I work LTC as an LPN. Here are the biggest pointers I can give you:
1. Ask the off-going nurse how each resident takes their meds (whole, crushed, etc.) Keep your own cheat sheet.
2. Stock your med cart before running off down the hall.
3. Do NOT pre-pour meds.
4. Do NOT sign narcs out at the end of your shift. Sign as you go.
5. Organization is key. I make a To Do list at the beginning of every shift. I draw little lines for rountine things on each pt. such as VS, BS, fluid intake etc.
6. Chocolate goes a long way with your CNA's
7. Expect to stay late to complete charting.
8. Expect the first month to be overwhelming. I cried every day & swore I was not cut out for it. This too shall pass.
9. Stock your med cart for the next nurse.
10. I keep a seperate piece of paper with items I want to chart on. I rarely have time to chart a NN as I go & I am always afraid I am going to forget something.
Hope this helps & maybe others have items to share!