I've only oriented to my floor for about two days now, but I am scared to death. It is a subacute floor with a max of 22 pts per nurse, but Ive shadowed my nurse who has had about 13 pts both days and it already seems chaotic. She doesn't really have a rhyme or reason to her order of medications/treatments/assessments and whatnot. She just kind of runs around and periodically forgets/remembers things and then freaks out. Plus, she mentioned that sometimes she stays like 2 hours late to fill out paperwork.... Does anyone have any tips/tricks to caring for a huge patient load efficiently?
I've seen some pretty disturbing stuff in the facility too. Or at least... I think it's disturbing but it might me considered "normal" in LTC? The nurses don't use the sharps containers and just throw them in trash. They frequently run out of essential supplies in the whole building - today, they ran out of syringes to flush the g-tubes... so we used a luer lock syringe. The turnover rate is huge, in fact, I am one of three new grads who were all hired full time for the same shift. The majority of the nurses are miserable - and constantly complaining. The nurse I'm shadowing is actually interviewing for a new job... Are these issues considered to be the norm in LTC?