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Staffing issues in LTC

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(votes: 7)


I am a LPN in LTC and I am uncomfortable with the quality of care that im able to give my residents due to constant staffing issues. Its true I could just go get another job but it wouldnt improve on the care given or the break in the system. My unit has 44 residents right now 2 skilled, 9 diabetics, 6 Gtubes (2 bolus, 2 pumps, 1 flush only, 1 PRN <50% of meal), 10 total care Hoyer. I also have colostomys, catheters, wound care, admits, rounds with the Doctor ect. . There are only 5 independant out of the 44, all others require assist with most ADLs and at least 1 person assist with all transfers. Its routine for my staff during 7-3 and 3-11 to have 1 LPN, 1 CMA, and 2 CNAs. I have worked the 11-7 shift with just me and one CNA. Management does not tell me until ive accepted the floor that im short even if they knew the day before they will put a false schedule up to keep it concealed and then that leads to the first part of my shift being spent attempting to call employees that they already knew wouldnt be there. Many times there are more management than hands on staff so that theres what administration calls "A body in the building". If for some reason the ADON or DON has to Charge my hall 2 of them do the LPNs job and they make sure there are at least 3 CNAs because they cant do what they expect us to do everyday. I cry all the way home many days because it doesnt matter how hard my staff and I work we cannot give the residents the care that they deserve. Ive been an LPN for over 4 years and I worry about my License too. I tried switching jobs but this facility is just as bad and it left me feeling guilty for leaving and making it even worse for my residents. Is anyone else having this problem? Any solutions?
As much as your concern for the well-being of the residents and other staff members in the LTC facility is heart-warming, you have to be able to save yourself. If this is something that is greatly affecting your mindset, you have to try something new. You cannot save everyone else at the cost of yourself (and your license, if it's something you are truly afraid of). I worked full time as a CNA for 3 years. My first 1.5 years was great, we were fully staffed and everyone got along and were helpful. The last 1.5 years, not so much. The LTC facility I worked at was severely understaffed by management choice, not because they couldn't get/keep staff, they just didn't schedule enough. I was the only CNA and had an LPN for 26 people for 12 hours and, as you know, the nurse had her own duties to do and wasn't able to help me much. All different levels of care. It was nonstop and I became severely depressed. I eventually couldn't handle it anymore and switched to PRN while I searched for something new. I found something new and I'm a totally different person. I still go back and visit my old co-workers and residents, but I am so happy I got out when I did. Although I left, they found someone to replace me and the cycle continues. I wish you luck!
Author: peter  3-07-2015, 08:56   Views: 637   
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