Michelle,
your staffing exceeds any that I am aware of in my area.
Assuming that your administration is needing to make some
cuts in response to financial concerns, you would only be
hurting yourself by resigning (besides, presenting that kind
of ultimatum paints you into a corner and decreases the
opportunities for negotiation).
Is your administration asking you to propose the nature of
the actual cuts (this is the best thing in this case)? If
so, sit down with the staff and look at what they feel could
possibly change and plan your cuts around that.
We have experienced the need to decrease hours just
recently and while it is not pleasant, half the battle was
won by nursing admin buying the need and going forth to the
staff with a "let's see what can be done" kind of attitude.
We still don't like it, but we've come to be able to manage
with it.
>>> [EMAIL PROTECTED] 02/24 3:19 PM >>>
Strange that this present's itself here. Just today the
DON, ADON and myself were just discussing staffing level's
as our administrator feels we have too much staff. We are a
50 bed facility with 11 Medicare A beds. There are 20 beds
on second floor with 30 bed's on third floor, 11 of which
are Medicare A. Our staffing ratio is about 7:1. We have:
third floor: day eve noc
CNA's 5 4 2
RN 1 1 1
LPN 2 1 1
2nd floor
CNA 3 2 1
RN 0 0 0
LPN 1 1 1
This does not count the administrative staff DON, ADON, MDS
Coor. activity department with 2 CNA's that help on the
floor and with feeding and 2 CNA's in Restorative that also
help on the floor and with feeding on day shift. The DON,
ADON and myself were just discussing that we will quit if
they want us to cut staff. Being divided up on multiple
floors hurts staffing because you have 2 facilities to staff
for instead of just one.
Michelle
----- Original Message -----
From: John Tracy
To: [EMAIL PROTECTED]
Sent: Tuesday, February 24, 2004 7:31 AM
Subject: staffing levels
I am trying to gather information for my DON. I would
like to pose a couple of questions to the group. But first,
let me explain my dilemma:
We are a county facility. We have 3 floors of SNF
residents, 40 each. We have a dementia unit that is 28 beds
and a short-term, sub-acute rehab unit that holds 12
residents.
Currently our staffing levels are slated for this:
7-3:
6 aides per unit on SNF,
4 aides on the dementia unit,
2 aides on short-term rehab
3-11:
4 aides on the SNF units
3 aides on the dementia unit
2 aides on the short-term rehab unit
11-7:
2 aides on all of the units except short term rehab with
one.
Now that you understand the makeup of the facility, let
me give you some background.
We were about 2.2 million in the red last year. The
cutting of IGT money hurt our facility badly. As a result,
we used all of our capital reserves for payroll and all of
our other expenses. So now, we need to cut. We already cut
our budget for all non-essential supplies and conferences,
etc. But now they are talking about cutting staff. Our
administrator states that we are way above what the national
average is for staffing numbers.
The proposition for staffing is:
Cutting down the day aides by two and adding a 9-1 aide,
cutting down to 3 aides on evenings and adding a 5-9 aide
and cutting down the short term aides to 1.
I am wondering what your staffing is like in your
buildings with the aides and nurses? The nurses staff like
this:
Days: 2 plus nurse manager on days except short term has
one plus nurse manager. Eves is one and two treatment
nurses in the building to do all units from 5-9 pm and one
nurse on 11-7 per floor.
I appreciate any feedback.
Michelle
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