Nursing Home Nightmare

  1. 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 out of this isn't that a huge liability on myself if something goes wrong I barely remember where the bathroom is much less what ethel so and so's issues are and what to do in a emergencey. please help:angryfire
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  2. 37 Comments

  3. by   Cerebrum
    Wow that is crazy... Must be 11-7... Most I had was 25 at night... regularly... 40 all by yourself? Yes you might want to reconsider....

    You probably got lots of am meds... blood glucose check w/insulin, g-tubes... ...handwritten charting and never get out on time right?
    Last edit by Cerebrum on Aug 15, '06
  4. by   husker-nurse
    Sounds VERY scary; I'd suggest RUNNING to the DON to voice your concerns; 8 days as a licnsed LPN and in charge? I'd be a FREAK!
    Last edit by suebird3 on Aug 16, '06
  5. by   Cerebrum
    Wow that is crazy... Must be 11-7... Most I had was 25 at night... regularly... 40 all by yourself? Yes you might want to reconsider....

    You probably got lots of am meds... blood glucose check w/insulin, g-tubes... ...handwritten charting and never get out on time right?
    Last edit by suebird3 on Aug 16, '06
  6. by   aerinlpn
    No it wasn't 11 -7 It was 2:30 to 11pm there were 40 residents . the TMA could pass meds but I had to do all treatments injections and narcotics. the problem was that 20 of the residents on the 2nd wing I hadn't even met yet so I had to keep asking the CNA who each person was before I could pass meds to them because there was no identification. Oh my god this sounds worse and worse the more I talk about it.
    I want to be a good nurse and I don't want to kill anyone but I had aides coning to me asking me questions about residents I had never seen before.
  7. by   aerinlpn
    The DON is the one sending people home to save $ I stated concerns and his reply was I have full confidence in your abilities. WHAT? I think I have spoken to this guy three times. Does anyone know the answer to the liability if something happens and I don't know what to do?
    Tell me it will get better, I can't look very good on your nursing record if you quite your first job after 8 days. I don't want to appear like I can't handle responsibility.
    trying to manage
    thanks for replies
    Aerin
    Last edit by suebird3 on Aug 16, '06
  8. by   Cerebrum
    The thing that worries me is the number 40. Feeling like you do being new is normal but 40 compounds the matter tremendously... and 3-11 at that! With family around, new admissions,docs calling, calling docs, phone calls.... they are crazy.... I don't like telling people what to do but I'd run very fast.....
  9. by   aerinlpn
    thank you but won't that look horrible to the next job interview I have. To say I only last a week?
  10. by   Cerebrum
    Quote from aerinlpn
    his reply was I have full confidence in your abilities. WHAT? I think I have spoken to this guy three times.
    LOL! That is crazy! He's blowing hot air, paying lip service! I remember there were days I wanted to run outta there and cry wondering what I got myself into.... With may 3 aides, 1 medicine, myself and 18-22 ... Trachs, gtubes, insulins, and pass meds....
    Last edit by suebird3 on Aug 16, '06
  11. by   flashpoint
    This sounds pretty normal to me...I work in a 25 bed facility and we have 1 LPN, 1 CNA, and 1 med aide for the evening shift. It just takes getting used to, developing a routine, and learning the residents. I doubt that the ratios or training time are much better anywhere else. Hang in there and see how it goes...
  12. by   Cerebrum
    You mean 25 not 40 right? (Is normal)
  13. by   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
  14. by   flashpoint
    40 is pretty normal...the facility I work in now is small, but I've worked in places that are a lot bigger with pretty similar ratios. The place I worked at straight out of school had 100 residents, 1 RN, 1 LPN, and 4 CNAs on the evening shift. Another facility in town has 70 residents, 2 LPNs, and 3 CNAs on the evening shift. It is not unusual in most LTCs...

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