New nurses in LTC

  1. 0
    Hey guys I've been working in a LTC facility since October 2nd. I've been on my own hall for about 3 weeks now. I'm feeling really torn right now because all the staff at my facility keep telling me to get out now before I get stuck here. I originally wanted a hospital med/surg position, but I could not find a job because of no experience. I was extremely happy to have finally had a position regardless of where it was at least I was working. Lately I have felt like I am loosing my nursing skills like assessments, care plans, charting, etc. because all I do is push pills. I work 3-11 mon-fri. Sorry this is so long, just me venting. What are your opinions?
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  3. 14 Comments so far...

  4. 2
    You are not stuck... I started in a LTC. After a year i got a job in the Hospital. I didnt have any problems remembering my skills. It is easy to feel overwhelmed. Take a deep breath... Get a routine....things will get easier... Once you have a little experience apply for the job you want.
    Anne36 and Sweeti738 like this.
  5. 0
    I think if you want to do something else, make a plan. A lot of hospitals want you to have some experience, so try applying again in a few months...that might make all the difference!
  6. 3
    As a new grad, you really don't have any skills to lose. I don't mean that in a snarky way - but it's true.
    thenursemandy, MedChica, and cienurse like this.
  7. 8
    Uhmm...yes you are passing lots of meds, aren't you learning the reasons for these meds? Aren't you assessing your residents while you are in their rooms? You have your own hall, you should be learning the ins and outs of all of your residents and their specific conditions by now. Aren't you seeing their labs? Calling the doc with issues and learning what is ordered? Taking care of foleys, gtubes, trachs, wounds, wound vacs? Our facility also does IV fluids and uses PICC lines, does yours? Are you learning when someone is going downhill and needs sent out to the hospital? All of this and more is teaching you critical thinking skills. Think about it. Aren't you doing care plans on your residents and charting? You are doing everything that a nurse in the hospital is doing, you are learning time management skills. You are learning prioritization, you are learning how to delegate to your CNAs. Look at all you are learning instead of thinking that you are missing out on something.
    MedChica, Victori Ismine, keelee2, and 5 others like this.
  8. 0
    If your coworkers are telling you to "get out now", I would question their motives.
  9. 1
    I have to agree with LTCangel. Ive been on my own for about 6 weeks and still have a lot to learn. I have residents with wound care, foleys, peg tubes, IV antibiotics, etc. Im still trying to make sure I get the paperwork right and have tons of questions still. In LTC I feel overwhelmed because of the amount of work we have to do in so little time. I have never been able to do an entire shift to my satisfaction and wonder if I ever will. There are several RNs where I work that have been there for about a year since graduation, its a good place to get experience.
    LTCangel likes this.
  10. 0
    Quote from BrandonLPN
    If your coworkers are telling you to "get out now", I would question their motives.
    I agree with you. Beware of your so called "co-workers"
  11. 1
    "Uhmm...yes you are passing lots of meds, aren't you learning the reasons for these meds? Aren't you assessing your residents while you are in their rooms? You have your own hall, you should be learning the ins and outs of all of your residents and their specific conditions by now. Aren't you seeing their labs? Calling the doc with issues and learning what is ordered? Taking care of foleys, gtubes, trachs, wounds, wound vacs? Our facility also does IV fluids and uses PICC lines, does yours? Are you learning when someone is going downhill and needs sent out to the hospital? All of this and more is teaching you critical thinking skills. Think about it. Aren't you doing care plans on your residents and charting? You are doing everything that a nurse in the hospital is doing, you are learning time management skills. You are learning prioritization, you are learning how to delegate to your CNAs. Look at all you are learning instead of thinking that you are missing out on something"

    Amen and thanks for posting that!!!
    Last edit by cienurse on Dec 10, '12 : Reason: Adding quotation marks
    LTCangel likes this.
  12. 1
    Sorry, that was a quote from another poster which did not come out in quotations. No plagerizing, I assure you!
    LTCangel likes this.


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