Let go after three days? Seriously?!?! - page 3

by LTCNS 4,263 Views | 28 Comments

I have a thread going in MDS about being burned out and going back to the floor, so I got a job at a LTC home in my area. During the interview the DNS stated she was very impressed with my experience and offered me the job on the... Read More


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    Please make sure that you get a firm commitment from the DON regarding training at the facility with the PRN position. It has been my experience that it is not uncommon for the orientation for PRN folks to not be as extensive as it is for full time staff....just saying. In addition regardless of where you work or what shift the logistics of med passes are pretty much the same but learning the residents always takes some time. Why? because learning about them involves more than faces linked to names but all their little ways about meds (in food, tepid liquids, only after eating, wants each pill spooned into their mouth, etc.) Lack of knowledge about that stuff can really bog a person down and make one very slow with having to backtrack. Also please get in the habit of making a list of accuchecks, supplements, insulins, nebs and inhalers & overflow meds so you can double check your cart for adequate supplies before you begin. Again having to backtrack to get supplies, meds etc can slow a person down.

    OP you have the skills to work the floor if you can handle MDS all those years because that is a nerve wracking (at times) very precise very deadline focused job so those skillsets translate over to doing med passes and all the other duties of being a floor nurse in LTC.

    Best of luck! Let us know how the job hunt goes.
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    Thank you txredhead. That is very sound, useful advice!

    Looks like I will be on Baylor shift Sat. & Sun. 7am-11pm. Turns out one of the baylor LPNs is going on maternity leave the first week of October and I will be taking her place while she is off. Rumor has it though that she may not come back so if she doesn't, I will take the Baylor shift permanently. Also, they do hire LPNs for MDS positions there so I am next in line for a MDS position. I go to an orientation class next Monday, then orientate on the floor next Saturday and Sunday with the nurse I will be taking the place of. God always works things out for our good
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    This in unbelievable!! I was supposed to start orientation for the new job on Monday. I had the option of either taking the Baylor or doing PRN, so I decided to take the PRN route since I don't feel I can handle two 16 hour shifts back to back and would end up miserable. That was all fine and dandy, everybody seemed happy. Well...a few minutes ago I got a call from HR telling me that the DNS has decided that particular nursing home is not the place for me. I asked what made her come to that conclusion and she said the DNS didn't give details, just to call me and tell me not to bother showing up for orientation.

    I have a feeling it's because I haven't worked the floor in so long. I need a job badly and nobody wants to hire me because I have been an office nurse too long, but I have the skills to do the job if someone would give me the chance! They only gave me three days at the last place to get orientated before letting me go because I wasn't fast enough giving meds. to 30 acute rehab patients after three days. What happened to giving a person a chance to prove themselves? I understand training costs the home money but to retain good nurses, owners and managers of these homes need to understand that it takes more than 2-3 days to get into a routine.
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    I have an interview next Tuesday with a Staffing Agency for a float pool in a hospital, and I put in an application at a small country nursing home I used to work in years ago and loved. I was honest with the Administrator and explained that nobody seems to want to take a chance on me because I have been an "office nurse" for so long.
    She remembered me from all those years ago and said she will go over my app. and hopefully call me for an interview next week. They were bought by a management company years ago but after I left. I put I have never worked for the company before because well...I haven't. I've worked in the *facility* before but not for the company. Was it appropriate for me to put I had never worked for the company?

    As for the float pool thing, what are the basic duties of a LPN in a hospital float pool? I know I would go to where I was needed, but don't know what I would be doing. They know I have no hospital or clinic experience, but said they are willing to train me. Oh, and the pay sucks but it would be good experience right? That's what I'm telling myself anyway
    Last edit by LTCNS on Sep 28, '12
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    Looks like I will possibly have three different interviews next week! I'm sensing a breakthrough
    Bella'sMyBaby likes this.
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    Is it possible that a former employer is giving you bad references, deserved or not? I've heard of it happening. Good luck with your new interviews!
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    Quote from HurricaneCasRN
    Is it possible that a former employer is giving you bad references, deserved or not? I've heard of it happening. Good luck with your new interviews!
    That's possible. I wouldn't rule it out, but the Staff Development Nurse told me my references were good. Who knows? And thanks for the good luck wishes
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    Many places want someone that can hit the floor running, which if you haven't worked the floor for a long time in LTC then you aren't able to do. BUT, some places know a gem when they see one and are willing to give a bit more time for orientation. With your MDS background, you will be a great asset as far as charting properly, notifying them of significant changes, etc. Your job is out there, be thankful these others didn't work out.
    LTCNS likes this.
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    Quote from wyogypsy
    Many places want someone that can hit the floor running, which if you haven't worked the floor for a long time in LTC then you aren't able to do. BUT, some places know a gem when they see one and are willing to give a bit more time for orientation. With your MDS background, you will be a great asset as far as charting properly, notifying them of significant changes, etc. Your job is out there, be thankful these others didn't work out.
    Thank you so much for the words of encouragement

    Hopefully the Administrator at the little country home I applied to will remember how dependable and hard working I was the first time I worked there.


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