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RN providing total care for 4-5 patients

Nurses   (1,397 Views 27 Comments)

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I too work on an acute floor where mgmt routinely sends the CNA home or doesn't schedule at all. I work in CA so I can have a max of 5 patients but..  total care done properly is impossible. Sometimes it is just the charge nurse and myself so if we are  in a room using lift equipment, which requires two people, there is no one to watch the other four patients, answer phones and call lights, and keep track of visitors and people walking the floor.  It's a bad situation but management is saving money!  We have complained and cited examples and it all falls on deaf ears money talks!! 

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45 minutes ago, FarmherRN2017 said:

I too work on an acute floor where mgmt routinely sends the CNA home or doesn't schedule at all. I work in CA so I can have a max of 5 patients but..  total care done properly is impossible. Sometimes it is just the charge nurse and myself so if we are  in a room using lift equipment, which requires two people, there is no one to watch the other four patients, answer phones and call lights, and keep track of visitors and people walking the floor.  It's a bad situation but management is saving money!  We have complained and cited examples and it all falls on deaf ears money talks!! 

And even something bad happens you'll be blamed.  Keep track of all your complaints.

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booter512 has 22 years experience and specializes in Diabetes, Transplant, CCU, Neurology.

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I worked on a Neuro/Tele Stepdown unit, and at night, we got 4 RNs for 20 patients.  Yes, we were supposed to have an out-of-staffing resource nurse (me), but I was usually in staffing to as 1 of the 4 nurses.  Yes, they tried to get us a tech, but often, one just wasn't available.  They pulled our techs to sit most of the time, or there just weren't enough scheduled that day as the hospital hadn't hired enough.  Even worse, sometimes we'd start with 12 or so patients, and get 8 admissions.  If we didn't have 4 nurses and they couldn't get them, they'd cap us at 18 patients (6 for each nurse).  The majority of our patients were stroke patients, 95% were on tele, many spent their entire night just trying to get out of bed.  We didn't have a tech to sit with them as they had all been pulled to sit elsewhere. Then, they went and got rid of all the LPNs, and gave all the RNs 5 years to get their BS.  Turnover soon approached 50%.  How does this end?   I retired.  I have my thoughts though....

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