Drowning in LTC

Specialties Geriatric

Published

I just got my LPN license August 1st, and started working at a LTC facility the 8th. I got 3 days of orientation and got thrown on the floor the 4th day of work, working 3-11 with 35 residents on my side, 4 pegs and a trach. I was trying to do everything the correct way and at 9:30 the other nurse had to step in and help me with the last 15 pts. She said you had to combine 8 pm meds with 4 pm meds to get done unless it was a b/p med or insulin. Does every nursing home do this? I think if I had to go back to another 3-11 shift i would cry myself to sleep not going to lie. I am starting on nights 10:30 pm- 6:30 am. The meds seem significantly less. Do you think this is a better shift for a new grad? any advice would be greatly appreciated.

Specializes in Geriatrics, Home Health.

A patient that dies is discharged, so NOCs does discharges.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
You won't be doing admissions or discharges on 11-7.
A patient that dies is discharged, so NOCs does discharges.
Yep. Don't forget about the celestial discharge to death. I have had a few of those on the 11 to 7 shift.
Specializes in Gerontology, Med surg, Home Health.

Discharging a patient home is far different and more time consuming than a celestial discharge.

No one has it easy in LTC...not the day shift or the night shift or the CNAs or the housekeepers or the managers. We all work our butts off every day to improve the lives of the people in our care.

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