Advice please!

Specialties Geriatric

Published

Hello everyone I got hired as a nursing supervisor at this nursing home close to my house I have no nursing home experience but have hospital experience for Abt a year.. Can anyone tell me how this job is going to be?

Really!? I have been a CNA, LVN, and a RN. Every job in LTC is a challenge. I have see an RN come with attitude she was better because she was a RN. She gave MOM six times to a patient. The order was Maalox. you do not know why someone did not get a degree. LIFE is learning experience. LTC is hard and a minefield to work. do yourself a favor. Loose that attitude. get out from behind the desk and answer a call bell. Empty a urinal. Take a phone order. You will earn a lot of respect and get more teamwork going.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

You are going to need those Licensed Practical NURSES when you go to work at the LTC. Those nurses will suddenly become very important to you. There is no RN on the floor because YOU are the RN for those 60 patients.

It's a tough job......respect and engage your peers...for they can help you sink or swim.

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putting aside the whole "LPNs are nurses too" subject (I think the OP learned her lesson), any LTC RN supervisor who has a LPN to pass meds has it made in the shade.

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Really. Aside from degree issue. LTC SNF are hard work period. I soooo readyvto leave this area of nursing. Even if she has someone to pass meds. It is still not a made in the shade job. What really scares me in a few years what type of patients will be A SNF? The acuity leveks are becoming higher. Not way to really safely staff. Patients and nurses are at risk.

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Specializes in Peds Medical Floor.

When I did LTC the RN supervisor was expected to pitch in if they were down an LPN or help with CNA stuff if they were short. You have hospital experience, but it's a different world than LTC. 60 is a small LTC, mine had 90 and was still considered small.

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"LTC is hard and a minefield to work. do yourself a favor. Loose that attitude. get out from behind the desk and answer a call bell. "

:up:

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Specializes in Occ. Hlth, Education, ICU, Med-Surg.
I'm sorry if I offended anyone but did not mean it that way at all!!! What I meant to say is LPNs are the ones working on the floor there's no RN on the floor! The rn is the supervisor lol I hope I got my point across I know and am sure that LPNs are nurses and value them as well

You people need to quit harping on this! The OP made a statement that she has since clarified....it amazes me the amount of people choosing to ignore the explanation!

Instead of beating the LPN vs RN horse to death AGAIN...why don't those that have bothered to post such negative responses step up and post some useful information that the OP may be able to use in her new position and that may actually help to establish and maintain a respectful and mutually beneficial workplace!

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Thank you so much delawaremalenurae ur the first to acknowledge that I even made that statement! Even after I said that people are just going on and on about the LPN vs nurse so I didn't even bother responding back but thank you I truly appreciate it :)

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

I don't think it was LPN vs RN debate as most were RN's who responded and responded to the first post. Which unfortunately.....read much different than the intent. Unfortunately, many do not read the entire thread before they respond. They see the first post and release their feelings. So yes...there will be post that address the first post and go no further....the perils of a public forum.

OP, as I said in my post..you need to engage all of your peers as partners in your plan and in caring for all of these patients. As a newer nurse you are going to be challenged by the other staff members with seniority and more experience. Let them know they are your partner and you need them and they need you. I personally have lead by example and I have always pitched in even if it wasn't "my job"....I don't ask people to do things that I wouldn't do myself, so I make sure that while I can't always get that bedpan or help with a soiled patient....I find the times when I can.

My advice is what I have done all my career.....I give the respect I expect to receive.

Good Luck I wish you the best.

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Specializes in New Critical care NP, Critical care, Med-surg, LTC.

I would caution that while you don't think that you'll be assigned a floor, as the supervisor rather than floor nurse (I'm sorry so many jumped on the RN/LPN thing that you clarified), in our facility the supervisor often ends up running a floor as well due to short staffing. Because we're generally short-staffed. Do you have 2 LPNs per shift? Is one assigned for just meds? I think you'd want to have a day to at least shadown them to get a feel for a shift. LTC is a whole new animal compared with acute care. I know that some people think it's so much easier, since we really just "babysit" residents, but I've got two med passes and treatments for 30 residents and I have yet to finish in my allotted shift time (but I am a new nurse). I think it's difficult to supervise when you don't have a good feel for the job you're supervising, but I'm sure it's done by many people. Good luck.

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Specializes in Gerontology, Med surg, Home Health.

JBMommy,

I don't know where you work, but babysitting residents is not something we do. We assess residents for changes in condition and formulate a plan so we can treat them in the facility. This includes inserting our own PICC lines.

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Specializes in LTC, Geriatrics, MDS.

As a LPN i will tell you i didn't take offense to the misshap :). I think from a LPN perspective we just get frustrated some times with those comments due to putdowns on our abilities in things we are competent to perform. But as a good supervisor i know you will defend and stick up for your LPNs so u'll be fine. However relating to your post, BIG key for you to remember is that you can not run a LTC facility as a hospital. Remember stable patients are what we are "meant" to have and not acute cases. Also make sure you fully familiarize yourself with your states regulations. It will most likely be your second bible. OH and they are constantly changing. Even though you might not be the DON, being familiar with the state regs will help you in your implication and directing your staff.

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