How does working for Assisted Living Facility Differ from LTC/SNF for LVN/LPNs?

  1. 3
    I currently work at a LTC/SNF Nursing Home. I enjoy my job, co-workers, and patients. But the huge work load, nurse/patient ratio, and the "never ending" med pass, is pretty overwhelming at times. I would like to know what EXACTLY is involved in A L nsg. As we all know the "devil is in the deets" .. Especially when it comes to nsg. Please lay out the duties of the nurse as she/he goes about her/his day.
    Share what you like and don't like about A L nursing? I've heard they may use "Med Techs" to do the med passes and that the LVN/LPNs do administrative work, nursing care plans, and supervise support staff. Is this true? How advanced do your computer skills need to be? Please fill me in. Remember lots of details. All ideas welcome. Bottom Line is please give me the "Assisted Living Nursing 101" or the "Assisted Living Nursing for Dummies" versions of the LVN/LPNs job description. Also any good Nursing books or resources you know of would help too. How does the pay differ? THANK YOU NURSES! YOU ROCK:heartbeat
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  3. 7 Comments so far...

  4. 2
    I am an LPN working at an ALF that uses only LPN's and not med techs. I pass meds to 15-30 people all based on which shift I work. The treatments are very minor like skin tears and if anything beyond that then a wound care nurse comes in from the outside and do those things. I supervise staff that works with the residents ranging from 4-8 people all based on which shift. Incident reports if the resident is found on the floor or with a skin tear. Chart in the LNS book which resident had treatment done, receive oxygen during my shift or sleeps with a CPAP on my shift. Their are no IV fluids to be concerned about and if they have a foley it is for a very short while. Drama can be anywhere but you usually have a much smaller staff at ALF than LTF. If an ER arise than you send them out to the hospital do all the necessary paperwork as normal. This is what I do and the pay is not bad at all.I hope this is a help.
    Last edit by idobelieve on Jul 12, '11 : Reason: Spell error
    LvANrse80 and Let's help out like this.
  5. 1
    Also computer skills are the basic.
    Let's help out likes this.
  6. 2
    I work 11-7 on a dementia unit in an ALF
    I have 24 residents I am responsible for with 1-2 LNAS My med pass is for 18-20 residents.
    I have about 2-3 blood sugars. Like the earlier post said incident reports on any falls or skin tears . Treatments as ordered
    We do have foley caths . we have residents on hospice,
    I do monthly summaries 6 month nursing assessments,care plans & monthly edits
    We do all physician's orders, and incident reports on the computer under a program called PCC
    Pay is okay
    Hope this helps
    LvANrse80 and Let's help out like this.
  7. 0
    This might be a late response, but thought I'd add here what I do in AL. I am an RN and am called the team leader for memory care. I have 14 residents that I am responsible for and I oversee one or two CNA's who help care for our dementia residents. I do all med passes for these residents, take new doctor's orders, assist with monthly evaluations etc. Because I work the PM shift, I am also on call for any emergencies in the Assisted Living/Independent Living sectors. I respond for falls, CP, SOB or really anything that the CNA needs back up for. That part can be exciting but also slightly frustrating because I don't know these residents as well or have only met them once or twice. I also do certain medications in for AL residents not living in memory care. I have never worked in a SNF, only the hospital, but I would think that the biggest difference is just that a resident living in AL really has to be somewhat independent. You should be seeing residents here still able to perform some/ most ADL's who don't require any extensive or technical medical care. I usually think of it as being more of a "wellness nurse". Kind of like a school nurse only for adults. I didn't really understand the nurse/patient ratio when i first started, but now I understand why it can be way higher. That being said, the range of level of care probably varies greatly from facility to facility. Sometimes residents that need a higher level of care are still placed in AL for various reasons. Thats when it gets tricky. Good luck with your job search!!! hope this helps!
  8. 0
    PS: Even though I said I'm an RN, there is an LPN who has the exact same job duties as I do where I work.
  9. 0
    I am a new grad and currently working at an ALF. I've been working for over a month now and i have about 60+ residents to pass meds to. I do the same work as the previous posts have said. However, with the amount of residents i have, i don't like my job. While at work, I usually work in the locked dementia unit, in which i've been hit multiple times and meds have been thrown to my face. This is my first job as a LVN and to be honest, i'm not sure anymore if nursing is for me. Everytime, i'm about to go to work i feel like having a panic attack because i'm afraid that another resident will hit me again. I'm just hoping that nursing overall is not like this.

    take care.
  10. 0
    It's not.


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