RN's exiting from aged care postions - page 4
I was having a conversation with a fellow RN today who is trying to do some research on the number of RN's who are leaving the aged care/ gerontology areas - I mentioned this particular BB and... Read More
Feb 15, '03Hi Shiraz...for LTC/SNF, you have to have an RN 8 consecutive hours 7 days a week. This is a federal tag.
Feb 16, '03Originally posted by night owl
It's all about money (the root of all evil).....no matter how hard you try in doing anything in LTC. You can only do so much and when you feel you're burning out, it's time to get out. You can't fight it.
I finally realized that nothing I did would change the way it was but still tried every day to make a difference with the residents and try to teach my staff the right way to do things. Not too sure I could pinpoint what made me hand in my "surprise" letter of resignation maybe just a culmunation of the last 8 years of BS ?
I wont rant and rave about what was wrong and why I left but burnt out describes it well. I did what I did for me and my sanity.
I now work in a hospital for the first time and find it stressful in its own way but havent been more content about my career in a very long time.
Im out of LTC and will not go back..............
Feb 18, '03Ok this is the second attept to write tis
So it may not make as much sense as the first time
I wanted to say thank you to the people who have contributed such heart felt thoughts- It is sad that the people who make the 'judgements' dont read our cometns (well maybe they do)
Anyway - I wanted to say thank you for your honesty your thoughts and your obvious love of the 'game' - aged acre is such an important area of care - we need to convey this to others - OK we are trying hard now to get others to ebsure our loved old people are cared for - this is not just because we care for them but we also want the system to be better not just for us but also for the people we love and our frineds and the starngers who will want to live life in quality
I also would like to apoligise to the 'non' RN's - i did not in any way want to discriminate against nurses who work in this sector no matter qualifiactions - l wnated to know why they are leaving the sector - the original question was asked by a frined and if l was too literal and stopped others from contributing l am sorry -
PLease keep your thoughts cming - this makes us think not only about what is wrong but l believe more importantly what is right - the care for our aged
Kep your thoughts on the board thank you
Feb 22, '03Originally posted by catlady
Daisy Mae, I can relate. Until very recently, I was unit manager of a 49-bed SNF unit, lots of Medicares. I did all the MDS, PPS, RAPS, care planning, and was the head nurse of the unit. Upper management didn't provide any support, but constantly called me (you don't think they'd get out of the office, do you?) with their list of "I needs." I need this, I need that, stuff that they could often have done themselves but delegated every time. The DNS never missed a breakfast break, even though she rolled in after 9 am every day, never missed her eight thousand smoke breaks, while I'm holding it in because I don't have time to pee. When JCAHO came, we were choking back laughs when the DNS told the inspector that she and the ADNS made rounds every day. What a joke. Mind you, we're only talking a 98-bed building; it's not that far to travel.
I almost had an aneurysm the day that the ADNS rudely interrupted me and one of my nurses who were very busy sending out an unstable resident to the hospital--we needed to go to an inservice, because there was a guest speaker. It never occurred to her that patient care might have been the priority, or, gawdfabbid, that she could have made our apologies to the speaker, or she could have taken over for one of us so we could go to her bloody inservice (the first inservice in months, BTW. Of course she told JCAHO she did all the inservicing. I did more teaching than she did, and it wasn't part of my job. But I digress.) The CNAs were all standing there when she basically made a fool of herself. If I had to work the floor because a nurse called out, no one even checked on me or asked if I had anything urgent on my desk that they could clear up for me.
And at the same time, of course, the nurses and CNAs would come to me about everything. I don't blame them--it's not like anyone in the front office would take care of their needs.
Anyway, I jumped from this frying pan into a fire, where I lasted all of four days. It's going to be the same wherever you go, as long as you stay in long term care. Everyone is so terrified of The State, that they can't even think straight. The paperwork is horrendous, as you say. I did a couple of agency shifts this past week and I was horrified to see that other buildings had even more paperwork than we did! And so much of it is utterly redundant, such as charting I&O in three places.
But this week I was offered and immediately accepted a job as a nursing case manager for a major insurance company. I cry for happy. No patient care, no nights, no weekends, no holidays, no on-call, no state regulators.
I have learned from every experience I have had, and without those experiences, I wouldn't have been offered this job. So there's some value in the trial by fire. But at least now I know there may be life outside the trenches.
Feb 22, '03
Not burnout. Not money. Not retirement age. Well perhaps these contribute, but the main reason is attitude.
I have worked in acute settings, in all areas, for the whole of my career. I decided to try long term care and love the
work, but oh the attitude of the majority of LPN's toward an RN. Hostile and defensive from the moment they see those two little letters after the name.
(Please don't write and tell me that it is the 'superior' attitude of the RN. ) These LPN's have never worked at any other facility, several of them are just out of school. They all know everything. They
also know that in an acute setting they would seldom get near a chart, let alone contact a doctor for orders etc: In other words they would not be important and this is the one place they excel. Importance.