depressed about new ltc job - page 3

by MissJessica,RN | 6,803 Views | 29 Comments

I'm a new grad as of May 2010. Of course, there are few jobs in my area, so I'm trilled when offered a position in LTC. I recently finished my first week alone and hated it. All I do is pass meds all 8 hours. I have no time for... Read More


  1. 4
    Quote from caliotter3
    You have a job. Be thankful for that. There are far too many unemployed nurses who would die to have your lousy job. You could be just as unhappy waiting tables or cleaning hotel rooms or even working as the press secretary for the president. Just thank heavens you are employed. Things will even out eventually and you will either adjust to this job or find a better one.
    I think that you are being a bit harsh. I am pretty sure that she is aware that someone would love her job. However, she is here to say how she feels. I remember very well what it is like to start at a new place, especially when you are being taught to do things in a way that seems unsafe. Please, cut her some slack.
    kirishka, JZ_RN, Newgrad_STAT, and 1 other like this.
  2. 0
    I am so sorry that your experience has not been a good one. You do spend much time passing meds in LTC, but the more experience you have the better it gets. You become familiar with each resident, their meds, and the unit you work on. As you pass your meds you begin to notice more, and it seems to fit. Don't get frustrated, just give it time, I went through the same thing when I first started, we all do to some degree. Each facitlity is different, but LTC is a wonderful place to be.
  3. 0
    I don't pass meds before it's acceptable, however, if a patient has 8's and 10's, I will wait until 9 and give them together, otherwise, I sometimes get stuck in a needy patient's room for 20 minutes which I do not have time for. I will give 7's and 8's together, and 6's and 7's together. I have one patient who refuses meds when they are scheduled then complains no one gave them to her, I save her for last then take her meds, if she doesn't want them, I put her name on the cup and lock them up, and tell her to call me when she wants them. It's usually an hour after they are scheduled but they aren't something really dangerous. Administration and the manager know how she is. I always sign the meds off when I gave them, so they are always signed off right after administered, so I will always know. Some nurses wait until the end or even don't sign out narcs as they go but I am not gonna play around like that. I get the rude and mean patients out of the way first, so I am not dreading it the whole med pass. I have one resident whose meds specifically say don't give after "this time" and they are scheduled at that time, If it's within 15 minutes I give it but later than that and I just mark that I was "too late" because I am not overdosing her, she gets another one 4 hours later, and I can't always put her as first priority. Does it suck? yes. Do I HATE MED PASS with the burning passion of a thousand burning suns? Yep. But I push through. Until I get a job outside of LTC which I despise working in. No one respects us LTC nurses ad the job is miserable. I do my best for the patients and protect myself as much as possible.
  4. 0
    Fortunately for us at our LTC we are no longer bound by strict timelines. Only specific meds have specific times. It is much nicer and more resident and staff friendly. I usually start my evening medpass around 6:30 pm, try to catch the ones who go to bed early and finish around 9:15pm or 9:30.
  5. 1
    JZ_RN - LOVE it. I too hate it with the passion of a thousand burning suns. That made me laugh. I needed to laugh….
    JZ_RN likes this.
  6. 1
    Quote from GLORIAmunchkin72
    Fortunately for us at our LTC we are no longer bound by strict timelines. Only specific meds have specific times. It is much nicer and more resident and staff friendly. I usually start my evening medpass around 6:30 pm, try to catch the ones who go to bed early and finish around 9:15pm or 9:30.
    Please can you tell us more about your med pass. My med pass is unfriendly. Thanks.
    WhiteScrubs likes this.
  7. 1
    It's basically the same med pass we had before but instead of strict times we have guidelines (before breakfast, afterbreakfast, before lunch, after lunch, before supper and after supper, before bedtime and bedtime. Since I work 2-10:30 pm I am not really all that familiar with the day shift medpass. On second shift we 'count' and get a brief report, then I take time to review the MAR, TAR and BM list, then I go on to stock my cart, do snacks, take vitals. The before supper time is supposed to start around 4pm and end around 5:30. I usually have time to help feed unless it's a hectic day, take my supper around 6pm, return around 6:30; the 'after supper' meds end about 7:30 and after that it's before bedtime and bedtime. Sometimes the after supper and before bedtime run together (it can't always be avoided) and sometimes the before bedtime and bedtime run together. It sounds complicated but it's really not. You don't have to 'sweat it' like before when a med was due at 9pm and at 9:15 you haven't given it yet. And that is nice...
    JZ_RN likes this.
  8. 0
    Quote from GLORIAmunchkin72
    It's basically the same med pass we had before but instead of strict times we have guidelines (before breakfast, afterbreakfast, before lunch, after lunch, before supper and after supper, before bedtime and bedtime. Since I work 2-10:30 pm I am not really all that familiar with the day shift medpass. On second shift we 'count' and get a brief report, then I take time to review the MAR, TAR and BM list, then I go on to stock my cart, do snacks, take vitals. The before supper time is supposed to start around 4pm and end around 5:30. I usually have time to help feed unless it's a hectic day, take my supper around 6pm, return around 6:30; the 'after supper' meds end about 7:30 and after that it's before bedtime and bedtime. Sometimes the after supper and before bedtime run together (it can't always be avoided) and sometimes the before bedtime and bedtime run together. It sounds complicated but it's really not. You don't have to 'sweat it' like before when a med was due at 9pm and at 9:15 you haven't given it yet. And that is nice...
    What state are you in? What about meds that are supposed to be q12hr or q6hr apart? Narcotics? Everything, really? I'm just surprised that this would be within regs according to state survey... how long have you been doing this? I'm skeptical, but it sure does sound nice...
  9. 0
    Like I said before, certain meds have specific times but fortunately not all of them.
  10. 1
    You said it caliotter3. I worked LTC along time as a CNA and as an LVN and if you can't hack it in a SNF passing out meds and doing treatments , what makes you think you can get hired by the big bad hospitals if you're already talking about quitting? Pay your dues(2-5 years in your resume?), be patient, and look for your opportunities.
    LPNBearColumbus likes this.


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