Terrified and Humiliated New Grad in LTC - page 3

I just graduated in May from an ADN program. I was hired prn at a local LTC facility. The job market is scarce and I am desperate to take whatever I can get. 5 new grad/new hires including myself got a whole 4 days of orientation... Read More

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    My God- what new grads skills are "up to par" to work a position in LTC? It took me 6mos before I was marginal in my nursing skills. After almost 30 years I'm quite certain my skills are not "up to par" for LTC. I know I'm just not organized enough for some types of nursing care. I'm a good nurse-just not a good multitasker. I don't think at this point in your career you have any idea what your skills are. My first job I was turfed back to orientation after 8 weeks on the floor-I chose to resign. I was devastated at the time, but now I see it as the hand of God. I hated the job and figured all nursing was the same. It isn't. My next employer has lasted almost 30 years. I don't know where to direct you for a new position but an RN is rarely out of work in my area(Ohio). Wish I had better guidance for you- try again. After all, they didn't fire you- just want your skills to be more developed. That is something I can say about my skills.
    JZ_RN likes this.

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    CapeCodMermaid said: "Don't give up. There are good places WITHOUT unions with reasonable, respectful bosses."

    Unfortunately, there aren't enough; that's why there ARE unions. The best jobs I ever had were non-union; jobs where employees were valued and not treated like human fodder. But I've also worked a few places where "UNION" was front and center in my mind.
    JZ_RN likes this.
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    Quote from CapeCodMermaid
    Your story reminds me of an experience I had when I was new. I was on orientation working 3-11. The supervisor who was orienting me spent most of the evening elsewhere. Most of the patients didn't have name bracelets so it wasn't easy to tell who was who. There was one resident who lookedlike she was in her 30's but according to the MAR she was 100. The meds included Stelazine and Thorazine....the supervisor screamed down the hall "you are too SLOW". I told her I didn't intend to give medications to someone I couldn't identify and then I added "if THAT woman is 100, I'm going to start taking thorazine!"I finished the shift and resigned. That was in 1982. Since then I've worked in many different places....some good some bad. I am the director now of a large facility. I do not allow any one treat a new or not so nurse badly.Don't give up. There are good places WITHOUT unions with reasonable, respectful bosses.
    You know, this is something interesting that I've noticed in my new job. This place where I'm working now is crappy enough but... the residents don't wear bracelets!!!!! NO ONE has a bracelet; I don't even think that they are ever assigned. Sure is hard to pass meds, come and draw labs, etc., when you don't have a clue who anyone is.

    I mean, myself, I've learned all 54 residents of my glorious new unit, but I got pulled to the alzheimer's unit last night. You should have seen me trying to pass meds in the morning to a group of walkie talkie dementia patients sitting in the day room. We are lousily staffed, so I kept having to go fetch the one CNA that always works that unit to tell me who was who. I unfortunately can't just rely on asking ALL of those residents who they are.
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    Re: identification. In assisted living, it is a residence not a medical facility, so there are no bracelets. We have photos. The charts all have photos onthe front cover, the notebooks that hold the MARs have photos, and on the dementia unit, all the entries to the rooms have photos. (I thought that was standard in any dementia unit, as it helps the person whose room it is, identify it as such).
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    I feel for you!!!! I, too graduated in May from an ADN program and have a job LTC/rehab. It is attached to a hospital and, although, maybe not my first choice, I enthusiastically took this job. I was hired FT/3-11. I am one of only 4-5 RNs.
    I feel so overwhelmed, that I am never going to get the "hang" of it. The photos in MAR make it harder sometimes if you have several pts in a row that are same gender/age/race.
    I can't imagine what you are going through because I work with the kindest, most patient staff. They are wonderful to me and I still feel so inadequate. I have been there not quite 2 weeks and I am not sure how long I will be oriented. I think it depends on well they think I am "catching on." I like the work, I like the people (staff and patients), but can't shake the feeling that I will never get it. I am older and have life experience, I am not shy about asking for help and, for the most part, confident in y skills, it is the other stuff that I am afraid of-charting, phone orders, appt., all the extra "stuff" that has to get fit in.
    Good Luck to you!!!!!!!! try to hang in there!! You can do it-don't let him intimidate you.
    ec2703 likes this.
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    All of these comments contain some great advice, primarily: Do what you feel is safe, and go at the speed you think is safe, period. Don't let someone intimidate you into going faster than what you are comfortable with. When we try and rush THAT'S when we make mistakes, I do anyway.

    I just quit a job where my preceptor was golden, after six weeks I felt like I loved the place, but when reality struck it was a whole other story. I had trouble keeping up and made the mistake of voicing that to another nurse who swooped on me like a vulture. She proceeded to tear down my preceptor's methods and from that day on, she became my preceptor and it was hell. I made mistake after mistake, things I wouldn't have done otherwise but she had me so flustered. When people say things like, "you'll never make it around here," blah blah blah, be suspicious. My preceptor, who has been a nurse for over twenty five years never said such a thing. Why would this woman? I'll tell you why, she was a bully.

    I quit because I was still on probation, technically, but she did make me feel like I couldn't do the job.

    Your post caught my eye because I am starting at a LTC next week, where I've been hired as a charge. I do have two years' experience in Med Surg, so I don't feel totally freaked out, but it's a little worrisome, nevertheless.

    In any case, I plan on using my past experiences of how to NOT handle abuse (similar to what your reaction was, unfortunately) and hold my head up. We are BSN RNs and worth something; we just have to stay the course.

    Good Luck!
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    Great advice!!!

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