

Did interview, got the tour.

Looks like it would be hell on earth - when I asked about staffing, was told one RN, one LPN, one aide per hall. Each hall has >20 residents on midnights.

Any opinions appreciated.....

(Oh, did I mention there is also at least one locked Alzheimer's unit?) :uhoh3:

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i am a manager of a subacute unit in a LTC facility. we have 49 beds and our staffing is 2 nurses 1 med assistant(gives all po meds) and 6 aids on day shift...3-11 we have 2 nurses and 3-4 aides (no MED AIDE). On nights we are lucky to have 3 aides but mostly 2 aides and 2 nurses...i think our day time staffing is great but the other shifts suffer alot and that is where most of my skin problems come from...

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I just reread my post and let me clarify: it's one RN for the unit, one LPN for the unit, and one aide per hall. There are two halls (plus I think the locked unit?) there.

They said the LPN would do PO meds...supposedly, anyway...leaving the RN for IVs, treatments, etc.

I would call back and clarify about the locked unit but I'm actually afraid to....:uhoh3:

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3-11 we have 2 nurses and 3-4 aides (no MED AIDE).

That, to me, would seem like the safe minimum.....what do you think?

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I think your "hell on earth " instinct is right All you need is for 1 person to change for the worse and all your patients will suffer-Not to mention the paperwork, especially if it's a "corporate store"

Trust your instincts

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Corporate Store Very Interesting Term ...........most Ltc???

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