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Licensed Nursing Home Administrator



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Feb 01, 2009 04:19 PM

Licensed Nursing Home Administrator

by heavymetalrn Premium Member

can anybody be a LICENSED NURSING HOME ADMINISTRATOR? i did a search on dept of professional licsencing board our nursing home administrators name and he is licensed nursing home administrator but he is not an RN. i was just wondering if this is legal. i have been hosp nurse x16 years and bec of economy ended up in the nursing home with a lot of foreign grads ie 2 year contract philippine nurses working for green card or they have to pay 10,000 dollar fee. i have average 35 to 40 patients in subacute floor. everybody in g feeding, insulin, pulse ox, o2, neb tx, crushed po meds, g flush, i and o, etc. any tips on how to survive this kind of working conditions? i pray and pray hard in my car for strength before i go in my shift.
its 30 dollars /hour with no bennies, no weekend diff, or shift diff. we only get paid 8 hours even if we stay x4 hours over our time. we dont get pee break and lunch is 30 mins. most of the time we have no chair to sit...nurses station is open...our patients sit in nurses station and charts our hidden in lockers and we need a ladder to get our charts..medicare charting is daily.....our pulse oximeter works ...sometimes dont work.....our bp apparatus sometimes work and sometimes dont work....all of our patients have MRSA...i sometimes hide in patients room to chart but the smell of the room is too much. the foreign grad nurses are salaried and work x2 16 hour shifts and one eight hour shift...i dont know how they do it but most of them are young and full of energy.
any tips on how to survive in LTC is greatly appreciated...my background is psych, detox, hemodialysis, and home health.


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7 Comments
No. 1
Old Feb 01, 2009, 07:54 PM

Default Re: Licensed Nursing Home Administrator
The economy is rough but are you still looking for other work? This sounds like an unsafe environment to me and has a lot of red flags.... My heart definitely goes out to you and the patients there. I can't answer your original question, but if you feel the place is unsafe to the patients, you can always call your local Omsbudsman (spelling) or the state to investigate. Run away from that place if you can
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No. 2
Old Feb 01, 2009, 07:58 PM

Default Re: Licensed Nursing Home Administrator
You do NOT have to be an RN to be a nursing home administrator. There are several ways to do this....if you have a Master's Degree you need to do an Administrator in Training Program for 3 months (I think) and then sit for the administrator's exam. With a Bachelor's Degree I think the AIT program is 8 or 9 months. Lots of companies are hiring Administrators who are also RNs because it makes sense.
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No. 3
Old Feb 01, 2009, 08:12 PM

Default Re: Licensed Nursing Home Administrator
"any tips on how to survive in LTC is greatly appreciated...my background is psych, detox, hemodialysis, and home health."

I just want to tell you this is not typical of LTC.This sounds horrible,my best suggestion would be to find a new job.

Hope things get better for you
Terry
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No. 4
from debRN0417
Old Feb 02, 2009, 05:52 PM

Default Re: Licensed Nursing Home Administrator
Bless your heart. I remember praying in my car before I went to work, so I can certainly feel your pain...LTC is NOT like that...most are calm and well run, and although people have a lot of work to do, they do not feel like they are risking their license when the step in the door. I hope things get better for you, or you find somewhere that you feel comfortable....
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No. 5
Old Feb 04, 2009, 08:24 AM

Default Re: Licensed Nursing Home Administrator
The administrator at my place of employment is an LPN. So, yes, virtually anyone can become a LNFA in my state if they have the acceptable training.
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No. 6
Old Feb 06, 2009, 09:23 AM

Default Re: Licensed Nursing Home Administrator
In PA and NHA does not need to be a nurse. I think it is a 120hr class and Adm in training "clinicals". Not sure on the hours. I'm sure it will vary from state to state, but for the most part, no they do not need to be nurses. Yes......it would be awesome to have someone with a nursing background that actually worked as a nurse. I've had some ADMs that went to school for nursing (never passed or didn't sit for the exam) and a few that were BSNs but never really worked the floor..still...that is different and not the same as walking the walk. I've had others with just a business background that were excellent! All depends

Tips....sounds like a high ratio for a sub acute unit. Most sub acutes staff higher than that. Now if it is just a typical LTC...depending on the shift..that might be legal. Is is right...no. I seem to have a limit of 25-26 residents max. I've worked in places with more and I just can't seem to get my head around it. I've been doing LTC for about 13yrs now and like I said...I know my limits.

It has to be against some labor law working OT and not getting paid for it. I'd look that up in your area or state. Some days you just can't seem to get it done in 8 and staying over to chart or finish little stuff happens. Not getting paid..Nope, not in my book.

Pt load..I have a lot of GTubes, o2ers with pulse ox, diabetics, crushes, complex wound care, multiple IV abtxs, infections (mrsa, cdiff, vre) but probably only about half of my pts are kinda sub acute material..the other half are intermediate or LTC with dementia and behavior issues. If I'm lucky, I will get a A and 0, independant walky talky soon to be d/c'd.

Still..sounds like a rough situation...I'd start looking around. Hiding in rooms to chart, not having a nursing station or at least some breaks........BURN OUT.
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No. 7
Old Feb 07, 2009, 08:13 AM

Default Re: Licensed Nursing Home Administrator
Thanks for the info..i now know that the power and control of LNHA is because of the different background they have and that they dont have to be RN ...in the nursing home where i worked, LNHA is a MD in eastern country....former boss is a RN/LNHA in home health. ..so basically i learnt that any dingbat can be a LNHA....our don is a fairly new grad and hiding in her office most times and closing the blinds...the cna working there are her people from other nursing homes where she got fired.
Pt. load and no breaks.....the other day i had no lunch break and worked 2 hours extra to catch up...our census in subacute was 72 ...3 nurses..me and other new grad and slapped with admission. our social worker comes to work with a loud and aggressive dog and constantly barking and scaring the living daylights out of me. i was told by the cnas that only the social worker can bring dog to work and nobody else . i came home vomiting bile,and undigested food and massive watery diarrhea x 10 times, feeling nauseous... i called the supervisor and called in sick and told the office i quit. she said "give me x2 weeks notice" . yesterday , i came to work and still the same...no lunch break, no help,no pee break, have to do massive wound care, po medsx 35 patients , sliding scale, g feeding, bolus , nebs tx, look for o2 tank, etc. . had to stay over for free to do charting.
i ran out of paper to type in my resignation letter from home. at work, we bring our own office supplies, so i wrote my resignation letter in a scratch paper and gave it to nursing office. i said that sorry it was written in scratch but we dont have any paper available in unit. i decided to do home health for the time being...i dont want to kill myself in nursing home...i have reached my max.....i dont have any bennies and dont want to spend money to go to doctor.
THANKS guys for your kind support...michelle126 ...you make me laugh.....thanks again....
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