Why dont we get respect as LTC nurses? - page 5

Hi everyone, I am hoping for some input to a questions that has been really burning my butt. I am a new nurse, and recently switched from med-surg at a local hospital (loved the job, hated the 12... Read More

  1. by   Simplepleasures
    Quote from CapeCodMermaid
    I am a DNS. MY Christmas schedule has been posted for weeks. The request for holidays was posted in September. So now I have a nurse who puts in a request for a week (read Christmas AND New Year's) off. She put in her request on 12/14!!! and is mad because it was denied....please stop blaming all the shortcomings of LTC on the DNS or the management....I say look in the mirror a time or two. I have a nurse who didn't know enough to take a diabetic's blood sugar when the patient c/o being dizzy and sweaty......
    Cape Cod Mermaid, are these the "lazy, stupid, slackers" you were talking about in a previous post you wrote? Sheesh.:angryfire
  2. by   GardenDove
    At the hospital where I work, requests for time off for march-may are due now. You can also make a request before the schedule is out, with no guaruntee of the request honored, but they will do their best. But any vacation time definately must be put in 3 months in advance.
  3. by   NurseMMM
    I believe LTC nurses don't get respect because the pay is usually less. The care is not acute. And the requirments for certification, etc less difficult to obtain than such as CCRN. Not that you don't work your tails off. You do, we all do. I have never worked LTC. Basically, because of the pay. And I don't think they would consider me LTC material. I have always been in an acute care setting. As an ICU/CCU RN. I don't think I would have the patience to work with healthy grumpy patients, personally on a daily basis.
  4. by   Ginger222
    Quote from NurseMMM
    I believe LTC nurses don't get respect because the pay is usually less. The care is not acute. And the requirments for certification, etc less difficult to obtain than such as CCRN. Not that you don't work your tails off. You do, we all do. I have never worked LTC. Basically, because of the pay. And I don't think they would consider me LTC material. I have always been in an acute care setting. As an ICU/CCU RN. I don't think I would have the patience to work with healthy grumpy patients, personally on a daily basis.
    Hi NurseMMM,

    Actually, in New Jersey LTC facilities pay Much Higher than Hospitals..just a bit of info
  5. by   GardenDove
    There is a definate hierarchy of respect in nursing, and yes I think LTC is considered less hotshot. I noticed when I switched to CCU/ICU, that my status went up from what it was as a Med-Surg nurse, which was a higher status than when I was LTC. People consider it more technical, and it requires a higher level of education.
  6. by   CapeCodMermaid
    Quote from ingelein
    Cape Cod Mermaid, are these the "lazy, stupid, slackers" you were talking about in a previous post you wrote? Sheesh.:angryfire
    I certainly hope you are flaming the lazy slackers and not me! I had a boss once who told me I expected too much from people. I expect them to do the job they are paid to do, I expect them to do their best every day, I expect them to be polite to the patients and to each other....I don't expect anything from them I don't expect of myself.
    I asked one of the nurse managers to complete a particular report and get it back to me. She handed it back, without looking at it, and said "I don't know how to do it." hmmmmm...I thought....don't know how to read English? Don't know how to count the number of residents on your unit with indwelling catheters? I'm all for showing people how to do things, but come on guys.....let's use a little common sense and TRY to do it before you cop out....I'm not talking patient care here....I wouldn't want anyone to try to do an IV without sufficient training, but don't refuse to do a report because you say you don't know how. Perhaps we don't get respect because we don't deserve it.
  7. by   margaretptz
    Quote from GardenDove
    There is a definate hierarchy of respect in nursing, and yes I think LTC is considered less hotshot. I noticed when I switched to CCU/ICU, that my status went up from what it was as a Med-Surg nurse, which was a higher status than when I was LTC. People consider it more technical, and it requires a higher level of education.

    Doesn't an RN in LTC have the same education as an RN in med surg? I am a new nursing student, ADN, at the top of my class and yes an older student at that., I am hoping to work either in
    geriatrics or hospice? Should I adjust my perspectives if I want respect as well? Just wondering, not trying to flame anyone?
    Margaret
  8. by   RN BSN 2009
    I respect LTC nurses a lot! It's very challenging. You get enough problems from upper management and low staffing. I think a lot of people choose not to go into LTC nursing because of the high patient ratios and added responsibilities... Plus I've had fellow students who say they don't want to work with "old people" ! I am thinking WHAT! With demographics being the way they are, there's no way to avoid working with the older population. I did my clinical rotation in an LTC facility, I enjoyed most of the nurses there!
  9. by   RN BSN 2009
    Quote from margaretptz
    Doesn't an RN in LTC have the same education as an RN in med surg? I am a new nursing student, ADN, at the top of my class and yes an older student at that., I am hoping to work either in
    geriatrics or hospice? Should I adjust my perspectives if I want respect as well? Just wondering, not trying to flame anyone?
    Margaret
    Don't worry about what others think of your choices... Different strokes for different folks!
  10. by   doingourbest
    This is true about not having the paperwork to send. A lot of times we have just gotten a new resident and have to send them out. Also, we have a lot of patients to take care of and the time it takes to create the paperwork to send is taking away from the other patients. Sometimes nightshift has one nurse for 100-120 patients and unfortunately they are not "all sleeping" and day shift would like to think. There have been several nights that I have had 2-3 people fall at the same time while another one just died while I've got family members telling me to come fluff their mothers pillow. We often do not have time to create a lot of paperwork. Particularly if it is an actual emergency. Also, most of the time that we get someone in from the hospital, or they have gone out to the hospital for a period of time and returning, they have pressure ulcers which we have to fix. Obviously, at the hospital they are not even being turned every 2 hours. If we can manage to get it done for 100+ patients, why cant they do it at the hospital for 10 or so patients. And you are correct that everyone does look down on long term care nurses. I attribute it to people who just have to put someone else down in order to put themselves up.
    Also, where are you from? In Kansas we get 7-8 dollars more per hour in LTC than in the hospital.
  11. by   GardenDove
    Quote from margaretptz
    Doesn't an RN in LTC have the same education as an RN in med surg? I am a new nursing student, ADN, at the top of my class and yes an older student at that., I am hoping to work either in
    geriatrics or hospice? Should I adjust my perspectives if I want respect as well? Just wondering, not trying to flame anyone?
    Margaret
    For ICU you need some continuing ed stuff not covered in nursing school, such as cardiac, ACLS. Yes, it's more technical than LTC, requiring more in depth knowledge of body systems.
  12. by   NurseMMM
    Quote from Ginger222
    Hi NurseMMM,

    Actually, in New Jersey LTC facilities pay Much Higher than Hospitals..just a bit of info
    Ginger! Wow! Cause in NY, or atleast where I live in NY- the pay at an LTC is absolutely lousey! I checked a nursing home close to where I live and they offered me $20/hr! I almost choked! I am making twice that in the hospital! So, for me- it was pure devastation when I heard that one!
    I also checked with an area MD office. Just to possibly cut down on the commute to work. They offered me $11/hr! That one made me fall off my seat! I told them flat out, "you are wasting my time, here." I got up and immeadiately walked out! And they wanted every Saturday to boot! It floored me! I laughed in their faces. After 25 years of nursing to be told I am only worth $11/hr or even half of what I am worth is deplorable to me. I was insulted. And told both facilities as such.
    All I can say is if you take a job for half of what your worth than maybe you need counseling. No one should accept that sort of insult. I feel that they waste our time. Get us to come in for the interview, for what? Just so they can piss most of us off? They should be ashamed of themselves expecting an experienced nurse to even consider that insult. I will stay right where I am at, thank you. The conditions of work are far better in any hospital center than in any LTC and or MD office, in my opinion.
  13. by   NurseMMM
    Oh, unless you work at the medical center where I live. They short staff you if you work thru an agency. I did this for extra Christmas presents this year. They gave me a shift working a step down unit. 6:1 ratio. All patients on ventilator and telemetry! With an aide 20:1 ratio. Needless to say, I complained after the patients family complained to me that I wasn't cleaning up their 250 lb mother due to diarrhea for 2 1/2 hours by myself! I couldn't move her. Nor am I going to go home and have to take flexeril and pain killers to get thru the night! I waited for the aide. I learned that my back is more important. And the agencies nurses are over worked and under valued and certain facilities. The nurse manager possibly wanted to save her financial quota and short staffed the staff this particular day because of having me there. Well, I will tell ya! I will not subject myself to ANY abuse as a nurse ANY longer. I have learned thru the years that if you don't speak up for yourself, they will walk all over you. And not support you. Especially if your not directly employed by the facility. The ICU nurses were complete b's. They got pissed off because the facility doesn't trust agency nurses in their med box. So you have to ask a regular staffer to get the meds out for you. I asked one nurse for one med during a day shift. She went off the deep end and made my patient wait 1/2 hour for it. I will tell ya. If you a sh_tty nurse like this I just hope that someday you get a nurse like yourself someday and they make you wait for pain medication. She should be ashamed of herself. I didn't make the rules, your administration did. Nor do I plan on losing my license and stealing your narcotics! Needless to say, I won't be referring anyone to work at this medical center anytime in the future. They put a very bad taste in my mouth.

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