Rehab Staff Ratio

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Specializes in Rehab.

Just wondering how many pt's per nurse is your facility giving you and where do you live??? They are trying here to give us 11!!!! 11 on dayshift!!! And of course we all know these rehabers are not walkie-talkies by any means...just trying to get a feel for how normal/unormal this is.

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That's low, if you have CNAs.

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Oh, I'm on nights, 40, 2 aides.

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Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

When I worked subacute rehab, I had 15 patients on day shift and 30 patients on night shift. This was with the help of one CNA.

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Specializes in Rehab.

I can't believe it!! I don't know how y'all did it! Seriously I am over here griping over 11 patients but on dayshift with 2 techs for 25 beds per floor, but these patients are not "walkie talkies." I have to pass meds usually 3x a day, do wound care, some pt's are on antibiotic tx at different times per day, do the admits/dc's, give peg feedings, usually 1/2 of my pt's are diabetics, i mean...to me it seems ridiculous. Plus charting....how do y'all manage that many???? Safely??? To me, my rehab seems like a med/surg floor with hips and knees thrown in...

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Days my unit has 2 nurses and a manager, plus 3 aides.

We need a treatment nurse. But really, your load is quite doable. You have aides for the baths and toileting, so that leaves you 11 relatively stable people with orders that don't change much.

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Specializes in psych. rehab nursing, float pool.

They have just changed the matrix in our rehabilitation hosptial. It now starts with 6 patients can go up to 8 with admissions = 1 nurse and 1 aide. if working primary care you start with 3 patients and can go up to 4 .

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Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
I can't believe it!! I don't know how y'all did it! Seriously I am over here griping over 11 patients but on dayshift with 2 techs for 25 beds per floor, but these patients are not "walkie talkies." I have to pass meds usually 3x a day, do wound care, some pt's are on antibiotic tx at different times per day, do the admits/dc's, give peg feedings, usually 1/2 of my pt's are diabetics, i mean...to me it seems ridiculous. Plus charting....how do y'all manage that many???? Safely??? To me, my rehab seems like a med/surg floor with hips and knees thrown in...

Many of my rehab patients were bedbound, too. By the way, I am in Texas.

On the subacute rehab unit where I once worked, we dealt with a lot of central lines, IV antibiotics, CPM machines, feeding tubes, suture removal, surgical staple removal, complicated wound care, ostomy appliances, diabetic management, casts, braces, splints, cervical halos, and so forth. Most of my patients had recently underwent surgical procedures such as laminectomies, knee and hip arthroplasties, kyphoplasties, CABGs, hysterectomies, limb amputations, colectomies, thromboembolectomies, and abdominal aortic aneurysm repairs.

The non-surgical (medical) patients were admitted for recovery from CVAs, acute MIs, debility, cancer, fractures, status post pneumonia, deconditioned states, failure to thrive, status post falls, contusions, and generalized weakness.

To deal with the heap of charting, every patient received virtually the same narrative nurses note unless something truly noteworthy occurred during the course of the shift.

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We chart by exception, except when someone is being monitored.

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Specializes in Rehab.

In Singapore, we had 3 RNs + 1 EN to 19 Patients under a subacute rehab ward. Is that lucky? In some good days, we will have another senior RN to assist and backup the 3 RNs in procedures like IV Abx, Meeting, etc...

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Specializes in Cancer research/ Orthopedics/ Surgery.

I'm at Healthsouth rehab hospital in Florida. Dayshift and evening nurses have 7-8 patients, 12 on nights, every patient has a nurse tech assigned as well. I feel VERY lucky after reading some of the other replies.

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I am the ADON at a facility in Northern Virginia and our skilled unit has 37 beds....and our day shift consists of 2 staff nurses, one unit manager, one unit secretary, and 5 CNAs. Two days (7-3) per week we have a charge nurse (when our unit manager is tied up with meetings), and we have a 4 hour treatment nurse (PRN) when there is a high number of pressure ulcers / surgical sites.

On 3-11 shift we have two staff nurses, one charge nurse, and 5 CNAs.

On 11-7 shift we have one nurse and 3 CNAs....except when the census is above 32 and then we have 2 nurses.

Hope this helps.

Amanda

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