ER nurse new to LTC!!!

  1. 0 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!
  2. Visit  DaretoDreamRN profile page

    About DaretoDreamRN

    From 'Maryland'; Joined Apr '06; Posts: 104; Likes: 28.

    15 Comments so far...

  3. Visit  Rizpah profile page
    0
    Ask lots of questions and take lots of notes during your orientation. Find out right from the get-go where the policy and procedure book is kept and what's in it. From one Long termer to another - Good Luck and God Bless!
  4. Visit  Jo Dirt profile page
    0
    I've become so disgusted and disillusioned with what I've seen in LTC I won't go back, but from the years I worked there I know that you just have to figure out your own personalized routine. It will be hard to prioritize and get things going at first but you will get the hang of it.
  5. Visit  DaretoDreamRN profile page
    0
    So is it feasible with 5 days orientation?
  6. Visit  nightmare profile page
    0
    I only had two half days orientation before I was chucked in at the deep end!Basically you rely very heavily on your good carers for a few shifts until you grasp your own routine.Take plenty of notes and try and have a good look round when you've time,hunt in cupboards,check out rooms etc until you feel familiar with the place,gradually all the rest will fall into place.
  7. Visit  TheCommuter profile page
    0
    Quote from LizzieJ
    So is it feasible with 5 days orientation?
    The average LTC orientation lasts between 2 and 3 days. You should feel extremely fortunate to receive a generously whopping 5 day orientation.

    Unfortunately, I received only 8 hours of orientation, and this was my very first nursing-related job upon completing school.
  8. Visit  DaretoDreamRN profile page
    0
    Wow! 8 hours of orientation..thats crazy!!!!
  9. Visit  michelle126 profile page
    0
    Just remember...LTC is a world of differences.
  10. Visit  BigB profile page
    0
    Quote from LizzieJ
    So is it feasible with 5 days orientation?
    Don't take less than 2 weeks, especially being new to LTC. Also, watch the patient to nurse ratios in LTC. They don't abide by the 5:1 ratio. You could end up like me with 48 pateints. I wish you luck, but the current state of LTC is not good (at least in this area).
  11. Visit  BigB profile page
    0
    Quote from motorcycle mama
    I've become so disgusted and disillusioned with what I've seen in LTC I won't go back, but from the years I worked there I know that you just have to figure out your own personalized routine. It will be hard to prioritize and get things going at first but you will get the hang of it.
    Same here. I left in disgust after only 3 months , never to return to LTC.
  12. Visit  classicmusic09 profile page
    0
    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!
  13. Visit  softstorms profile page
    0
    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.
  14. Visit  bklynborn profile page
    0
    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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