New LPN in LTC and I am drowning New LPN in LTC and I am drowning - pg.2 | allnurses

New LPN in LTC and I am drowning - page 2

I feel so ashamed hearing numbers like 30 and 50 per nurse - I have between 18 - 22 patients, am going into my 1st month on the job and I am drowning. Is this not the career path for me? I worked... Read More

  1. Visit  nursetmw80 profile page
    #13 0
    I graduated March 2016. Passed my NCLEX in May 2016. I got my first job offer May 23rd(a week after passing nclex). I was so excited!!! First week of orientation was all videos. Second week, started on the floor. First couple of days, was on 7am-3pm shift. The other days were 3p-11p. They hired me to work 3p-11p. Let me tell you...it was horrible!!! Being a new nurse, I never thought that I would be responsible for 30+ lives at one time. It really opened my eyes. This company was so unorganized, it frustrated the crap out of me!! I would have headaches on days I had to work because of it. I didn't think it was legal for nurses to be responsible for so many lives while giving safe and efficient care. I guess I was wrong...appparently after doing much research, it is legal for a nurse- patient ratio of 1:30. I think that is just awful! Something needs to be done about this!!
  2. Visit  downsouthlaff profile page
    #14 3
    2nd shift evening shift is very hard . When I was a new Nurse in LTC I worked 2nd shift five e evenings a week. It's a very difficult shift and no one seems to like it for long. I had 38 residents under my care and 2 large med passes very close together. Lots of last minute evening physician orders and new admits every other day.

    When I had a new admit I knew it was an automatic two hours over shift. When I had a fall I knew it be at least an hour. Second shift is nursing home nurse hell. Behaviors and sun downing start to set in. Lots of falls. There's just not enough hours in second shift to get the work done.

    Some advice that made it a little easier, gibe meds that are irrelevantly scheduled at 8pm like mag Ox, ferrous sulfate, etc etc at on the first med pass eliminating extra work that doesn't need to be. That's what I used to do. Also I had to be firm with the residents and CNAs. There was no time for residents to take up 20 minutes of my time just go take a cup of 3 pills. And I had to learn to delegate and do it well. May not be liked but it's a must that shift is just too busy for the Nurse to do things CNAs should be doing. Personally Iike a good CNA with a good head who was able to solve some problems without demanding to see the nurse for every ridiculous little reason. Also had to cut down nurses notes to only what was necessary. No need for long paragraphs of redundant information on weekly charting.

    But the BEST ADVICE, advice that really changed my life for the best is when I switched to 3rd Shift. I fell in love. Plenty time to do my work. Never overwhelmed. Feet are always under me. And get absolutely awesome sleep In the morning and day time. And the facility that once stressed me out had now been a job I love for over a year and a half because of the switch from 2nd to 3rd shift. Good luck to you .
  3. Visit  Adele_Michal7 profile page
    #15 1
    Quote from downsouthlaff
    2nd shift evening shift is very hard . When I was a new Nurse in LTC I worked 2nd shift five e evenings a week. It's a very difficult shift and no one seems to like it for long. I had 38 residents under my care and 2 large med passes very close together. Lots of last minute evening physician orders and new admits every other day.

    When I had a new admit I knew it was an automatic two hours over shift. When I had a fall I knew it be at least an hour. Second shift is nursing home nurse hell. Behaviors and sun downing start to set in. Lots of falls. There's just not enough hours in second shift to get the work done.

    Some advice that made it a little easier, gibe meds that are irrelevantly scheduled at 8pm like mag Ox, ferrous sulfate, etc etc at on the first med pass eliminating extra work that doesn't need to be. That's what I used to do. Also I had to be firm with the residents and CNAs. There was no time for residents to take up 20 minutes of my time just go take a cup of 3 pills. And I had to learn to delegate and do it well. May not be liked but it's a must that shift is just too busy for the Nurse to do things CNAs should be doing. Personally Iike a good CNA with a good head who was able to solve some problems without demanding to see the nurse for every ridiculous little reason. Also had to cut down nurses notes to only what was necessary. No need for long paragraphs of redundant information on weekly charting.

    But the BEST ADVICE, advice that really changed my life for the best is when I switched to 3rd Shift. I fell in love. Plenty time to do my work. Never overwhelmed. Feet are always under me. And get absolutely awesome sleep In the morning and day time. And the facility that once stressed me out had now been a job I love for over a year and a half because of the switch from 2nd to 3rd shift. Good luck to you .
    Ooooh I could not agree more with all of this! I recently switched to 7-3 shift after a year on a busy floor doing 3-11. All of the admissions, all of the falls. All of the incidents.

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