What is considered a normal Patient:CNA Ratio? I work 24 patients:myself

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kat in Chickasha, Oklahoma

33 months ago

The government doesn't care.They are cutting down what S.S. will pay for nursing homes.The owners don't care,they just want to make a big profit.The familys don't care,because they can't or don't want to take care of their elderly.As long as CNA's and nurses are willing to work these places things will only get worse.

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Ct. Aide in Torrington, Connecticut

33 months ago

I certainly believe what you wrote is happening where you work and I don't doubt you. What I don't understand is... don't you get inspected by the state? We sure do. And couldn't you write a letter to the health dept.?? take photos if you have to? I don't think you would need to include your name... Where I work our main complaint is our wages. We are staffed well enough even when short (down one aide). We don't work in a crisis setting as the one you described. I would think the authorities need to be involved. Write you state government? the U.S. government? What you describe is against what is RIGHT.. probably against the law as well... Where I work our clients are well tended to by all of us. We never see bed sores... only if one of them has to go to the hospital THEY come back to us with bed sores which I can never understand. Then we (at the nursing home) have to fix the damage being at the hospital caused that resident. From reading this forum it is clear there are some really crummy nursing homes and I am sympathetic to your situation, and I don't doubt you for a moment.

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kat in Chickasha, Oklahoma

33 months ago

People really don't understand.When the health dept inspects NH ,the NH's are warned in advance by 2 weeks.Many times bribes are given.The government is sick of wasting money on the elderly and the poor,so Nursing Home pyms are down,food stamps lowered and welfare payments less.In American society the elderly or anyone that can't take care of theirselves is basically thrown away or locked away.It is very sad.

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Ct. Aide in Torrington, Connecticut

33 months ago

I have commented to my co-workers that what we are really doing is 'warehousing'.
Children too busy to provide for their parents. We have many elderly that are psych cases.. (they could not live with family)... but also have a few who, sadly, are brought to us. Had they family who were willing to keep them home, would have done much better there.
We're all frustrated.

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kat in Chickasha, Oklahoma

33 months ago

The mentally ill need permanent mental hospitals to live in.Sad they are put in NH.Familys all work till they end up in the NH and don't have time to raise children or the elderly.

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Anon in Lawrence, Kansas

29 months ago

liasha1010 in Las Vegas, Nevada said: I am very sadden by your comment because if you know that your co workers are not preforming there job skills than it reflects poorly on you. Ex.: If I am with an individual that commit a crime... I am an accessory. Therefore, YOU are no different from the lazy individuals that you speak of. I believe that the standard and goal of health care it to do no harm. How helpful have you been if you did not stand up and report these individuals. It doesnt take extreme intelligence to love and no matter who you are... you have the human aptitude to provide care with respect and compassion.
I have worked in Michigan and in Las Vegas and the standard of care is more often poor at most facilities . The business of long term care is a 24 hour and 7day a week business. The company collect there fees even when staff is short. They could easily add an additional percentage on to staff when working short. The government is not doing enough to monitor or police these big organizations.
My word of advice is never take an assignment that is too large. No matter how great of an employee you are the company totally forgets that when there is an injury to a patient. Bottom line they will fire you with the quickness. Ideally during the day shift eight patient per CNA is appropiate. Afternoons 8-10 patient per CNA. Midnight shift 10-12 per CNA. However, 15 should never be the norm or a daily routine. If your facility standards are poor and the staff to patient ratio is high complain. To the state board and to cooperate. Document everyday who and what you have. You never know when things are going to go bad and if you write it down you cover yourself. Go home sick if the work load is over 25!

I work 9p-7a and I presently have 30. I am the only CNA on my hall. In two days I will receive 2 new residents. There are 2 other halls that have less than have the people I do( that's both halls combined). This is just in humane for everyone.

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kat in Chickasha, Oklahoma

29 months ago

The CNA's aren't to blame.It is the nursing homes that understaff for more profit.The job is so low paying a waitress could make more.Often with one person lifting a healthy CNA will become bent and broken.With low pay she/he will always live in poverty . With all the illnesses among residents,the CNA will always be sick.With the government lowering what S.S. will pay the understaffing will get worse.I feel sorry for the elderly.Their fate is not a happy one.

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scfnj in Long Valley, New Jersey

29 months ago

Wow

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scfnj in Long Valley, New Jersey

29 months ago

I typed in CNA'S rights and came accross this thread, very interesting. I think we all need to vent especially in line field. But, seriously... I want to know who fights for us??? We get hurt and injured on a daily basis and I deal with extreme pain and GOD FORBID, we get injured on the job or struck by the demented. We are there to do our job yes, not to take abuse. Who handles that job? Do we continue to take abuse? :/ Oh and what about the good and efficient CNA's not only do we have to deal with abuse by the residents/patients but what about the CNA'S that don't work and then the good hard working ones get crapped on?! REALLY....!

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scfnj in Long Valley, New Jersey

29 months ago

Oh yeah, and what about they are trying to save money buy purchasing "more affordable" supplies like... gloves, .... the new gloves at the facility I work at you wet just the tip of your fingers and your entire hands get wet inside and proper body mechanics, how is that posible when you keep working with equipment that just does not function properly or dies out in the middle of giving care... yeah... real safe for both residents/patients and the person giving care so... please... someone, ANYONE... please advise!

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Healthcare Adm in Belvidere, Illinois

20 months ago

Might be time for a lateral career change. Some CNA's are finding switching over to EEG or EKG tech's a better way to stay in the health field but without a lot of the hassle and underappreciation that CNA's go through. If you are looking for a healthcare career change you might look into this EEG Technician Online Training Program, www.proprofs.com/training/course/?title=MjAxMTY3D.

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Kelly in Houston, Texas

17 months ago

If you are tired of breaking your back trying to take care of the ridiculous work load. If you believe that it is not fair that you can't give the care the patients needs because the workload is so heavy. Sign this petition that has been started. If we as a group can get enough signatures, we can make a change. We can make a difference. If we can get this petition signed with enough signatures, then we can finally get make the change necessary to get what we deserve, what our patients deserve....a workable load and do what we love best, providing our patients excellent quality care....

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Kelly in Houston, Texas

17 months ago

wh.gov/i2Xul

is the petition to sign...If you are tired of this. Please sign this petition so changes can be made.

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tai in Saint Clair, Michigan

9 months ago

Ct. Aide in Torrington, Connecticut said: I certainly believe what you wrote is happening where you work and I don't doubt you. What I don't understand is... don't you get inspected by the state? We sure do. And couldn't you write a letter to the health dept.?? take photos if you have to? I don't think you would need to include your name... Where I work our main complaint is our wages. We are staffed well enough even when short (down one aide). We don't work in a crisis setting as the one you described. I would think the authorities need to be involved. Write you state government ? the U.S. government? What you describe is against what is RIGHT.. probably against the law as well... Where I work our clients are well tended to by all of us. We never see bed sores... only if one of them has to go to the hospital THEY come back to us with bed sores which I can never understand. Then we (at the nursing home) have to fix the damage being at the hospital caused that resident. From reading this forum it is clear there are some really crummy nursing homes and I am sympathetic to your situation, and I don't doubt you for a moment.

I know exactly what you're saying about patients returning from the hospital in worse condition than when they left!! Their skin integrity is so bad!! I don't know about the hospitals where you live, but here, they hire techs in the hospitals to do the 'cna' work....but they have no training! Plus, in some hospitals here, they don't even hirt techs--its the nurses responsibility to ensure those patients are being washed and changed and turned. Yeahhhhh no!

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tai in Saint Clair, Michigan

9 months ago

kat in Chickasha, Oklahoma said: People really don't understand.When the health dept inspects NH ,the NH's are warned in advance by 2 weeks.Many times bribes are given.The government is sick of wasting money on the elderly and the poor,so Nursing Home pyms are down, food stamps lowered and welfare payments less.In American society the elderly or anyone that can't take care of theirselves is basically thrown away or locked away.It is very sad.

Our NH is also warned in advance when state is coming. You wouldn't believe the people who come crawling out of their offices to 'help' staff and the patients!! It's such a farce!! Then as soon as state leaves, they (admin, Don, unit managers, office staff,,etc..)all order food FOR THEMSELVES and go back to their holes in the walls!! I work nights and i hear this from the days and afts. I sooo wish state would for once just watch the tapes and see how fake it all is!!!

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tai in Saint Clair, Michigan

9 months ago

Kelly in Houston, Texas said: wh.gov/i2Xul

is the petition to sign...If you are tired of this. Please sign this petition so changes can be made.

Petition is closed!! I just went to sign it!!

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tiffy54@atlanticbb in Altoona, Pennsylvania

8 months ago

Bev in Memphis, Tennessee said: Continued Post:

Therefore, I also agree that caring families who will atleast visit their love ones frequenty can benefit their elderly love ones tremendously. I too have witness residents who had frequenty and routine family visits got preferential treatment or care in oppossed to some of the residents who had few or no family visitations. Frankly, I have told my peers I refuse to give preferential care to some and not others. In my eyesight, they ALL deserve the same and best quality care I could feasibly give.


I have actually seen this happen; I use to be a CNA for 15+ years, and I have seen some stupid stuff out there and the CNAs just cannot do everything with the ratio of like 1 to 20 and up. I use to do 1 to 30 in a local county-run nursing home and I just could not do everything that we were supposed to do in 8 hours. I really only got like 5 to maybe 10 minutes per resident but that was if you were on roller-skates while working, just kidding.

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Cocopah in San Diego, California

7 months ago

Didn't read all the comments, but ratio for my facility here is 1:14 for sub-acute (night hift), 1:1-20 for skilled areas (night shift).

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Madasheck

6 months ago

Bev in Memphis, Tennessee said: On my job they are telling us it is okay to work 24 patients to one Cna , somehow I think this is very unfair to both patients and the night Cna's...by the way I am on the night shift. By the end of my shift I am really exhausted and have to take 2 tylenols for back releif regardless or proper body mechanics I enforced during rounds. Oh yeah and then they would like for us to wash wheelchairs and pass ice regardless of shortage and get up atleast 2 people for the morning shift....Is it just me...Or Isn't this a bit much...Surely there should be a set of "bylaws" to cover this occurrence.

I am in Nevada and a former CNA. My mother in law is in a nursing faciliy. She is in end state Alzheimer's and dementia and is on hospice now because she is not eating. The facility she is at has 2 CNA's at night for the entire facility. Laws must change for requirements of patient to nurse ratio. In the state of Nevada there are no laws for this. How do the nurses complete rounds in an hour or two doing vitals,change, turn and chart let alone anything else that may arise of 70+ patients? Not humanly possible oh an let's not forget feeding and bathing! but hey they are the "elderly" right? The government is crap and yay for Obama care. Private pay facilities are $3700 a month + and are only afforded to the rich to be honest. Madicare and Medicaid combine covers only medical and medicine. So the $1500 a month in ssi is for food, and all the staffs pay? So let's see 1 RN per station 1-2 LVN per station and 1-2 CNA per station. And anywhere between 70-80 residents on each station? Clearly the government see this as a money maker cuz wages and insurance and retirement is mostly crap for employees. God bless the nurse's and pray for the residents because in the end they are the only one's that care.

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Max in Chicago, Illinois

1 month ago

You all forgot the resident's family that come and think cause they stand there with there arms folded and look mean -- you are just there for there mother or father only and they don't lift a hand to help. I think families put their loved ones in nursing homes because they can't deal with the pee and poop.

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