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Does anyone really enjoy LTC?



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Mar 12, 2007 11:36 PM

Does anyone really enjoy LTC?

by ihollie

I've always wanted to be a nurse but I wasn't sure, if I was cut out to be one. At my mothers suggestion I took CNA training. I LOVED caring for the residents. I knew right away I wanted to go to nursing school and work in a LTC or assisted living.
That was back in 2002, I never got the opportunity to work beyond my training, despite being hired by the facility I trained in. (My son was diagnosed with a wilms tumor a week after my training ended. He good now !!)
I have gotten back on track and I am taking my prerequisites for the LVN program. But every time the subject of "where do you want to work" comes up, everyone including professors, former CNA's, graduated LVN's going on to RN's are always negative saying "you'll hate it", "you weren’t there long enough to see the bad", "if you go LVN you'll be trapped there too" it's all meds"
It's really been getting into my head. Does anyone out there really enjoy LTC as I did?


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53 Comments
No. 1
Old Mar 14, 2007, 12:26 AM

Default Re: Does anyone really enjoy LTC?
You just need to get into a good facility. I am a new LPN, graduated Dec 06. I am working in LTC and I really like it. The only drawback for me is that they do not always schedule enough aides. My hall has 18 residents, plus if a QMAis working another hall I have to approve her PRN meds, do her insulins, etc. Expect that you will be running all day or all evening and you will be fine. I love the fact I am working in the residents' home--there is plenty of opportunity to get to know and love your residents. But be prepared--you will be the one responsible to keep assessing and reassessing. The doctors are not there to do it and will often rely on you to tell them what the resident needs, unlike in the hospital where they do daily rounds and you pretty much follow their orders. In that respect there is more responsibility and accountability in LTC. Most of the negativity you hear probably stemsfrom chronic understaffing and nightmare nurse-patient ratios. Again, research the facilities before you apply. Get into a good one and it can be a very rewarding experience. There ARE good facilities out there; you don't have to settle for a "bad" one. Expect to work hard--no one ever said nursing was easy! Good luck!
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No. 2
Old Mar 14, 2007, 01:00 AM

Default Re: Does anyone really enjoy LTC?
good facility is hard to find, but if you shop around you should be able to find one
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No. 3
from banditrn
Old Mar 15, 2007, 01:34 PM

Default Re: Does anyone really enjoy LTC?
Yes, there are aspects of LTC that I enjoy - and parts that I don't - just like the hospital.

I agree with the others - a GOOD facility is a must! Who would know? The people that currently work there. Do they have a high turn-over in staff?

A good orientation is a must - none of this 3 day stuff!
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No. 4
from wefdm21
Old Mar 15, 2007, 01:57 PM

Default Re: Does anyone really enjoy LTC?
I think most people will try not to discourage you and some may be honest, but read the other posts that are on this board right now. Most of them say the same thing. I'll I will say is do the research like others have said and be extremely careful.
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No. 5
from Gromit
Old Mar 15, 2007, 03:32 PM

Default Re: Does anyone really enjoy LTC?
Even though I have NEVER had an interest in working LTC, I would certainly never discourage anyone else who showed an interest in it. They would be just as any other work environment -there are good ones and there are bad ones. Much of the class-time will center around bedside nursing like the kind you see in typical hospital-type facilities, not LTC. Consequently, even those who know nothing (firsthand) about LTCs will pick up the anit-LTC vibe and speak out against them.
Think about it for a minute. YOU already KNOW what you want to get into, and it sounds like you have some experience in them already (or did I misread that?) -ignore them, follow your dream. If you decide you don't like it, you can still apply to a 'regular' hospital-type environment. Thats the beauty about this field, its open. Go where you like -odds are good that they will have an opening.
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No. 6
from robpritc
Old Mar 15, 2007, 04:52 PM

Default Re: Does anyone really enjoy LTC?
Hi, I am not in nursing school yet, but it is my dream, and I am getting closer to that goal. I am signing up for a couple prereq's for this summer at our local community college. Anyway, I WANT to work in LTC/nursing homes, etc., always have. It is where I feel comfortable. I honestly love that generation. I also feel (from experience when 2 of my grandparents were in nursing homes), there are not enough RNs/aides, etc. that truly care about these patients. The one I ran across seemed to be there just for the "job." I want to be there for the patient's and their families.

Good luck! I think because it is what you want, you will be an excellent LTC nurse.

Robin
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No. 7
from BigB
Old Mar 17, 2007, 11:35 AM

Default Re: Does anyone really enjoy LTC?
Originally Posted by robpritc View Post
Hi, I am not in nursing school yet, but it is my dream, and I am getting closer to that goal. I am signing up for a couple prereq's for this summer at our local community college. Anyway, I WANT to work in LTC/nursing homes, etc., always have. It is where I feel comfortable. I honestly love that generation. I also feel (from experience when 2 of my grandparents were in nursing homes), there are not enough RNs/aides, etc. that truly care about these patients. The one I ran across seemed to be there just for the "job." I want to be there for the patient's and their families.

Good luck! I think because it is what you want, you will be an excellent LTC nurse.

Robin
I actually had a very bad experience with LTC that will scar me for life. 47 patients...and me as the only LVN. I had a couple good CNA's the rest took 2 hour breaks and were lazy and didnt answer thier call lights. Things to consider BEFORE taking a lvn job in LTC. You will be dealing with angry family members who will blame you for problems. You will have to juggle many things at once (pass meds, answer the phone, call the dr about labs) ALL AT THE SAME time!!! It is a stressful enviornement and most LTC facilities are understaffed. It is a not a good enviornement for a new nurse as your license will be on the line ever day. First thing to do is ask about the staffing ratios and talk to nurses there about the job before you except it. HAd I known the two nurses before me only lasted 2 weeks each... i would have never taken that job. Run, dont walk away from bad LTC. Unfortunatly, most are on the bad side. Shop around.
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No. 8
from MBARN08
Old Mar 17, 2007, 01:24 PM

Default Re: Does anyone really enjoy LTC?
I'm enjoying my semester in LTC!!! I absolutely love it and enjoy the residents. And no, I have not had all "nice" residents. The challenging ones make my day too.
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No. 9
Old Mar 17, 2007, 03:02 PM

Default Re: Does anyone really enjoy LTC?
LTC was a wonderful place to start out. A lot of times it is downplayed as a god place to work, but I disagree. Especially while going to nursing school, you name it you see it in long-term care so it was interesting to learn about the different diagnosis and see them first hand. You do get to know your patients well the good and bad of patients but with that it you have a little more background on where your patients are coming from. That said the stress of the numerous patients you have daily and being the voice for that many patients while trying to just get their pills passed let alone treatments done is high. I enjoyed long term care while I did it, and at times miss it but I can honestly say I don't regret going into a different area of nursing and feel as though I have found a niche. As someone else said with nursing your fields are wide open if you decide you want to try a different area.
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