The Toxicity of Long-Term Care

Minimizing the Nurse Shortage

Olivia Meadows


Nurse Bailey

It has been three years since Covid-19 changed the course of healthcare. Whether that change has been good or bad is still up for debate. Relatively speaking, the business-as-usual prototype for long term care still dictates how facilities operate.

It is within these models, where underpaid and understaffed scenarios are the norm, exposing the most abused profession in the workforce the American Nurse.

Nurse disparities have doubled since the onset of Covid giving rise to trending shortages without considering a failing health system.

If you question the validity refer to the nursing board within your state and examine the staffing for skilled nursing facilities.

Stage agencies deem 1 to 30 sometimes even 1 to 40 as acceptable.

How is this even legal?

Keep in mind the same boards who regulate staffing are the same organizations who opt to suspend or revoke a license for deviation of care.

One nurse cannot manage the med pass, chart, do skin assessments, answer the phone, do admissions, speak with families, perform treatments and keep the residents from falling?

LTC rightfully compares to a mad house of mirrors.

Let us take a look at the expectation.

Charting- Who are you required to chart?
Patients on antibiotics, skilled services, incident charting- including falls, behavior, elopement, and exceptional charting.

How long does the charting process take?
(2–4 hours per shift)

Medication pass

LTC facilities typically have a medication pass at 8am, 10am and 1pm and that is just for dayshift alone!

Vital signs-
Every patient receives two sets of vitals. One in the morning and one in the afternoon. Total time (2 hours)

Lunch- The standard lunch break is 30 minutes accompanied by two 15-minute breaks.

Except one hour is not enough. Why?

Use the restroom — 5minutes.
Walk to the breakroom 5minutes. Heat a meal 6–8 min.