Questions about RN role in LTC

I'm an RN working in a LTC facility, and I am a staff nurse. My facility has a mixture of RNs and LPNs working as staff nurses, and RNs in management positions.

Hello,
As the previous poster stated, you may be a staff RN, or work in a management capacity in a LTC setting.
However, to answer the second part of your question, A Bachelors in Health Care Administration (which will give you a BA) will qualify you to gain entry into the realm of Nursing Home Administrator. Obtaining your "Licensed Nursing Home Administrator Certification" will also be paramount at some point in your career.
Most Directors of Nursing in LTC facilities are RN's, but some have additional schooling on top of that.

Hope that helps.

You'll do the same thing LPNs do, only when there is a problem people will come and expect you to do something about it if the DON/ADON isn't there.

I have been both an LPN and an RN in LTC. It depends on your facility, but at mine, if I was working as staff nurse, the job is the same as the LPN's. The major difference I found when I got my RN is that I was expected to fill in as Supervisor when there were no other RN's in the building (usually evening shift).

Most of the management has only associates degrees. That includes the ADON, DON, etc... I don't think you need a BSN, but it probably wouldn't hurt.

I don't see why you can't do both...You need some experience in the hospital setting...and if you u love LTC then work prn ...

My thoughts are a bit different after working the past 28 years off and on in long term care:

The Charge Nurses the role is not simply a shift role with some "extra" duties/ tasks that are done.

It is a professional component of registered nursing care that requires supervison, survellance, and oversight. Charge Nurses have to have a perpective that rises above the bedside.

Charge Nurses have to look at staffing issues, politics and conditions, enviromental issues that impinge on patient safety and care.

They are first responders in emergency situations.

They need to be well versed in politics and proceedures and through constant monitering and survellance anticpate problems before they arrise.

They need to be diplomatics accostumed to address any concerns the patient and the family may have.

Charge Nurses have 100 % responsilbility without 100% authority.
Charge Nurses must rely on other Departments ( housekeeping, dietary, laundry maintaince pharmacy etc.)to have 100 % compliancy with physcians orders and a safe and healhy resident.

The Charge Nurse has a duty and obilgation to practice supervison and leadership over other care givers as a RN.
One of the realities of supervision is doing the paperwork and documentation of any varienaces of care, or violation of the nurse practice act. or of substandard care or medication errors.

This is in addition to working as the medication and treatment nurse , passing medications and doing any treatments, ( dressing changes, nebulizers AND and any other respiratory theraphy etc.).

Just how I see the Charge Nurse role---
Reigen

For starters: GOOD LUCk in your schooling and I hope all goes smoothly.
To answer your questions, it depends on the facility and the state, why jump the gun- take each bridge as they come, first finish school, pass your RN boards, find a job that suits you- then decide if you want to go into adm. and take courses that will help you develop the skills you will need.
Responsibilities of an RN or LPN differ in each state and facility so remember each answer is reflective of that. In our facility the diferent responsibilities are clearly respected, we all need each other for the patients ultimate good.
You will need some years of experience as an RN in LTC before you should safely try supervision to see if its right for you, by then it will be be clearer to you.
GOOD LUCK

ok, I don't think 6 months is enough experience to jump into management and I have to question how so many mngmnt positions are available - hmmmm could it be that it is because they are filling them with nurses still green behind the ears- and don't last?
When you start working- find a good place with a good reputation so you can find a mentor to help you learn and grow. Passing my RN boards was just a begining- I had loads to learn and I would have fallen flat on my face had I jumped to mngment after only 6 months!!!
The rate of turnover should scare you.