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New Grad with no experience, starting in a LTC. HELP!!!



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No. 10
Old Jun 22, 2009, 01:11 AM

Default Re: New Grad with no experience, starting in a LTC. HELP!!!
Okay, I need to vent. So during the middle of my 2nd day of orientation my DSD comes up to me and ask if I can come in tomorrow for a 3-11 and work on my own because someone called in sick. I said I am available, but do not feel comfortable being by myself yet. She said I will do fine and that I can go to the other nurse on the other wing if I have any questions. She even said she lives 5 minutes away and to call her if I need help and she would come over. I would be responsible for 34 residents. I did not feel right about this at all, but my DSD said I would be okay. So I decided to give it a shot since there will be another nurse on the other side.

So as all would expect I was swamped and overwhelmed. I was a turtle during my med pass and residents were complaining they were not getting the right amount of meds. I was not doing my FSBS before dinner and I was basically about 2 hours behind everything I needed to do. But in the middle of my shift, the other nurse comes to me and ask if I can either work the AM shift tomorrow or the Noc right after my shift. I was like ***???? Is that a joke? Please tell me you're joking. Unfortunately, he was not. Our DSD called him to ask me that question. When I asked the other nurse where is she, he said not in the area. I was like WOW?!?!?!? I've never been more set-up in my life. I was really put in a difficult position.

So I took the NOC shift and was going to be working 16hours straight. I figured that was the best choice since I was behind in my charting and everything else, I would be able to catch up during dead time. The moment I thought I was caught up, it was time for the 600 meds. Now I had pre-poured meds and still ended up swamped and behind. When the Day shift came they all felt sorry for me. I looked drained and stressed. They said it doesn't make sense to put a new grad with 2 days orientation by himself for a straight 16 hour shift. I totally agreed.

So these are my thoughts.
-Are all my days/shifts going to be like this in this LTC facility? That is a lose, lose situation. The nurses are stressed and the residents don't get the proper care.
-Most of the nurses say that they all went through that, but with about 1-2 weeks orientation/training, NOT 2 days orientation. I feel like was set up.
-I don't know what they expect from me, a new grad with no experience. Is my DSD to blame? Her whole deal just seem a little fishy. She said to call if I need help, but she was about 2 hours away during my shift.
-I am strongly considering to leave unless someone tells me this is the norm in a LTC facility and this is how new grads get introduced to the environment.
-I'm so stressed out and drained and just the thought of going back to work leave a nasty feeling in my stomach.

Any advice, comments, response, tips would help a lot. I was really looking forward to working here, but this experience has left a nasty taste in my mouth. Thanks for reading.
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No. 11
Old Jun 22, 2009, 10:20 AM

Default Re: New Grad with no experience, starting in a LTC. HELP!!!
Never, ever agree to do that again. Ever. It is hard enough for an experienced nurse to start at a new facility and jump right in working without an orientation to that place. BTDT and have the t shirt.

If they are interested in keeping you, they will give you an orientation that is proper. Speak with the DON about this.
My advice to most of the above..ask questions, listen and write stuff down. Get to know your CNAs and when you have free time (lol) help them out. You get to see so much from that point of view. Don't worry about remembering every detail about the resident. You can alway look up who the doc is. Try to know why they are at the LTC..what is the main dx. Most of them will have 100 other dx's, but what is the biggy.

Ask the other nurses about the staffing proplems too. Will it always be like this or is it just a fluke?
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No. 12
from Acosmo27
Old Jul 05, 2009, 01:47 PM

Default Re: New Grad with no experience, starting in a LTC. HELP!!!
thats wrong..
they are basically taking advantage of you because of your new grad status..
Im so sorry that happened to you..next time... hold your ground and tell them no way!
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No. 13
from noc4senuf
Old Jul 06, 2009, 03:17 PM

Default Re: New Grad with no experience, starting in a LTC. HELP!!!
Whoa... new grad... two days orientation and they expected you to work a shift alone??? Sorry, but I would run far away from that facility. I have often hired new grads in the past but, they have at least 3-4 weeks of floor orientation and "must" have their 3 pg checklist completely signed off. I don't care how short they were, a manager or the DON herself should have been in there working that shift.

During orientation, ask lots of questions. Even when done with orientation continue to ask questions. I would rather they be asked then to have someone take a know-it-all approach and get it wrong.

Observe other nurse's time management and then find one that works for you.

Say the words "please" and "thank-you" often with all staff you connect with.

If you have problems, go to your manager, supervisor, DON and discuss them as soon as they come up.
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No. 14
Old Jul 14, 2009, 02:01 AM

Default Re: New Grad with no experience, starting in a LTC. HELP!!!
Welcome to LTC !! It is horrible ! I have been at my place 5 months as a new grad...It's extremely busy & my license is in jeopardy EVERYDAY !! get your 6 months experience & get the hell out ! (if u can last that long ha ha ) Everyone that I know that works in LTC feels the same way: The work load is ridiculous, nurse to patient ratio is horrendeous, they will suck the life out of you , if you let them. We have 25 patients each , My co worker just left , she got a job in a hosp with 5 patients MAX !! She said its like a dream come true going from LTC ! If you can hang in there, the sub-acute experience will help you tremendously ! The great thing about nursing , is you can move around until you find your niche..Hopefully, the economy will improve & there will be more hospital jobs available SOON !! Good Luck
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No. 15
from noc4senuf
Old Jul 14, 2009, 04:15 AM

Default Re: New Grad with no experience, starting in a LTC. HELP!!!
Not all facilities are under staffed and horrible" places to work. I have always found it to be a rewarding experience to go to work each day and have the connection with the same residents that were there the day before.
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No. 16
Old Jul 15, 2009, 08:15 PM

Default Re: New Grad with no experience, starting in a LTC. HELP!!!
Originally Posted by stressed5242 View Post
Welcome to LTC !! It is horrible ! I have been at my place 5 months as a new grad...It's extremely busy & my license is in jeopardy EVERYDAY !! get your 6 months experience & get the hell out ! (if u can last that long ha ha ) Everyone that I know that works in LTC feels the same way: The work load is ridiculous, nurse to patient ratio is horrendeous, they will suck the life out of you , if you let them. We have 25 patients each , My co worker just left , she got a job in a hosp with 5 patients MAX !! She said its like a dream come true going from LTC ! If you can hang in there, the sub-acute experience will help you tremendously ! The great thing about nursing , is you can move around until you find your niche..Hopefully, the economy will improve & there will be more hospital jobs available SOON !! Good Luck

Do you think hospitals will take new grads with only 6 months' sub-acute experience? I hope you're right.
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No. 17
Old Sep 10, 2009, 12:38 AM

Default Re: New Grad with no experience, starting in a LTC. HELP!!!
it is always like that in nursing home. understaffed and high client ratio..
I used to work in nursing home in Pomona and I have seen the
worse...One night shift nurse did not go home until 10:00 am. She
never show up again.

First a couple of weeks will feel like HELL. but you will get used
to it and develop your own rhythm. That is how I feel in retrospect.
You are young and smart--unless the staff is not helpful, then you should
do ok after a couple of weeks.

snoopy_nurse
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No. 18
Old Sep 10, 2009, 01:56 AM
Updated Sep 10, 2009 at 02:43 AM by Valerie Salva

Default Re: New Grad with no experience, starting in a LTC. HELP!!!
Originally Posted by ChickenJoyRN,BSN View Post
Okay, I need to vent. So during the middle of my 2nd day of orientation my DSD comes up to me and ask if I can come in tomorrow for a 3-11 and work on my own because someone called in sick. I said I am available, but do not feel comfortable being by myself yet. She said I will do fine and that I can go to the other nurse on the other wing if I have any questions. She even said she lives 5 minutes away and to call her if I need help and she would come over. I would be responsible for 34 residents. I did not feel right about this at all, but my DSD said I would be okay. So I decided to give it a shot since there will be another nurse on the other side.

So as all would expect I was swamped and overwhelmed. I was a turtle during my med pass and residents were complaining they were not getting the right amount of meds. I was not doing my FSBS before dinner and I was basically about 2 hours behind everything I needed to do. But in the middle of my shift, the other nurse comes to me and ask if I can either work the AM shift tomorrow or the Noc right after my shift. I was like ***???? Is that a joke? Please tell me you're joking. Unfortunately, he was not. Our DSD called him to ask me that question. When I asked the other nurse where is she, he said not in the area. I was like WOW?!?!?!? I've never been more set-up in my life. I was really put in a difficult position.

So I took the NOC shift and was going to be working 16hours straight. I figured that was the best choice since I was behind in my charting and everything else, I would be able to catch up during dead time. The moment I thought I was caught up, it was time for the 600 meds. Now I had pre-poured meds and still ended up swamped and behind. When the Day shift came they all felt sorry for me. I looked drained and stressed. They said it doesn't make sense to put a new grad with 2 days orientation by himself for a straight 16 hour shift. I totally agreed.

So these are my thoughts.
-Are all my days/shifts going to be like this in this LTC facility? That is a lose, lose situation. The nurses are stressed and the residents don't get the proper care.
-Most of the nurses say that they all went through that, but with about 1-2 weeks orientation/training, NOT 2 days orientation. I feel like was set up.
-I don't know what they expect from me, a new grad with no experience. Is my DSD to blame? Her whole deal just seem a little fishy. She said to call if I need help, but she was about 2 hours away during my shift.
-I am strongly considering to leave unless someone tells me this is the norm in a LTC facility and this is how new grads get introduced to the environment.
-I'm so stressed out and drained and just the thought of going back to work leave a nasty feeling in my stomach.

Any advice, comments, response, tips would help a lot. I was really looking forward to working here, but this experience has left a nasty taste in my mouth. Thanks for reading.
A similar thing happened to me when I became a nurse many years ago, and continues to happen to nurses over and over again. Not only to new grads but to experienced nurses, as well.

One of the most important things I have learned as a nurse is how to say no to employers-
"No, I'm not available to work that day. No, three days orientation is not acceptable. No, I can't stay over and do a double" and so on.

If you give an inch, mgmt will take a mile. They will work you to death, treat you badly, disrespect you, and go on to the next one when you get so burned-out you quit, or hurt your back- whichever comes first.

Now you know the real reasons for the so-called nursing shortage- poor working conditions, no time to give pts the care they deserve, and lack of support and respect from mgmt. Hospitals are no better.

The experience you describe is so typical and so common in nursing. and it's a damn shame.

Welcome to nursing. We are glad to have you, but sorry that this is the way things are.
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