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License at risk?

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Posted about 5 years ago

 

Is anyone here familar with CO nursing law/rules?
I am asking about nurse pt ratio in LTC.
this is the situation as a nurse you have approx 40 pt each, hard enough to get meds given in the standard medication window and now they want to add the care of 16 more pts that are in a locked unit to our list, leaving the 16 pts in the locked unit under the care of a CNA the whole shift except for when meds are given.. You are asked to chart on these pts (alzheimers)
Any thoughts or info on this would be appreciated, I wrote to the state board but have not recieved a reply about it. I don't want to jepordized my license, I worked to hard for it, it is my livelyhood.

Nurse_1__max50

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Rate This | Posted about 5 years ago

 

It seems to me that 40 patients is bit to much anyway, but I know you have more in LTC facilities. But to add 16 more patients, confused at that is way too much. I would be concerned too. Not to mention that alot of the Alzheimers patients have trouble swallowing and the pills have to be crushed and then coaxed into the patient and that sometimes takes forever. I wouldn't feel good about leaving 16 patients in a lock down unit unit the care of a CNA either. I would definitely contact the board of nursing and see if the facility is overstepping boundries. I don't know anything about CO laws or rules, but I can't see that this would be appropriate anywhere. Let me know what you find out.

017_max50

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Rate This | Posted about 5 years ago

 

Unfortunately in LTCs it seems the state rules disappear. I've actually called our state board here in regards to the same issue you are dealing with. I was the only nurse in charge of 2 CNAs with 42 patients--some skilled, some intermediate and some assisted. The med pass was horrible and you could forget about the 1 hour window for getting all the meds out. It wasn't happening. Most nights (3-11) I would finish the 5 p med pass just in time to start the 9 p pass. The worst part is the facility expected you to clock out for 30 minutes for lunch and, if you failed to do so, they would wirte you up!

Demetrice_029

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Rate This | Posted about 5 years ago

 

I wanted to ask a question, where is your RN supervisors? Where I worked, the Rn supervisor came, and helped out with the charting, and even in the locked Alzheimers unit, we had 2 CNA, on the 3-11 shifts, and 3 CNA's on the 7-3 shifts, and 1 CNA on the 11-7 shift. The RN supervisor will help the nurses out, if they are behind. I would reconsider taking on the 16 patients, maybe if it was a 11-7 shifts, but the other shifts, I would complain.


I am a proud mother of three beautyful daughter. I currently live in Los Angeles California. I've worked as a heathecare provider for almost 10 years. I am curently in school to pursue my MSN in nursing, and wants to work as a pediactric nurse, in public health.

Al_chamizo_max50

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Rate This | Posted about 5 years ago

 

joyrider said:

Unfortunately in LTCs it seems the state rules disappear. I've actually called our state board here in regards to the same issue you are dealing with. I was the only nurse in charge of 2 CNAs with 42 patients--some skilled, some intermediate and some assisted. The med pass was horrible and you could forget about the 1 hour window for getting all the meds out. It wasn't happening. Most nights (3-11) I would finish the 5 p med pass just in time to start the 9 p pass. The worst part is the facility expected you to clock out for 30 minutes for lunch and, if you failed to do so, they would wirte you up!

Not all rules apply to private nursing homes, AFCs, it all depends on what licenses the facility operates under, and if they have Medicaid patients. What I would recommend is make a written complaint to your State Ombudsman.

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Rate This | Posted about 5 years ago

 

I am an LPN, ready to apply for RN school. I have been an LPN for 8 yrs, but the application ask if you have had any arrest other than minor traffic violations. I had a DUI arrest in 2000 that didn't go thru the courts till 2001, after I was able to take my LPN boards. I have not had any other legal issues. Does anyone know how this will be looked at by the school, especilay a private cathlioc school. Will it keep me from getting into RN school or geting my RN licence? Oh I live in TENN, I don't know if it varies by what state you live or just a set rule/law? Thanks for any advice!

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Rate This | Posted about 5 years ago

 

lorah, call your state board of registered nursing and ask them. This should not keep you from becoming an RN, nor should it affect your nursing school application.

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Rate This | Posted about 5 years ago

 

dmazment said:

lorah, call your state board of registered nursing and ask them. This should not keep you from becoming an RN, nor should it affect your nursing school application.

Thank you! I was about to fill out the application & scanned 1st & seen that & "I freaked out" I didn't think to just call the state, do I explain & tell who I am?
Thank you for your time