Quote from JZ_RN
The problem is the unrealistic and unsafe amount of patients that you are assigned to.
I strongly agree with JZ_RN.
About 5 years ago I took a night RN position in LTC. I had always done ER & OB and was pretty efficient, but in my 'old age' I wanted to try something slower pace. I found very quickly that LTC was not slower pace.
Med pass was overwhelming. 40 pts/nurse. The nurses who knew the residents well had a huge advantage. Trying to identify residents by their photographs in the med-cardex was a joke since hardly of them looked like their picture and they were all over the place when i needed to pass meds....dining room, etc and many didnt know their name.
I got very frustrated with other nurses advising me to take unsafe shortcuts and I gave up when I found a bunch of pre-filled insulin syringes on the insulin cart. (pre-filled by another nurse, who apparently thought this was quicker than properly doing the sliding scales that were ordered.) I reported that as part of my resignation letter, but my understanding was that this was not so unusual there.
I hated every minute of my LTC experience.
If a resident was really lucky, they got 10 minutes of nursing care per day. BTW, how much is Medicare paying for that 10 minutes? $300/day?
Because of this experience, when my mother was in a rehab for 2 weeks before she died, I stayed with her every minute so she would not be neglected/abused. I know some, or even most are not like I experienced, but I was so traumatized!