ER nurse new to LTC!!! - page 2

by DaretoDreamRN

1,815 Views | 15 Comments

i have been a rn for almost a year. er nursing is all i've ever known or done. no routine meds or calling a doctor on the phone for a panic result or any other issue..the doctors are usually a few feet away from me. more autonomy... Read More


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    Quote from lizziej
    i have been a rn for almost a year. er nursing is all i've ever known or done. no routine meds or calling a doctor on the phone for a panic result or any other issue..the doctors are usually a few feet away from me. more autonomy in my ability to initiate orders. i have no idea about scheduled meds but i know a whole lot about medications in general due to practice.
    i just got this prn job at a ltc facility. they called the unit a transitional care unit. my orientation is for 5 days, then i am put to work.
    i dont think im worried about the skilled part. more about the paperwork and the routine. i dont know if the orientation is sufficient or i am just not believing in myself enough... i dont know!
    dear lizzie, you are a brave soul! i worked ltc, most of my nursing career, in a wide range of facilities, from fancy to very low income. they all seemed to have heavy med passes, low staff to patient ratios, and low patient and employee morale. it can be very stressful, but follow the advice, of the very wise nurses, in this thread, and remember, you do have other options, private duty, for example. you may have some home care cases presented to you. i wish you the best!
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    LTC facilities have changed over the past few years. Now I see more discharges from hospitals that say /C to acute care unit at "so and so " facility. Our Medicare Unit has mostly short term pts. Anything from drug rehab to a hip Fx. We have TPN and short term IV meds. We also get a lot of chemo pts. who can not be at home for one reason or another. But the facility is still listed as a "nursing home". So the state does not cut us any slack in staff. If long term care does not need more than X amount of staff to take care of X amount of pts. Then that is what we get. We need to change the mind of the state to see the needs of the pts we take care of.
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    I don't understand why nurses see LTC as a step down from acute care. I have done both and personally have found LTC the more rewarding of the 2. Though it is challenging emotionally and physically at times.
    Our elders deserve so much and so often as I have seen someone state here they are "warehoused" waiting to die. If all the good nurses leave where does that leave them?
    I agree things need to change but no change ever come from leaving........ get the families involved...........talk to your managers...........suggest changes.............and if you have to get political, but please don't just walk away................
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    Ask for more. It's a big jump from ER to LTC. I made a similar jump from trauma ICU to hospice. It takes some getting used to the different pace. Also many LTC patients are on CMO. That's a very different focus from what you're used to. This is your opportunity to see how they work with you.
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    Aw...LTC is fun! If you find the right one anyway. I totally heart the one I work at. My residents are so cool I get up at 0500 just to hang out with them at 0630!
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    LTC, you either love it or hate it.....do me a favor, if you don't like it please leave. This is not just a job, I feel it is a calling. These folks deserve the best.


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