1RN to 50Patients in Texas-Normal?????

Specialties Geriatric


  • by Shell5
    Specializes in Med Surg/Tele/Ortho/Psych.

I am a RN in a skilled, medicare/medicaid LTC facility in Texas. On my hall there are 50 patients now. I have 1 CMA and anywhere from 3-5 CNAs. There is no minimum-staffing ratio law here in Texas as of yet. Is this normal. I have asked for more help, but I don't see it happening. Does anyone know if I have any recourse in this matter re: this 1-50 ratio? This is too much for 1 nurse. I am stressed to the max.

CoffeeRTC, BSN, RN

3,734 Posts

We don't use CMAs in Pa so I'm not sure how that would work. On 11-7 we have one nurse for 48 with two CNAs. What is the CMA responsible for? I don't think I would do this on days or evenings.

LPN1974, LPN

879 Posts

I worked a LTC job for 2 years, and sometimes I would have 35 to 45 patients and I did the med passes!

That was too much! IMHO you should be taking some of those residents to pass their meds yourself. Your CMA is working her butt off.


121 Posts

It is not right for you or the patients. It's all about the almighty buck. How much can the big corporations make at the expense of staff.


51 Posts

CMA is a certified medication aide.

Not all states have them.


97 Posts

Specializes in oncology.

WOW! I work in Texas also and I have 30 residents with 1 CMA and 4 CNA's. I do not know how you do it. It is a skilled facilty - I only have 6 medicare residents and the rest are private pay. I bet you are stressed to the max!

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