Sub-acute/rehab floors

debRN0417 · May 4, 2004

We have 10 sub-acute/specialized care beds and our staffing is 1 nurse (RN) on each shift and 2 CNA's days, 2 CNA'S pms and 1 CNA on nights. We also have full-time respiratory therapists each shift to assist with the trachs and vents. Our sub acute nurses do 12 hours and after 11pm she usually picks up some of the skilled patients.

Can any of you tell me what staffing is like on your sub-acute units?

renerian, BSN, RN · May 5, 2004

How does that work for your unit? Is the 1 RN able to keep up?

renerian

CapeCodMermaid, RN · May 5, 2004

One nurse for 10 patients???????????????????????????????????????? Can I move to Virginia, please? On the sub-acute floor of the place I just left we had 2 nurses for 41 patients! Not all were sub-acute of course, but out of the 20 they each had, at least 15 were...4 CNA's day shift,3 on pm's and 2 on nights.

The place I will be going to is much better staffed.

oramar · May 5, 2004

For 25 we get 2 RNs, 2LPNs and 2NAs on days and evening. Nights does it with 5 in somecombination. For about three months they cut one person from each shift and it was very difficult. Protest were made and they went back up to six. If the census drops we of course get call offs and pulls.

LaShell · May 5, 2004

Max is 25 patients (usually have about 22).

Day and evening shifts, 2 nurses, usually 1 RN and 1 LPN, 2 aides and 1 TMA

Night shifts is 1 RN and 1 aide

renerian, BSN, RN · May 6, 2004

Is it hard to keep up with 20 patients sub acute?

renerian

Melody007_FNP-C, APRN · May 6, 2004

(We are on the 4th floor of the hospital)

We are a skilled/rehab floor. We are licensed for 15 max.

A majority of our pt's are hips and knees. We do get people just for

IV antibotics.

We get 2 nurses & 2 pcts on days and evenings.

2 nurses and 1 pct on nights.

Today I had 9 pt's with one admit at the end of the shift, and it was me and 2 pcts. At 10 and above we get to have 2 nurses.

Depends. We have decent staffing.

LaShell · May 6, 2004

It seems at my job (with 25 pts, 2 nurses, 2 aides, 1 tma) it is rare that we have a "good" day. Usually 1 or 2 of the patients are pretty sick and on the verge of going back to hospital, or we have a couple of admits or discharges.

However, if we have enough aides (3 instead of 2) the shift seems to go smoothly. When the nurses get tied up doing too much basic care, then we can't get our treatments and paperwork done. I really enjoy doing 'aide' work (feeding, toileting, bathing, etc.)and the patients like it too when their nurse spends time with them, but if I do too much then I fall behind on my own stuff.

That's the frustrating part of my job. When I walk into a room to start an IV or do a dressing change and find they need help getting dressed, wiping the spilled food off them, need a diaper change... I want to have the time to do that also instead of hitting the call light and requesting an aide come into do it. Maybe I was an aide myself too long during nsg school??? Old habits die hard..

renerian, BSN, RN · May 7, 2004

I went to one place where it was an RN and one aide for that many people. Skilled. I ran from that one.

renerian :uhoh21:

debRN0417 · May 7, 2004

No problem. She does a great job!

How does that work for your unit? Is the 1 RN able to keep up?
renerian

findingmywayRN · May 7, 2004

I went to one place where it was an RN and one aide for that many people. Skilled. I ran from that one.
renerian :uhoh21:

I used to work in a rehab unit where there was one nurse for 19 patients on eves, with 2 aides (three if you were lucky). Some rare nights we were lucky enough to get a second nurse for a few hrs to help with treatments. That plus admissions, orders and any patient issues that came up made for a "full" evening to say the least. Did I mention I was doing this while preg with twins?? Thank god I had a good pair of sneakers :rotfl: