New to LTC/SNF - Does this sound right? - page 2

hi everybody! i've been an lpn for 1 1/2 years now. i've done hospital, surgical floor, since before graduation, where i started as a nurse tech. extremely busy floor, working very short all the... Read More

  1. by   CMLPNnowRN
    sharlynn,

    i don't know yet the cna/pt ratio, they were very vague about it when i asked during the tour i was given.
    today will be my first day; i'll update everybody sometime this week.
    i also neglected to mention that the facility "claims" to have rt 24/7 to care for the vents and trachs -- "unless it's an emergency situation you'd have to suction and do what needs to be done yourself..."


    "for i am convinced that neither death nor life, neither angels nor demons, neither the present nor the future, nor any powers, neither height nor depth, nor anything else in all creation, will be able to separate us from the love of god that is in christ jesus our lord"

    romans 8:38-39
  2. by   LPN2RNdude
    OMG!!! 20 patients for one nurse?? that is unreal for a rehab unit. where i work, i only have 14 patients (half of a hall) with maybe only 5, at the most, being skilled... and trust me, those 5 skilled patients alone can have u running all day... the admissions and discharges, the acuity of some of these patients... a lone nurse with 20 skilled patients just simply cant do an adequate job of caring for those people... im sorry, that is just my opinion... i worked, right out of LPN school, at a place that payed me 18.50 an hr, and after the first week, i knew WHY i was being payed so much.... there were 20 rehab patients on my hall, some with Gtubes some fresh post-op ortho patients, some with nephrostomy tubes, some with trachs, not to mention diabetics and accuchecks, and those with dementia.... it was a nightmare... i lasted all but 4 weeks..... not trying to discourage you, just letting you know how hard it can be to care for so many people at once... good luck in whatever you decide.
  3. by   BigB
    california lvn's up here have 35 -40 patients on the (3 - 11pm shift) in LTC. consider yourself lucky.
  4. by   CMLPNnowRN
    hey, everybody!!

    ok, it's official -- i'm a chicken :stone

    well, after 2 days of intensive madness (oops, i should say "orientation") i figured out that my health and sanity weren't worth loosing over $16.50/hr (pardon me, plus differential...).

    bargainhound - you were right. i should have never assumed anything. i was assigned to the lock-down alzheimer's unit plus 1/2 of the subacute. that means, both units with a whooping (msp?) number of 30 pts, with 2 different carts and a coded keypad to open the double-doors between units!!!!

    sharlynn and lpn2rndude - you were right. the ratio is insane. i handled myself pretty well; all the pts got their right meds and txs. as long as i never eat, sit down, or use the bathroom, and buy me a pair or roller blades to skate down those hallways in a more efficient manner, i'll be fine. but guess what?! i don't wanna!!!

    i applause each and everyone of my colleagues that work in ltc.
    it has just been confirmed in mind what i already knew -- you guys are incredible for what you do! it takes a very special person to be an ltc nurse.

    oh! did i forget to mention i quit?!

    cmlpn

    "for i am convinced that neither death nor life, neither angels nor demons, neither the present nor the future, nor any powers, neither height nor depth, nor anything else in all creation, will be able to separate us from the love of god that is in christ jesus our lord"

    romans 8:38-39

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