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Nursing Home Nightmare



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Aug 15, 2006 08:38 AM

Nursing Home Nightmare


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


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37 Comments
No. 1
from Cerebrum
Old Aug 15, 2006, 08:45 AM
Updated Aug 15, 2006 at 08:52 AM by Cerebrum

Default Re: Nursing Home Nightmare
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?
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No. 2
Old Aug 15, 2006, 08:54 AM
Updated Aug 16, 2006 at 05:43 PM by suebird3

Default Re: Nursing Home Nightmare
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!
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No. 3
from Cerebrum
Old Aug 15, 2006, 08:56 AM
Updated Aug 16, 2006 at 05:44 PM by suebird3

Default Re: Nursing Home Nightmare
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?
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No. 4
from aerinlpn
Old Aug 15, 2006, 08:57 AM

Default Re: Nursing Home Nightmare
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.
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No. 5
from aerinlpn
Old Aug 15, 2006, 09:04 AM
Updated Aug 16, 2006 at 05:44 PM by suebird3

Default Re: Nursing Home Nightmare
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
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No. 6
from Cerebrum
Old Aug 15, 2006, 09:05 AM

Default Re: Nursing Home Nightmare
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.....
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No. 7
from aerinlpn
Old Aug 15, 2006, 09:11 AM

Default Re: Nursing Home Nightmare
thank you but won't that look horrible to the next job interview I have. To say I only last a week?
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No. 8
from Cerebrum
Old Aug 15, 2006, 09:12 AM
Updated Aug 16, 2006 at 05:45 PM by suebird3

Default Re: Nursing Home Nightmare
Originally Posted by 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....
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No. 9
from cotjockey
Old Aug 15, 2006, 09:13 AM

Default Re: Nursing Home Nightmare
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...
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