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Where are all the nurses?



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No. 20
Old Aug 27, 2009, 04:41 AM

Default Re: Where are all the nurses?
Originally Posted by CapeCodMermaid View Post
I hired 3 new grads. 2 worked one shift and then got a job closer to home. The other one just doesn't get it and argues when nurses with 25+ years of experience try to show her how to do things. My facility is in Massachusetts....you can walk to the Atlantic Ocean....tell your friends!!!
Dont you love the new nurses who know it all. I welcome all comments and recommendations, but arguments? Besides if she disagrees with the older more experienced nurse, she can speak to you for advise how to approach it, not with arguments
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No. 21
Old Aug 27, 2009, 04:55 PM

Default Re: Where are all the nurses?
If I had a big enough house, I'd invite you all to come on down and live here. For the poster who said people in long term care cut corners, I'd have to disagree. My nurses all know to do things by the book because we never know when the survey team will be walking in. We are always ready for survey. I think the staff know I respect them and are thankful that they come to work every day to take care of our residents.
As to those who think working in long term care hurts your chances of working in a hospital, those ideas are changing. Our hospital will hire nurses from the sub acute floor because they realize now the skills it takes to work on one of those floors. I was offered a job in the ICU because the nurse manager there heard I ran a sub acute unit. She said "If you can do that, then having one patient in the ICU would be a cakewalk." Slowly, and with the combined voices of those of us who work in LTC and love it will be loud enough so everyone knows what we do and how valued we should be. I am not dissing anyone's specialty, but how many people end up in an ICU? 4% of the population? How many people end up staying at least a short while in a SNF? I think the numbers are up to 65% of the the population. We are all ahead of the game when it comes to knowing how to care for medically complex elders.
I shall now step off my soap box.
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No. 22
Old Aug 27, 2009, 05:33 PM

Default Re: Where are all the nurses?
Originally Posted by norman1 View Post
HA! Please, honey, feel free to speak for yourself. CapeCod, thank you for advertising your willingness to take on new grads. Many of us just feel hopeful hearing stuff like that.
I said that was the dream, not the reality. At least where I am and the program I graduated from 99% were applying for major medical centers in the area (Chicago) in hopes of beginning their graduate programs next fall and growing their careers while still young and without a family. I also read a couple posts of new grads yesterday contemplating this same dilemma, unable to get into a hospital due to the freezes but LTR's offering them positions...I just think if those were the dream jobs of new grads they would not have such a hard time making that decision.
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No. 23
from nyteshade
Old Aug 27, 2009, 08:22 PM

Default Re: Where are all the nurses?
Originally Posted by HeartsOpenWide View Post
Not to say that your place is like this, but I was told that LTC are not a good place for new grads to start because of the all laws/rules they break and all the corners the cut...not a good way to start out when you are just learning.
It's silly to assume that this does not go on in the hospital...I've worked the acute side, and the LTC side. It's the same thing. I hope that with time you will see this for yourself.
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No. 24
from ItsTheDude
Old Aug 27, 2009, 11:32 PM

Default Re: Where are all the nurses?
why not hire lpn/lvn's instead of rn's, that's what most ltc's do in nc, a rn is overkill for the limited duties u stated, maybe it's a state requirement n ur state.
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No. 25
Old Aug 28, 2009, 07:19 AM

Default Re: Where are all the nurses?
My facility is not 'most LTCs'. We have many medically complex patients and, on a good day when there are no tourists, are 90 minutes from the nearest hospital. I need RNs with excellent assessment skills who can spot a problem early on and get the proper treatment so the resident does not have to go out to the hospital. I also have a large number of hospice patients and the hospice providers want an RN on duty 24 hours a day in case the person dies and an RN pronouncement has to be done. Most of the facilities around here hire LPNs because it's cheaper for them.
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No. 26
from ItsTheDude
Old Aug 28, 2009, 07:59 AM

Default Re: Where are all the nurses?
it's not only cheaper for them, but it gets care to the patients, a lpn is better than no nurse caring for patients, an experienced rn n ltc is a luxury. most rn's don't go to nursing school to work in ltc, ltc n nc have to pay several dollars more an hr than hospitals pay to attract rn's, then there's the problem of keeping them. if ur having a problem getting/keeping rn's n this economic environment, it's gonna be even worse when the economy heats back up. it sounds like the one new grad that has stayed for now sees ltc being beneath her (probably why she's combative), she'll move on if she can find something better. sounds like you could also be located n an area where not many working class people live, so there's the double downer of working n ltc and having to commute, so pay would have to be even more to attract/keep rn's.
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No. 27
Old Aug 28, 2009, 04:22 PM

Default Re: Where are all the nurses?
What shift are you hiring for? What part of the Cape are you in? I currently work in a LTC facility and live in Middleboro. I had an awful time last year when I was a new grad trying to find a job. That's great that you will hire new grads!
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No. 28
Old Aug 28, 2009, 04:46 PM

Default Re: Where are all the nurses?
I need nurses for 7-3 and 3-11. I am way out in Provincetown...where the Pilgrims FIRST landed. Plymouth was their second choice.
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No. 29
from LiliaBSN
Old Aug 29, 2009, 01:13 PM

Default Re: Where are all the nurses?
I live in an area that got hit hard by the economic recession right when I graduated from my BSN program. We had been told for four years: Sure, getting a job'll be easy! Great pay! Great benefits! When reality set in, I applied for 144 jobs around the entire country and got TWO interviews. I finally ended up staying in the same area in a LTC setting.

Once I got started I figured out what a huge mistake our nursing program had made. I had NO idea how to do this, and my expectations about how "easy" it was going to be was erased. It is hands down the hardest job I have ever had, I work nights with one aid and 25 people. Any new grad who would turn their nose up at LTC needs to take a second look.

No, you won't get that job paying $$$ an hour on a tele/icu with zero experience. Working LTC gives you EXCELLENT time management skills, assessment skills, and even management skills. I guess my bottom line argument is that you can't be "too good" to do a job.

And to the "Dude" touting LPN's over RN's in LTC care environments: HA. HA. We had an LPN take over day shift (and no inexperienced one, mind you, she had been doing this for 5 years) and she had no idea how to clear the med sheets, no idea how to chart correctly, do wound care, didn't know/give a crap about pharmacology and just literally pushed pills and pudding all day. Sometimes you need an RN because while LPN's are great, they just don't cut it all the time.
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