Are you a real nurse? - page 3
just a vent... Has this happened to you. When you tell people you are a nurse, They ask "Which hospital?" when I tell them I work in a nursing home.. they elude to the fact that I'm not really a... Read More
May 11, '03Originally posted by Rustyhammer
To be a nurse in LTC one must have the assessment skills of an ER triage nurse, the ability to recommend tx's and meds to the most stubborn of docs, the ability to deal with families, other facilities like a social worker, the supervisory skills of a nurse manager, and the ability to work the floor like the most seasoned bedside nurse.
If you haven't worked LTC, it is difficult to understand all that goes on in a typical shift.
Not everyone can do it.
May 11, '03Wow, lots of respose! Rusty, you forgot secretary to aswer phones and make appts, Maintence to fix broken beds, restart the furnace in power outages, housekeeping to clean spills, laundry to wash clothes and dietary to make snacks. As you can see, I work in a small building and have sometimes have these added resposibility
May 12, '03LOL..Michelle, you made me laugh this morning. Don't forget hairdresser, manicurist, spiritual advisor, hostess for tours, central supply stocker, disaster manager, security officer, phlebotomist, and last, but far from being the least....staffing.
Personally I think the word "multi-tasking" is not quite adequate. It takes much more than good nursing skills to work in LTC and last. It takes someone with high motivation, initiative, excellent problem solving skills and I believe the natural born ability to lead. If you look back at your experience through the years, and remember a LTC nurse who has stuck it out and loves LTC....they wear these traits like an aura. They make you feel confidant just working near them.
Sometimes I feel they have taken nursing to a realm most would not believe.
My hats off to you who work in LTC...I know what you are made of.
May 12, '03oh I get asked by my nursing collegues is I am practicing to be a nurse- cos one of my name badges says 'practice nurse' (going to have to lose that one!) seems like we need to respect what each other does. I take my hat off to those of you in LTC- its something that I could not do! guess I like the variety of general practice........
May 12, '03RNLTC... I know what you mean. When I was a DON, I recall having hired several nurses from local hospitals [our nursing home was giving RN's $25/hour at the time for per diem--- we're going back a few years, at that time, it was a good per diem rate].
I remember some of the interviews I did for the per diem positions... a handful of applicants appeared to be 'bored' with the interview, as I explained the differences between acute & long term care. I can relate... I remember one guy coming to the office on his first evening of orientation to tell me that if I thought he was going to pass medications to 32 'patients' I was crazy. He managed to make the shift, but never came back.
On the flip side, however, for every one like that, we had two that were a real asset to the facility. Their acute care skills were nothing short of unstoppable! Their assessment skills, IV therapy skills, etc. were exquisite.
I can also relate to other stories that others have posted regarding giving report to the E.R. nurses. I remember one night, when I was in charge [3-11 nurse call-off], a resident was being sent out with a severe nosebleed--- the worst I have ever seen to date. It was no wonder as the resident had an INR of 7.5--- I was giving the E.R. nurse report and she told me about 5 times... "I don't know why he's coming here... apply direct pressure." She wasn't very nice about the way she was saying it.... she was talking to me as if I were a first year undergraduate. I was calm, and polite, and I reassured her the first 4 times that we were applying direct pressure. Finally, after the fifth time she said it, I asked her "are you deaf... or just stupid?" She wanted to talk to the evening shift supervisor, and I introduced myself to her.
The next morning, the E.R. supervisor called the facility and wanted to speak to the Director of Nursing about the 'rude evening shift supervisor who was working last night.' Again, I introduced myself to her. Realizing that she was beat with the DON, she wanted to talk to the Administrator [who was also a nurse]. The E.R. Nurse Manager got absolutely nowhere with her, and then my Administrator turned around and wanted to talk to the hospitals Director of Nursing, and then the hospitals CEO. It was quite the 3-ring circus... all because one person tried to put another person down.
I guess the moral of my story is, with all things, people are people... some have deep seated feelings of personal inadequacy, and the only way they can make themselves feel good is to make others feel bad.
I think instead of lamenting over who is better or worse, that we should celebrate the unique contributions we each bring to the table of nursing.
May 12, '03Thank you to all who support the LTC nurse. We are all equally important in our patient's eyes. Nurses in every field deserve respect.
May 16, '03It has been interesting to read all these points of view! As an RN in LTC for the last 10 years I must say I have seen all of these sides. It has only been in the last 2 years that I have seen a change. With the shorttage of nurses in our area we have all taken turns at both the hospital and the NH, now we all know how "the other half lives" and have much more respect as well as a good working relationship with each other. That "walk a mile in my shoes" has made a big difference here. I also agree with Raphael, rude is rude no matter where you are.
May 16, '03I don't know how it is in the US, but here Oz LTC nurses have begun to tell their story and claim equal recognition (and equal pay). I now work in an acute ward setting, but have worked in LTC as a ... CNA (I think you call it) prior to and during my BN and have nothing but respect for good LTC nurses (as with good acute, office or other nurses).
LTC is a speciality, involving knowledge of any number of chronic medical illnesses as well as recognition of acute illnesses, and requires a special type of nurse who is able to combine this broad knowledge with the creation of a home-like atmosphere. I know many specialist acute-care nurses who couldn't cut it in LTC.
If you are as proud of your work as you sound, Michelle, I'm sure you manage this difficult job admirably. Keep it up, and don't pay any attention to people who don't have any idea what your job entails.
May 16, '03P.S.
Originally posted by Kayzee
Thank you to all who support the LTC nurse. We are all equally important in our patient's eyes.
May 17, '03Before I became a nurse, I always thought nursing homes were just places people went to die. While this may be true to an extent, there are also people there who came there to live. We have people from 44years old to 101. Some are dying, a lot are living. Our activities dept. does so much to make life there better for everyone. And, for those who came there to die, I hope I can at least make a difference in the time they have left. If I can get a smile, a laugh, or even a hug from a family member after their loved one has passed away, it definitely makes it all worthwhile. And, I was once told by an ER nurse that LTC is, in a lot of ways, more difficult that hospital nursing. We see there people day after day, and it is up to US to notice subtle changes that could indicate they are having problems. We all have our own choices to make as far as specialties go, and make them for various reasons. And we all have to live with those choices. We all need to remember that we shouldn't put others down for the choices they make. We are all needed, and have others depend on us. Plain and simple, we need to RESPECT EACH OTHER!!!!!
May 18, '03A quote from Dame Cicely Saunders, founder of the modern Palliative Care (Hospice) movement, that I think all LTC nurses can appreciate...
..."You matter because you are you, and you matter until the last moment of your life. We will do all we can, not only to help you die peacefully, but also to live until you die"
May 18, '03I have nothing but respect for the LTC nurse. We get many from the local nursing homes in our ICCU,because if they've broken a hip they might have heart or lung problems too,so we monitor them. Many of the nursing home patients are mentally disabled and we are sometimes at a loss to care for them. One call to the nurse at the nusing home and she can tell us all about it! She or he, the LTC nurse, is teaching us, the ICCU nurse.:kissLast edit by Zinnia on May 18, '03