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Would you like some cheese with that whine.

LTC Directors   (7,399 Views | 20 Replies)

CapeCodMermaid has 30 years experience as a RN and specializes in Gerontology, Med surg, Home Health.

2 Followers; 60,654 Profile Views; 6,073 Posts

OMG...19 patients on a short term floor. NO IVs, NO trachs, NO Gtubes.., no sick people.mostly ortho.

Nurses on 11-7 whining because they were told they were going to have ONE nurse. Really??? you can't manage 19 stable residents on 11-7? You have 2 CNAs...really? I don't get it.

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Nascar nurse has 25 years experience as a ASN, RN and specializes in LTC & Hospice.

2,213 Posts; 32,223 Profile Views

Tsk-tsk. I'm too "crusty old bat" to have sympathy. Back in the day I had 50 with 2 aides on 11-7 and the back of the hall was referred to as the vegetable patch due to the number of tubes and trachs.

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txredheadnurse has 39 years experience as a BSN, RN and specializes in Correctional, QA, Geriatrics.

349 Posts; 10,247 Profile Views

My first LTC job after I separated from service was on 11-7 at a 120 bed facility divided into 3 wings with a total of 5 aides for the whole building....and me. This was back in the days of bulk bottle meds for controlled drugs. I remember narc count literally took almost 45 minutes because of the need to pour out all those pesky little phenobarbs and tylenol #3s, etc into the count trays. I would have killed.....killed I tell ya lol....to only have 19 patients on 1 wing with a fellow nurse & 2 aides. Yep I be a crusty and rusty old bat glaring at the youngens whining.

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buytheshoes11 has 5 years experience as a MSN, RN and specializes in Med-Surg, Neuro, Respiratory.

127 Posts; 4,675 Profile Views

I would die of happiness if that's what my shift assignment looked like. :lol2:

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3 Followers; 37,202 Posts; 99,006 Profile Views

I don't remember complaining when I was assigned to work in the hallway with 21 residents and the two best CNAs in the building on night shift. It beat having 80 residents and 2 CNAs, or being lone nurse with one CNA for 52 residents. Some people don't know when they have it so good.

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JZ_RN has 5 years experience and specializes in Oncology.

590 Posts; 13,729 Profile Views

OMG...19 patients on a short term floor. NO IVs, NO trachs, NO Gtubes.., no sick people.mostly ortho.

Nurses on 11-7 whining because they were told they were going to have ONE nurse. Really??? you can't manage 19 stable residents on 11-7? You have 2 CNAs...really? I don't get it.

I wish I had only 19! And if they weren't total care? I have 50 and almost all total cares! 19 would be a dream come true.

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13 Posts; 1,371 Profile Views

Really? That sounds very nice to me!

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Daisy_08 has 5 years experience as a BSN, RN.

597 Posts; 13,166 Profile Views

I worked 80 stable with 2 aides, and 130 stable but needy(!) with 5 aides. Now in the hospital nights are 2 nurses, that's it, no coverage for breaks, often we dont get them during our shift.

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NurseGuyBri has 6 years experience and specializes in LTC, Education, Management, QAPI.

308 Posts; 8,109 Profile Views

Our nurses have 60 patients per nurse with 3 aides on nights. approx 15 would be skilled, all should be relatively stable with the possibility of 1 or 2 issues as far as crashing. That, to me, is too much- but it is what it is... I'd kill to have 30 per nurse on nights, 20 on days, but such it is..

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13 Posts; 1,371 Profile Views

We have 32 long term and skilled mixed...One nurse/2 aids. 19 would be heaven!

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NurseAlwaysNForever has 3 years experience and specializes in Hospice, LTC.

13 Articles; 129 Posts; 7,450 Profile Views

I recently started as don at a small rural private owned facility. Our numbers are:

37 patients, 5 of those are skilled.

One catheter

One colostomy

No trachs

No suctioning

No feeding tubes

3 pressure sores

One bed bound resident

Staffing

M-F

LVN 8a-5p

LVN 7a-7p

Med aide 1p-9p

LVN 7p-7a

Shower aide 8a-5p

Restorative 7am-3:30 p

3 cnas 7a-7p

Hospitality aide 8a- 5p

3 cnas 7p-7a

Saturday

4 cnas 7a-7p

3 cnas 7p-7a

Sunday

3 cnas 7p-7a

3 cnas 7a-7p

Weekend nurses

LVN 7a-7p

LVN 7p-7a

LVN 7a-11p

To me we seem over staffed, which is great, but with this level of staffing, should I still hear moaning and groaning about being understaffed and still be getting excuses for why things aren't done?

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CapeCodMermaid has 30 years experience as a RN and specializes in Gerontology, Med surg, Home Health.

2 Followers; 6,073 Posts; 60,654 Profile Views

I wouldn't call 3 aides for 37 residents overstaffed....and why different staffing on Saturday and Sunday? My 46 bed units have 6 CNAs on days, 5 on evenings, and 3 on nights.

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