I recently began a job in LTC as a new graduate, and am more than a bit concerned...I know LTC is demanding, but is it the norm to skip (what I consider to be essential) assessments, like vital signs? (I actually had a supervisor tell me to "Just make them up.":eek:) Additionally, I have witnessed meds, such as numerous anti-HTN's, given all in one med pass so the nurse did not have to do a second med pass, accuchecks skipped all together and MAR's falsified to reflect that the accuchecks were performed. Also, eye and ear drops documented as given, even though the bottles were still sealed...for a week! No one listens to bowel sounds when a patient c/o nausea, or takes a BP when a patient with known HTN has a headache -- the patient simply gets two tylenol, and is told, "This will help.."
When I questioned these practices, another nurse told me to "This is how we do it here. If you want to work here, you'll keep your mouth shut." Is this how it is, or am I simply in a rotten facility?
