Nursing Home Nightmare - page 2

new LPN started first nursing home job. I have only recieved 8 days of training and was left in 40 bed facility for whole shift with 1 TMA myself and 3 aides is this normal. oh my god should I get... Read More

  1. by   flashpoint
    Quote from aerinlpn
    40 residents to 1 lpn is normal? With 8 days training. At the hospital new lpn's have mandatory 6 weeks training before on their own
    Yep...it is very typical...most nursing programs don't do a good job of preparing you for the real world...especially long term care...
  2. by   aerinlpn
    should I mention it is union and i am only paid 14.42
    should I get my own liability insurance even though there is a union?
  3. by   flashpoint
    Quote from aerinlpn
    should I mention it is union and i am only paid 14.42
    should I get my own liability insurance even though there is a union?
    Very, very typical...
  4. by   aerinlpn
    well I guess I will have to see how tonight goes I know I will be the only LPN on again with just the one medication aide, it just doesn't seem safe to me knowing most of my skills have been done on manicans and not real people. Thanks for the replies I can tell I will be using this site often thank you
    Aerin
  5. by   LauraF, RN
    Sounds typical. I am in a 80 bed facility with days 1RN, 2LPN's 1 CMA and 4 CNA's. On nights it is 1RN, 1LPN, and 4CNA's. And yes it is always wise to carry your own insurance. When it comes down to it, the liability insurance through the facility is there to cover the facilities butt not necesarily yours. You have to look out for number one!
  6. by   CHATSDALE
    this is not much different from a lot of other facilities but a new graduate needs more time to adjust to the situation
    get the tma and a cna to go with youto help with the identification , take a lot of notes so that when you go to chart you won't be trying to remember which resident you are thinking about..talk one on one with the resdients to fix them in your mind

    these are real world situatuions and if you can pull this off you will have confidence in yourself that can't be bought
  7. by   Cerebrum
    I must of had it good! For 60 residents on the first floor we have for both 7-3 and 3-11--- 1 RN, 2 LPN, 2 Medicine aides, and 5-6 GNAs

    Second floor and about anoher 60 residents--- 4 LPNs 1-2 medicine aides and 6-7 GNAs!

    Something is fishy....

    Maryland has Staff to Resident laws

    But 40 to yourself? My coworkers would laugh!

    Call them 301-***-**** Ask for the charge nurse!
    Last edit by NRSKarenRN on Aug 15, '06
  8. by   aerinlpn
    thank you Dale, it is true each thing I do for real makes me think hey I can give a real person a injection and it is not much different from the skin bag in school. I know it will take time to adjust I need to have confidence in my ability to figure it out, my instructors always told me that your only as good as your closest resource . you should see the med cart when I am working I swear I have every book I own at work with me. I just keep thinking of "what if this happens, What if that happens" it 's scary out there in the world of nursing , you never realize it till your out there on your own. Maybe this will build character. thank you guys
    Aerin
  9. by   CoffeeRTC
    Quote from Cerebrum
    I must of had it good! For 60 residents on the first floor we have for both 7-3 and 3-11--- 1 RN, 2 LPN, 2 Medicine aides, and 5-6 GNAs

    Second floor and about anoher 60 residents--- 4 LPNs 1-2 medicine aides and 6-7 GNAs!

    Something is fishy....

    Maryland has Staff to Resident laws

    But 40 to yourself? My coworkers would laugh!

    Call them 301-***-**** Ask for the charge nurse!

    Wow...Wow. I'm moving to Maryland!

    I thought I had it good. 48 pts, 1RN, 1LPN and 4 cnas for 3-11!
    I also have a prn job. 50 pts 2 nurses per unit (1 RN super for the 200 bed facility) and 3-4 cnas.
    Last edit by NRSKarenRN on Aug 15, '06
  10. by   aerinlpn
    so I guess I just need to toughen up and face the fire, get through what I can and manage the best I can with what is unfamiliar, I think I will be applying at the hospital in the mean time. I think the 6 weeks of training would be an experience of real life nursing where you can actually ask questions and learn.
    where is the best place to get liability insurance
    aerin
  11. by   Cerebrum
    I just want to add a resource so you can better assess your situation. This is the Federal government link to data of all nursing homes in the U.S.. It's nice because you can compare your nursing home to others in your area. Learn to navigate it and when you get to "staffing" and RN and LPN "contact hours" look at how your facility fares...

    http://www.medicare.gov/NHCompare/In...ledStatus=True


    That's it.... done beating a dead horse... :deadhorse

    BTW Typical new grad pay in Maryland for LPN base pay ranges $19 to $25.55 (Citizens Nursing Home, City run) to start. Granted its apples and oranges due to cost of living and location....
    Last edit by Cerebrum on Aug 15, '06
  12. by   aerinlpn
    thank you I will check out the site and see what it says. you guys are all great you can get your questions answered right away. tahnks for all the help
    aerin
  13. by   achot chavi
    aerinlpn,
    YES get your own liability insurance, NEVER rely on the facility- you make a mistake (and we all do) and watch how fast they desert you!!

    In our nsg hme we have 40 pts to 1 lpn, and 4 cna's but more important than numbers is the work load- how many pts need total care, total feeding, etc.
    It sounds impossible in the begining but you will probably get used to it- it just seems overwhelming at first. Give yourself some leeway and see how you are doing in a month

    BTW-Can you call on another nurse in the facility for help?
    Where I work we all help each other so we never feel alone.
    Good luck swimming
    Last edit by achot chavi on Aug 15, '06

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