Angry ER RN new n LTC - page 3
I just want to scream so bad right now. I am an ER nurse new to ltc. I took a prn job as a nursing facility. orientation was to be for 5 days.. 1st day of orientation..did med passes and all that needed to be done. They have... Read More
- 0Dec 5, '08 by yashalagI'm a med/surg nurse who has tried LTC on 3 different occasions. Both times were horrible. I will never do it again because what you explain is only a fraction of what seems to be the "norm". I will never do it again.
Med Passes were a nightmare, IMO. I saw so many med mistakes that nobody wanted to acknowledge. One nurse gave all the medications from 8am to 6pm for the patients, so she wouldn't have to do a repeat pass. It was insane. They also would document all meds as being give, even if they were refused by patients because they said "the state doesn't like it if they see meds as not admin'd". Absolutely crazy.
- 0Dec 7, '08 by achot chaviQuote from yashalagok- someone should have their license revoked/Med Passes were a nightmare, IMO. I saw so many med mistakes that nobody wanted to acknowledge. One nurse gave all the medications from 8am to 6pm for the patients, so she wouldn't have to do a repeat pass. It was insane. They also would document all meds as being give, even if they were refused by patients because they said "the state doesn't like it if they see meds as not admin'd". Absolutely crazy.
Any med that is refused must be documented as refused and reported to the MD- if they repeatedly refuse- have it D/C'ed and replaced if necessary with something the patient will accept.
LTC does not have to be a nightmare - there are good places out there where good , professional and by-the-book nursing is practiced.
Some of the places described here as the above one should be reinspected.
I once had a bully of a nurse who got the evening or night nurse to prepare her meds for her so all she had to do was give them out- she sat all day with her cig and coffe and the patients were afraid of her- gave nursing a bad name - unfortunately her hubby is a top surgeon so the DON (whose hubby works with that surgeon) looked away. She is taking 2 years to get her RN, hope she doesn;t come back.
- 0Dec 9, '08 by CandyheartI've been reading the other opinions and I have to tell you, those nurses that caused you all that trouble are the nurses you are going to be working with all the time. Lazy nurses, "territorial" nurses, etc. are going to be a pain every day in that facility. I work in a fairly big facility and we all interact a lot of different ways all the time. Charting is a huge deal. As you know as an ER nurse, it's the only way to know whats going on. Think about dealing with that staff every day.
- 0Dec 11, '08 by debRN0417It is very sad when we "eat our own" and then we complain we have no help.... I am sorry this happened to you. Make sure when you talk again to the DON that she has a clear understanding of what your needs are and that you have a clear understanding of her expectations. It sounded to me like they needed somebody to pass meds and you were handy. I once was in a "precepted program" for nurses who had been out of the hospital for awhile and wanted to "refresh" their skills. It was a six month program and I thought "great!"...well to make a long story short, I ended up being the patsy...it was "Oh let her do it she's in orientation and needs the experience", "Oh assign those 9 total care geriatric patients to her because she has long term care experience," and "Oh give her the 13 patients and the HIV kid that no one else wants to take care of because she is in orientation and needs the experience," and on top of the patient assignment, "Oh let her draw all the blood today because she is in orientation and needs the experience"...well my sad butt was in "orientation" for six freaking months and I was no more than slave labor to do what the other nurses didn't want to do. I would go home after my shift and not be able to pull my shoes off and walk because my feet hurt so bad... I was young and nieve (sp) then and afraid to take up for myself, so I just did it. I made it the six months...none the worse for the wear, and swore I would never treat a "new" person like I was treated.
- 0Dec 15, '08 by persioncat1Hi,I just want to say the same thing happened to me and i was a new nurse.I started my day giving out 30 med passes and had no idea what to do except trial and erra about the paperwork.I also kept asking to have more time but med passes was the only thing they worried about.I have to admit i was slow in a 30 med pass and the charge nurse on the day i was by myself said to me "this is what you are susposed to do" in a dissatisfied look.I got very nervous as it was concerning a new admittance and i did not know the paper work! Never had a chance!