Hate My Job - LTC

  1. I graduated from an RPN - BScN program last year. It took me months to get an interview but eventually landed a job at a LTC facility. However, ever since I started management has been on me about small stuff. I have had a few talks "learning moments" as my DOC calls them. My recent meeting with the DOC took me completely by surprise. What caught me by surprise was that my union rep had to be there. During this meeting she stated that she was extending my probation period so that I could improve in my nursing skills and documentation. Now I'm more stressed out than I was before and now absolutely dread going into work each shift. Now I feel like I have to constantly look over my shoulder. Ever since I started this soul crushing/sucking job I have lost 12lbs from all the stress. I barely eat and sleep. This job makes question why I bothered going back to school and being a nurse. I'm looking for other jobs but cant really can't find another job that arent in a nursing home.
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  2. 7 Comments

  3. by   HyzenthlayLPN
    LTC can be hard: lots of residents, not enough time. How long have you been there? What are some of the things you have been asked to improve upon? How many residents are you caring for? Are you doing all the meds, treatments and documentation for them?
  4. by   MJ48
    I have been there for approximately 5 months. The things she is asking me to improve are the risk management documentation and how I handle myself in emergency situations. More specifically regarding the documentation, that I am not documenting that I do certain things but I know that I do. The orientation that I received was only six shifts I believe. I did ask for more but only got a few extra orientation shifts. Plus we did not go/over what I should do in emergency situations. We had a false code red and I did not know really what to do. The RN from another floor came and helped me. As the RN on the first floor I'm suppose to run it. As an RN at this facility I'm in charge of an entire floor but I do have 2 RPNs that do the med pass thankfully and help with treatments. I think there are about 40-60 residents per floor or more not exactly sure. It just feels like I'm being picked on. Also another thing that I found out after the meeting my union rep knew about the meeting about a week or two before. Where as me I only found out the day before and I had to come on my day which made me think that I was going to be fired or something worse. Ever since the meeting I have had like this cloud of stress and anxiety. I haven't really been eating or sleeping well. I dont know how the other RNs stick it out for as long as they do. I'm trying to find another job but its hard when potential employers want prior experience.
  5. by   debiklages
    I was in a similar position as I had my probationary period extended on an adult medical unit. I actually knew that I was a lot slower than other nurses. I stuck it out for a year, found another job and quit. In the meantime another new nurse started and there was someone new for the NUM to focus on.
    Keep your chin up , nursing is a hard job and nursing school doesn't really prepare you for the complexity of the workplace, time management and inter professional relationships.
  6. by   Orca
    LTC facilities in particular are notorious for underpaying, understaffing and undertraining. When something goes wrong, they want to nail the nursing staff (especially RNs), even though the facility may have failed to adequately prepare the staff for certain situations. The answer I always got is "It's in the policy manual." I was supposed to read and memorize the policy manual (which was huge and poorly written), and that was supposed to be my guide. Heaven forbid that anyone actually instruct me on anything.
  7. by   CapeCodMermaid
    Maybe you really DO need to improve your documentation. You know the saying: If you didn't document it, you didn't do it. It doesn't matter how much you might have done if it's not in the clinical record. Y'all need to know to cover all the bases to keep yourself safe in the event of a law suit and these days people will sue for anything.
  8. by   JBMmom
    You may have trouble finding a new position with your limited experience, I hope that you can find a way through to get more experience and build your skill set. Documentation is a key skill that you're going to need in any environment and many nurses struggle with it, ask for help from a nurse you work with if you can. There are many valuable skills to be gained in a long-term care facility. After caring for 20-40 patients in a shift, moving into acute care with 6-8 patients doesn't seem as daunting. Yes, the acuity is higher, but you've learned time management and that transfers anywhere. Focused assessments are key in long-term care, not everyone is having their vital signs recorded every shift, not everyone can communicate effectively, nurses have to learn to rely on their aides and also take action based on their observations if patients have a change in conditions. It's quite possible that your management is picking on you, or that you need to improve, or a little of both. Try to relax, everyone was new at some point, and there are lots of nurses out there that have been around a while, so it can be done. But if you're so anxious that you make it worse you're dooming yourself to failure. Before your shift, take a deep breath, put a smile on your face, tell yourself it's going to be a good shift, and you'll find that more and more often it will be. Good luck.
  9. by   caffeinatednurse
    Find someone in your workplace that seems to be excelling at their job, and do two things: 1. Ask them for feedback, but be prepared for brute honesty. 2. Mimic their work ethic and habits. I got lucky and landed a great preceptor who told me to always CYA with my documentation. I didn't understand the true importance of doing so until I started training newer nurses who would leave out things that they may not have viewed as important, but actually were. When I could give them a reason to do so, they usually did fine. Like hey, I know it seems stupid to write down if so-and-so came in w/dentures or hearing aids, but if they really don't and they claim to have "lost" them after they're admitted, we have to pay for those. Or better yet: if you forget to document something, the DON is definitely going to be calling you on your day off.

    Use your extended probation time to your benefit. Find your weaknesses and work on them. The rest will come. LTC is a hard place to start out, but after you've been there for a year, you can pretty much work anywhere.

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