Great Nursing homes to work in?

  1. I always hear such negative remarks about LTC facilities. Like poor staffing, or difficult managment. I love working with the elderly, but working at my facility is going to kill me before long! Does anyone work in a nice, well staffed, well run facility?
    •  
  2. 13 Comments

  3. by   ChainedChaosRN
    Hi LuvLife,
    I believe I'm currently in a facility that is well run. Staffing is stable and we run well above state minimums. We only had one nursing deficiency on our annual survey in December.
    We are a 160 bed facility with approx 250 staff members, so there are always issues. My administrator is a gem, she loves the residents, she's a great problem solver who believes in immediate action. We try to be pro-active regarding fencing off problems. Sometimes in facilities with multiple problems the management spends most of their time reacting. Then it's just a slippery slope to the bottom of the pile.
    If you are considering changing jobs, look for a facility with good surveys and stable management. It's ok to ask on an interview how long the Administrator or DON has been there. If there is agency use..etc. Try to get to take a short tour...that will tell you alot.
    There are a lot of good facilities out there...unfortunately it's only the bad ones that get all the press. Just like on the BB...I'm sure there are lots of nurses that work in good places, but the ones with the bad experiences are the ones that post. After all...who wants to hear things are going well?
    So keep the faith...but not to the point of killing you. There are other jobs out there.

    Dawn
  4. by   rebel_red
    Hi Luv

    Chained Chaos is absolutely right. Surveys are public domain. I found the information on the net about LTC's in our area and read the results of their surveys. I have also been known to call a facility (in the days when I was Activities/Social Services.) and request a tour. (Warning some Administrators appreciate this research others dearly resent it.)

    Anyhow the facility I am at is wonderfully staffed. We had a deficiency free survey and we didn't do a darn thing different than what we do on a day to day basis. Our administrator and DON are very proactive. Our DON and Adminstrator make daily rounds, have meals with the residents in the dining room, and respond promptly to staff concerns with the same attention given to residents and thier families.

    Orientation here is extensive. There is always someone to ask for help.

    The only complaint I have is with some of my coworkers on 11-7 they are out and out lazy. However that situation is being handled.

    So what I am trying to say is there are good facilities out there! I have often thought if hospitals went through yearly surveys as stringent, how many of them would have provisional standing? (No I am not knocking hospital nurses! It just amazes me how frequently I am asked "Why do you work in one of those places?" with this tone as if what I do is "less than" or carries no value. Heck even my one instructor said she didn't want to see us working in LTC's as that was the place for "lazy" nurses.)

    We really need good nurses in LTC who care like you do!

    So hang tough!
    Tres
  5. by   Disablednurse
    I'm sure there are lots of nurses that work in good places, but the ones with the bad experiences are the ones that post. After all...who wants to hear things are going well?

    In the well run nursing homes with sufficient help there is no reason to vent or complain. When you work in a nursing home that changes staff like there is a revolving door at the front, you need to beware. If you tour a facility and you hear staff making snide remarks and complaining every breath. Look somewhere else, you will not want to work there. If you walk in the door and the smell will knock you down, look somewhere else because the residents are not being taken care of. Just a few hints.
  6. by   LuvLife
    I know people love to point out the negatives all the time, it's a way of life. I am just feeling fustrated because I feel that my facility could be a really great place to work. We are so short staffed it is crazy. I am doing my best to help out, but I am starting to feel the burnout. I am supposed to be learning about MDS and it just hasn't been happening. There are many things I love about my facility, the size, the patients and most of the staff. The staff are showing more and more negativity, and I have always tried to stay positive, but now I am starting to sound just like them. Even my patients are asking why I am there so much!!
  7. by   Disablednurse
    You know that you are working too much when the residents start telling you that you are there too much.
  8. by   agnewRN
    I prefer to say I'm trying to find the facility with the "right fit". I know what my expectations are and try and find a job that meets them. There are no perfect NHs. Problems are in all of them just to varying degrees. I left a longtime employer last summer out of burn out and just couldn't take it anymore. I found myself being very negative towards anything towards the end and new I wasn't happy. Since then I'm at my 2nd "new job". 1st one after 5 mos just didn't cut it for me- I just didn't feel I fit in from my background. Hated to quit but just wasn't thrilled to be there. I'm 5 mos at this job and at least I don't have those same feelings. I'm feeling this job is more me. Good Luck.
  9. by   LuvLife
    I know that no facility is perfect. I just don't know if mine will get any better or if this is all I can ever expect from this place. I am getting a lot of advancement offers, but not for the right reasons. Just to fill the slots, and the training leaves much to be desired.
  10. by   Huq
    We really need good nurses in LTC who care like you do!

    Is this possible? I am an RN with many years experience in all areas and thought, at this stage of my career, that I would like to try SNF nursing. I love the Residents and find great satisfaction in caring for them. I applied for a position
    as a floor nurse. This is all that I wanted. The first remark made to me "Who's position are you trying to get?" (I should mention that the only other RN in the facility is the DON. All other nurses including the Nursing Supervisor are LVN's I have met many wonderful LVN's and am proud to have worked with them. Unfortunately, in this facility, they have all been 'run off' The DON makes it very clear that she is filling in time until retirement and does not anyone to make waves. The nurses are all fairly new graduates who started here as CNA's and are very friendly with the present CNA's. We attend meetings (don't we all?) and the theme is always excellent care, things that we should and should not do to accomplish this.(the minutes of these meetings look good at surveytime!)Unfortunately no one follows these reccomendations and to attempt to follow them brands one as a trouble maker. We have a written 'no personal 'phone call' policy as well as 'no 'cell 'phones' when on duty. Nurses and Aides clock out and in for meals and then sit down again to finish meals or chat. Personal phone calls and cell phones are used routinely. Nurses and Aides gather at the nurse's station, call lights ring and ring. To dare to ask if the lights can be answered is harassment. I see treatments not being done, medications not given, but oh my goodness, to mention this is heresy. I am tired of hearing "Just because you are an RN" I am a NURSE and have always understood that when one no longer cares it is time to get out of nursing. No doubt someone will answer :Why don't you get out"and there have been occasions when I have felt this would be the wise thing to do, however, if we that care do get out what is left for the Resident?
  11. by   ChainedChaosRN
    Good post Huq. You are right, you can not let lazy nurses and CNA's run you out. I see more and more in the medical field that should of never got in....therefore do not realize they should get out.

    Laziness and poor work ethics are increasing and not just in the medical field no matter how much one likes to argue against it. Times have changed and to be a patient advocate has gotten tougher. The ways in which we have to challenge our own has even changed over the years.

    Keep the faith an keep on caring!
  12. by   JentleOne
    Originally posted by rebel_red
    Hi Luv

    Chained Chaos is absolutely right. Surveys are public domain. I found the information on the net about LTC's in our area and read the results of their surveys. I have also been known to call a facility (in the days when I was Activities/Social Services.) and request a tour. (Warning some Administrators appreciate this research others dearly resent it.)

    Anyhow the facility I am at is wonderfully staffed. We had a deficiency free survey and we didn't do a darn thing different than what we do on a day to day basis. Our administrator and DON are very proactive. Our DON and Adminstrator make daily rounds, have meals with the residents in the dining room, and respond promptly to staff concerns with the same attention given to residents and thier families.

    Orientation here is extensive. There is always someone to ask for help.

    The only complaint I have is with some of my coworkers on 11-7 they are out and out lazy. However that situation is being handled.

    So what I am trying to say is there are good facilities out there! I have often thought if hospitals went through yearly surveys as stringent, how many of them would have provisional standing? (No I am not knocking hospital nurses! It just amazes me how frequently I am asked "Why do you work in one of those places?" with this tone as if what I do is "less than" or carries no value. Heck even my one instructor said she didn't want to see us working in LTC's as that was the place for "lazy" nurses.)

    We really need good nurses in LTC who care like you do!

    So hang tough!
    Tres
  13. by   JentleOne
    Originally posted by JentleOne
    I have been in LTC for 20 yrs now. It blows my mind that people, even nurses think our profession in Geriatrics is a "lazy" one!!! I love what I do, and especially enjoy our Medicare wing. But yesterday I worked my butt off, and do most of the time. With paper work, meds, IVs, hospital transfers and admits, I'm swamped at times. I am not putting down hospital nurses, but every time we get a patient from the hospital, we get bed sores along with him/her. Why is that? Don't they care about skin issues like we do/are required to? I plan on going back to school this summer or maybe fall to get my RN. Mostly it's the title I've always dreamed about. I'll probably stay in LTC on Medicare somewhere. Our facility just got a new DNS, she is a block of ice. :>( Our staff is quitting and dropping like flies. We are losing a gal in Medical Records, 2 RCMs,possibly 2 LPNs, and 2 more LPNs are taking RCM positions and our staffing is going to the dogs, plus we are NOT allowed to use agency! Any ideas? Need a morale booster badly!HELP! I am already pretty much full time, but I think I may be working more next month. I am a mom to 6 boys, 2 sets of twins included. I started day shift Feb 9th but not by choice, and now I love it. I had worked PMs my entire career. As for how could I work in one of THOSE places? My answer is How could I not?
    Jen
  14. by   Tookie
    Just some of my thoughts on this issue

    I am very lucky in as much l believe l work in a great nursing home, hostel - Aged care setting - whilst we do not have a large nursing ratio of staff to residents - I believe that our philosophy and design enhances the living environment and the care for the residents. Not all of our staff would probably agree with me - but l do find the management in general to be supportive

    We are very limited here because of the government funding to the aged care system - unfortunately l go back once again to the argument that until people - i.e. governments value the aged person we will never have sufficient funds in the system to ensure that the average older person will really get the care they deserve.

    Most of the people for whom we care have contributed a lot to our individual countries and deserve to be well looked after in their old age. They will have paid taxes all their lives and in many cases supported families in many ways and what happens when they get old - for those that end up in a nursing home - this can be a very debatable question. I just hope that by the time l am old enough as a baby boomer - it has improved and there are sufficient funds in the system.- Unfortunately the pollies forget you when you get too old to vote.

    I keep looking at the whole of the structure - that the government should also take responsibility not just the staff working in the system - they are burning out - and why not when there is so little support.- I truly beleive that we have to somhow make governments more aware of the aged persons needs -

    All the best
    Hang in there

    Tookie

close