How scary does this sound to you? Or am I the only one - - page 3

by njgrl622

4,619 Views | 27 Comments

I'm a new grad (RN) and just had an interview at an LTC/SNF. It is a corporate/for profit facility that apparently doesn't want to have too many RNs on staff. There are 120 beds (2 wings of 60). For the 3-11 shift there is 1... Read More


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    I had a horrible first RN job experience at a nursing home. It lasted 3 weeks. Not enough orientation for a new RN to have an assignment of 30 patients. Besides, once I started asking questions (that any new nurse would ask in order to know how to efficiently function in a new facility and new career) I was ousted by the other employees. This led to any minor mistake I made being magnified to the point that I was made to feel like an incompetent nurse and told that "I just didn't have what it takes" by the nursing supervisor. I was basically manipulated into resigning, but realize now that it was best for my nursing license. SO, to answer your question: "how scary does this sound? or am I the only one?"....yeah, scary and no, you're not the only one. Good thing you saw it and denied it before it effected you negatively. That's how I found this site, actually! After a few good nurses responding to me and calls to my nursing friends I went to school with and past coworkers to be reminded that I'll be a damn good nurse (in comparison to some nurses who actually are working at the moment), I regathered my self worth and am back to looking for a position that better suits me. Good luck with everything!
    njgrl622 likes this.
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    If you are the only RN on shift you would automatically be considered in charge. LPNs would be considered to be working under your authority. So yeah, the BON would be asking questions if someone screwed up doing something that was out of their scope of practice, for instance. You were correct in not taking this job due to the fact that you have no actual working experience yet. Good luck to you.
    njgrl622 likes this.
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    I interviewed at a similar facility, at what must be the worst LTC facility in my city. I was in heels, but boy, I ran out of there.
    njgrl622 likes this.
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    Oh my goodness!! I got chills reading this thread. I'm a new nurse still in my first year since attaining my license. I had applied for a millions positions with local hospitals and even occupational medical centers but did not land one interview. Then one day, I stopped in a SNF/LTC center and filled out an application. I thought it was odd how they interviewed me on the spot but after reading threads(such as these) on the Internet, I came to the conclusion that is normal practice in LTC. I interviewed the same day and was offered a choice of three shifts and was told what my salary was going to be. I picked my shift, scheduled my fen orientation, and thanked them for their time. I remember going home and immediately sending them a Thank You letter. I was at my utmost professionalism.

    Meanwhile, I spoke to my experienced nursing peers and was strongly discouraged from taking the job. They told me to wait until I gain some experience and that I may not even want to work in that type of environment. I thought thanks but no thanks. I have this under control. I'm a professional and my goodness my salary is going to be sweeter than Swedish Fish (LOL). I was so darn excited and psyched!! Against professional and experienced advise, I accepted the job offer and started my first job in my new career.

    I believe the first several days of orientation were awesome despite having everlasting different preceptors orient me then before I reached week two, I was worried. By this point, I had trained with 9 different nurses of which 8 of them were LPNs. It seemed like I was holding them up from doing their job and was only being taught to push the med cart, turn the MAR pages to the right patient and give them their meds. Let's not forget to crush for those who take their meds in applesauce. I masted that by the end of week one but what about incident reports, sending someone out to the hospital, SBARs, labs, taking and taking off MD orders, receiving the pharmacy meds, etc... I had expressed these concerns and they were never addressed and I promise never!! Then one day, I made a mistake which was not life threatening or dangerous by any stretch of the imagination and was told I was not a good fit - asked not to come back. Now there were situations that had come up prior to this where I had to go to my boss' boss and this is where I remember things taking a turn. Reason being, I was finding out I wasnt performing well and what I was getting in trouble for, I had never been trained/taught to do. Feeling how unfair I found that to be despite my requests to clarify policies and procedures I was unclear of or just had not been taught, it was still my responsibility. After orientation was over, I was pretty much over. It didn't matter that no one showed me how to or how not to perform. I was responsible for 30 patients as an RN and was not and I mean NOT able to take a sip or bite of anything let alone use the bathroom because I had no backup. My aides were absolutely horrible but horrible with me. I wrote that off as I'm not getting support or respect from my manager and this is right in front of my aides then they won't do what they have to do and I will have to pay for it. In hindsight, had I gone along with the flow, I'd still be there but at the expense of my license. The LPNs who trained me were for the most part rushed and some resentful that they had to train me (an RN) and they were so darn good at how they carried out their jobs. Despite the tx I received, I really admired them and hoped I could be just as good as them.

    I think if I had gone in there with at least a years experience, I would have been able to troubleshoot deficits on my own with as little help possible and that the confidence one gains when having so much experience would have made for a better fit.

    It felt so down low being let go but I'm glad it's over and that I learned from the experience. I hacks to admit, I liked LTC/SNF and plan on returning later in life but for now I plan on sticking to the hospital setting where the organization and administration is far more organized fhan a LTC facility. I experience heavy retaliation and to come across CE courses on Workplace Bullying and Retaliation tells me this is a common and prominent part of Nursing. Nursing is a beast of its own. I've got so much to learn here. I'm more than willing and ready to learn and grow so that I can assert myself and express myself n my professional manner. I refuse to lose myself rede but I will incorporate m y experiences into me.

    I hope this post makes some kind of sense...I keep falling asleep. LOL

    BTW~ I did get another job surprisingly sooner than I had expected. I will be sharing that experience.

    Sent from my iPad using allnurses.com
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    This seems very typical for ltc (at least in my area). Where I've worked there are probably 10 lpns to 1 rn some shifts might not even have an rn on staff at all. We had rn unit leaders that worked dayshift and on call but, other than that the rns and lpns did the same work.
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    Quote from DSkelton711
    If you are the only RN on shift you would automatically be considered in charge. LPNs would be considered to be working under your authority. So yeah, the BON would be asking questions if someone screwed up doing something that was out of their scope of practice, for instance. You were correct in not taking this job due to the fact that you have no actual working experience yet. Good luck to you.

    This is exactly what they told me in the interview - I wanted to run outta there! LOL. I'm a new nurse with NO experience BUT I'm not stupid - I know my limits! I would've been too overwhelmed and someone could've gotten hurt....
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    I am a LPN who had just returned to the floor after being a MDS Nurse for 14 years and was burned out. I felt I wanted to return to hands on patient care and was excited for the break from the office. Today was to be day 4 of my orientation but I was let go because I was apparently not a good fit, not fast enough, etc...because I had been an office nurse for so long and they didn't feel I would last. I was fully prepared to take the med. cart today on my own but was completely blind sided.

    As for RN Supervisors? The home I was working in has 180 beds with one RN Supervisor on evening and night shift and three on day shift.
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    @nurselovespurple. I thank you for writing your experience bc I resently left my first RN position at an LTC facility that was on strike, so they hired me on the spot and tried to (DID, with an epic fail on my part, throw me onto my own assignment....totally not able to do a med pass for 30 patients in 2 hours, poop, three and a half hours later, I wasn't done and two other nurses had to jump in and finish). This led to the snowball downhill turn. I, being a new RN with CNA experience, thought I could cut it if just given the orientation and time. I saw myself improving, but low and behold according to "the other girls" that wasn't the case. It really threw my for a loop. I came home crying and my poor boyfriend had no idea how to console me. I felt like a complete failure and that I just wasn't going to make it as a nurse, since the nursing supervisor did say "I just don't think you have what it takes, but you are caring and compassionate". I stayed in bed sulking for days, but started really thinking about it and even though I'm desperate to get a job, I shouldn't have to risk my license and really need to push getting one at a hospital or at least somewhere that will give adequate orientation to a new RN (and not try to "eat their young"-as I'm already a push over as it is!). I've learned from a lot of nurses that LTC's will hire any RN (because they need the RN for supervising), but that what it boils down to is they don't care how it could negatively effect patients or your license (but they'd never admit that! I questioned a floor supervisor about what to do about a new skin tear I discovered on a patient and got an attitude (bc I made her favorite nurse who was orienting me look bad...and I never got an answer..it wasn't documented or talked about! Also, while leaving my shift on the dementia unit, overheard that a resident punched another in the face and everyone turned a blind eye as if it never happened!) I've become weary of looking into LTC's, but am being told maybe it was just the facility and to try again. I gotta get my big girl panties back on and get out there, but I'm scared poopless!! If I fail twice in a row bc I go to another LTC, I don't know if I'll be able to pick myself back up to continue with my nursing career even though I haven't barely started it yet! (and everyone says I'll be a great nurse, friends, people from school, nursing/clinical teachers, temporary nurses at the new facility, nurses I worked with as a CNA-besides the scary ones who say "I've been a nurse for 15 years!" with a snotty p'd off attitude bc you ask a question bc your a nursing student/cna and want to learn all you can before you get out on your own-). It was the other nurses, either stayed through the strike or hired after that, I feel, "stepped on my head to stay afloat themselves". I'm not anything near an overachiever, kiss-butt or a "know-it-all", nor do I have that attitude, but it seems me asking questions and being personable with the patients instead of just a "cookie thrower" (throw pills to patients and run on to the next) put me at a disadvantage and any small mistake I made was magnified to its fullest, not to mention the "nose in the air" attitudes I received while I was there. I just hope I'm able to get a position soon, as you did, before it's too late. I'm not a "new grad", but I am (got RN license NOV 2010, took a much needed break from everything for awhile thinking it wouldn't be difficult to get a nursing job. So I find with no nursing experience and a little time since I've been in school, I'm not exactly first pick for employers. Anyway, just writing to thank you for the inspiration. I thought I was alone in this type of situation!! Thanks for the inspiration (and sorry for the long write!!)


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