Complete surprise, in a good way, LTC experience so far - page 3
I'm a new LTC nurse, been there a whole two weeks. I have to admit, it was the last place I had expected, or hoped, to be. Everyone that knows me would say "you'd be a great ER nurse" or something... Read More
1Feb 14, '13 by JBMmom, RNSome LTC facilities are only nursing homes for stable long-term patients, others are a mix of long term and short term rehabilitation patients. Sometimes the rehab rooms are clustered together, sometimes they're not. On my assignment, most of the patients will not be discharged to home, but a few are recovering from different things and will go back home when they're able (according to insurance).
Here's a quick rundown of my shift (3-11)
I come in and check my treatment book and see what treatments I'm doing on my shift, who gets a shower (because I have to do a body audit/skin assessment on shower day), and other stuff like that.
Then I have to check and see who needs milk of mag because it's been a while since they've gone- that goes on my med list.
I've got 4-6pm med pass and 8-10pm med pass, so I usually get started on the first med pass right after report and narc count. Then it's first med pass, sit for five minutes and call home to say goodnight to my kids, then second med pass and treatment pass I combine together. I try to be finished with that by 10:30pm because then I've got to finish my charting before my shift ends at 11:30pm. We chart on anyone with a current issue- recent fall, on antibiotics, on any kind of watch (behavior, UTI, etc).
The dr. usually isn't on site during much of my shift. For an emergency I can always call my supervisor and/or MD if necessary. For non-emergencies, there's a "MD board" where we leave notes about which residents they should see on the next day. Pharmacy comes and delivers, but there are people available by phone if we've got questions.
I think that the organizational skills and time management I'm getting in LTC will serve me well no matter where I go. No, I'm not dealing with anything as acute as a med-surg assignment, but it works for me. Some day I'll manage to pee more than once a shift!
Good luck with whatever you decide.
0Feb 14, '13 by SylviaBennettQuote from HARLEYDNSI have been a DON in LTC for over 25 years. I have watched the profession change and grow. And yes it is a profession. Check out NADONA/LTC website they have tons of info. I would hope in your interview they ask about infection control and quality improvement. They will also want to know what you know about staffing minimums and other state regs You can find these on the internet by going to your states website Go to ___(state).gov then look up long term care There will be good weeks and bad weeks and you will wear a variety of hats. The goal is to develop your team in order to delegate as much as you need to still know your residents. I suggest deciding now what special things you have to offer and what your philosphy isNurse Guy Bri,
You seem to be on this site frequently. I would like to ask your opinion about taking the DON position. I am new to long term care and am going for my 3rd interview tomorrow for the DON position. I have no idea what kind of money to expect or to ask for. I have been an RN for over 20 years. Also I have to do a competency verification training test can you give me any ideas what that will be like. i anticipate about a 50 hour week. Oh, I should tell you it is a 60 bed facility. Aprox 20 of those are skilled rehab, the other are long term care. It is a large non-profit organization. There are 2 RCM's (resident care managers) one on each of the two units. Can you give me any advice as to things to say or ask at this 3rd interview. This one is the panel interview and the regional nurse consultant with be on a conference phone for the interview. Thanks in advance for any assistance you can give me.
0Feb 14, '13 by pmabrahamThank you for sharing, JBMmommy:
As a task oriented, process management type of person who recently applied to nursing school (this is a complete career transition from IT / fighting hackers), hearing your story gives me greater hope I can fit into the field.