No they do not divide the resident's. The RN is responsible for assessment's on Medicare A resident's and general assessment for the rest of the resident's. The LPN's are usually one does meds and the other treatment's on all of the resident's. I know it sounds like a lot of staff but you have to take into consideration that we are divided up on two floors. If we were all on one floor we could cut some staff. The CNA's on third floor 2 are responsible for the East End and 2 for West End and 1 bath aide. Second floor 2 CNA's for the whole floor and 1 bath person. They do not give bath's on second shift on second floor but do on third floor. As for our statements about quitting if staffing is cut, this has not been said outside of our bitch sessions. You also have to realize at least in my case, staffing is only one of MANY problems I have. Michelle
----- Original Message ----- From: "Stacee Kunse" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Wednesday, February 25, 2004 6:47 AM Subject: Re: staffing levels > So on days, the nurses on third floor have 10 residents each. That > sounds better than most acute care settings. I would say that you are > very blessed to have such a staffing level with nurses being in short > supply. > > > > > This e-mail and any attachments are confidential information intended > for the sole use of the addressee listed. If you are not the intended > recipient, please notify the sender immediately via return e-mail, or > call our Management Information Systems Coordinator at (989)673-4117, > and delete the e-mail. Unauthorized use, dissemination, distribution or > copying of this e-mail or attachments, in whole or in part, is strictly > prohibited and may be unlawful. > > Stacee Kunse, RN > MDS Coordinator > Tuscola County Medical Care Facility > 1285 Cleaver Road > Caro, MI 48723 > Phone: (989)673-4117 > Fax: (989)673-6665 > Email: [EMAIL PROTECTED] > >>> [EMAIL PROTECTED] 02/25/04 7:31 AM >>> > 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 > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
