Resigned From Long Term Care - page 2

I submitted my resignation today. I will never work in long-term care again. Twice in the last 3 months I've been written up for a resident fall -- again because of failure to have alarms on a... Read More

  1. by   interceptinglight
    Had my home health agency interview today. They totally offered me the job. I think I'm going to like working for these guys.
  2. by   Dorali
    That's great!! Congratulations!!!

  3. by   pca_85
    You'll love home care
  4. by   narcolepticnurse
    I don't care how stressed out the nurse was, she should never have screamed at you. I'll admit that I've gotten kind of snappy on several occasions but I always (except once) apologized because the CNA didn't deserve it (except once. Do not chase me inside demanding that you get to go home if we're overstaffed, I will make that decision. Especially since we had this same discussion yesterday. And since you go home "sick" all the time anyway. Jeez). If you have an issue you feel needs addressed with a subordinate, take them aside to discuss it privately. Machiavelli says it's better to be feared than loved, but that's not true when it comes to a nurse's relationship with CNAs.
  5. by   VickyRN
    The vast majority of nursing homes are chronically understaffed. That is the real problem. It is disgraceful what awful staffing is in place in these facilities. And these are our beloved grandparents, WWII vets, etc., being warehoused and treated like chattel with the fewest possible staff that the facility can get away with. Unless you are Superwoman, you cannot adequately care for all these frail residents without the support you need.
  6. by   RN_SummerSeas
    I realize this is a very old post but there is a huge point missed here, the reason the RN yelled at you (which is completely ignorant) is because ultimately the blame falls on HER. As a nurse in an LTC facility I can tell you that falls happen, there is not enough staff-nurses, CNA's heck even kitchen staff. I work on a sub-acute unit and we have 48 residents 2 floor nurses who get 24 each and 4 CNA's who work together on 24 each as well as a desk nurse. The nurse is ultimately responsible for the CNA as under nursing practice she is delegating these patients to them. For you to have gotten total blame is unacceptable. If I have a resident fall- I have to assess them, I have to start neuro checks, I have to do the neuro checks, I have to fill out the incident report and take responsibility even if I wasn't around. That is part of being a nurse. I have complete respect for my aids without them I would be up the creek without a paddle. There are some who suck and that makes life difficult but I have some I work with who are amazing and bust their butts for their crappy pay.
    I HATE LTC. I am only there because as a new nurse without a BSN no one else will hire me. Not enough experience to do homecare (I did that as a CNA) and still working on my BSN. I respect ANYONE who works in LTC and likes it. It is a hard job and minimally rewarding. The pay sucks, the hours suck (I am 3-11 get no breaks and leave at 1 a.m. most days). I can't WAIT to get something else, I despise dreading going to work. WHen I am there I give my all because the resident deserve it, but I hate my job.
  7. by   interceptinglight
    Sometimes CNAs don't realize how difficult a nurse's job really is. The pressure on nurses today is incredible with the unreasonable amount of responsibility that they usually have to shoulder. I'm sure this nurse just lost it with me because of how it was going to reflect on her. Nevertheless, you just should never yell at or reprimand an employee in front of their co-workers, discussions like that should be done in private and hopefully without raising voices. Any time there is an incident or a new development or something going on with a resident in LTC, whenever you report it to a nurse they just get that look, like....oh my god, damn!! Now I have an extra hour of paperwork and documentation and crap to fill out because of this....thanks a lot!!

    Since this was the second fall that I got written up for in which I wasn't the only person responsible for it happening, I decided that there just wasn't going to be a third. I've never worked so hard in my life, sweated so much, cared so deeply, or suffered such humiliation for such paltry pay that I was getting. At the end of the day, I didn't have anything left to give to my busy family. That's what did it for me. The home care job was fine, but I wasn't making enough money at that either. Some weeks I only worked 12 hours!! Plus they never gave me enough hours to qualify for health care. Fortunately I got a job at the University where i live, and I've been there over a year now. I'm grateful for the time I spent as a CNA, but I'm also grateful that I'm not doing that anymore......
    Last edit by interceptinglight on Nov 19, '12 : Reason: word usage
  8. by   RN_SummerSeas
    I hate my job in LTC, granted I am sub-acute so it is slightly better than just LTC but one nurse for 24 people is out of control-especially in that unit. I walked into a mess yesterday at 3pm-yet another psych pt that no one else wants so we take them-throwing the computer monitors, hit a CNA with a call bell, put her in a head lock all from his wheel chair. Extreme exacerbation of paranoid schizophrenia. Were it my choice I'd have dialed 911 and let the police section him, but no they make everything a process. Apparently he was attempting to wrap O2 tubing around other residents necks and choke them this weekend. The behavior started Friday and they didn't send him out until after 6pm yesterday. Of course he was my patient so my CNA's (I have 2 on my hall) and the other 2 from the front hall are taking turns 2:1 with him. Not ok, they are NOT psych trained. You need to have specific CPI training so you don't get hurt or hurt someone else. Even the locked unit where I work no one is trained, I worked there Sat. and almost got knocked out b/c we had a man who did not belong on LTC but in true psych there acting out. I am supposed to work 3-11, I did not walk out of that building until 1:15am last night, my drive home is 45 minutes and I have to be up with my kids in the a.m. I pray daily I find a new job, I did not spend 6 years of my life in school doing pre-req's to get into a competitive nursing program to do this crap and cry after work almost daily. It is a God awful job. I can't believe how awful the CNA's they are paid for what they do it is disgusting, IDK how they even stay. Glad you got out and found something you like.
  9. by   duskyjewel
    Know how and why we stay? Because we have to provide for our families and for many of us, this is the only or best way, even with all its warts.
  10. by   RN_SummerSeas
    Obviously, that is the ONLY reason I stay there. As soon as another job pops up I am OUT. The place is dangerous, unsafe and my license is on the line daily. It is not fair to the employees and especially the residents! The CNA's that I work with-the good ones-they should be out looking because they are paid crap and they deserve much, much more. I keep encouraging them to look and giving them leads because they are so unhappy. The ones I don't get are the ones who LIKE it there and stay. Some folks thrive in toxic environments I guess, not me.
  11. by   AKreader
    Quote from interceptinglight
    I think you're right, fuzzy. I felt so terrible and belittled about the whole situation that I just went ahead and meekly signed the damned thing. What happens if you refuse to sign a write-up anyway ? It's not like the can fire me, I already told 'em where they can shove this job. (Incidentally the write-up will stay on my employment record there for a year, after which it is removed.)

    As far as blaming the CNA's -- yeah. I just gave report to the evening shift CNA for the Unit and she told me how the Assistant Dir. of Nursing just got through wiping the floor with her about things that happened during her day off. As if it's her fault how other CNA's conduct themselves when she's not on shift!! Makes me realize how tired I am of the way Administration plays favorites with some and gives the rest of us the horns -- I'm not messing with this bull anymore.
    I once got blamed for a resident dying (no matter that he was DNR, had been ill for quite some time, was not unexpected, etc...). My boss yelled at me and told me that my work was unacceptable. It's amazing what director's/bosses/admin will do to save their own butts. At the end of the day, if you KNOW you did something wrong, accept responsibility for it. If you KNOW you did nothing wrong, let it roll off of you like nothing. I would say that you are in the right, and if I could quit my LTC job, I would too.

    (also, please don't take any of the above as that I didn't care for my resident.)