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Nursing Home Staffing and Neglect- Law BytesThis forum post is dated 04/14/10. If you feel it is old or outdated, please follow up with a question or comment and someone may be able to update it, or reply with newer information if you have it. South Carolina - Nurse Jobs
| Nursing Home Staffing and Neglect- Law Bytes Staffing in a nursing home is a matter of math. Math to add up the profits. Math to subtract the costs to those who are injured. Math will tell you whether there are enough minutes in the day. The primary caregiver of residents at nursing homes, meaning the one who performs most of if not all the tasks needed to take proper care of the resident, is a certified nursing assistant ("CNA"). To understand how understaffing occurs consider that a CNA typically works an 7.5-hour shift, but with two 15 minute breaks and a 30-minute meal, the CNA only has 6.5 hours of actual time to care for the residents. This allows for 390 minutes for resident care in each shift. Now consider the minutes required for a CNA to complete the responsibilities and tasks that he or she may have on a single shift when responsible for 9 residents (unfortunately cnas are commonly responsible for 12 to 15 residents on a shift): 4 showers to give (60 min.) 5 baths (75 min.) 5 incontinent residents to clean/change (25 min.) One catheter to empty (5 min.) Document on the resident care charts throughout shift (25 min.) Change 9 bed sheets and make up beds (40 min.) Turn/reposition 4 bed-ridden residents every 2 hours (60 min.) Set up 6 meals (25 min.) Toilet 4 to 6 residents 2 times a shift (60 min.) Shave/groom/hygiene all residents (135 min.) TOTAL MINUTES TO PROVIDE CARE: 510 MIN. Therefore, a CNA with only 9 residents would need approximately 510 minutes to complete these tasks to adequately care for the X;b>...X;/b> |
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