Why dont we get respect as LTC nurses? - page 8

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   Jo Dirt
    Quote from ingelein
    The Family Care Program is designed to take Medicaid money and use it for NURSING care in the patients home or in an assisted living facility, NURSES will be coming in to the home to help the family member take care of their loved ones.The phylosophy of wharehousing our elderly and disabled IS beginning to shift to keeping them OUT of nursing homes, do some research ,I think you will find that because of the poor care LTCs have provided in the past and continue to provide , the GOVERNMENT has FINALLY made strides to keep our loved ones at home. I have heard you say that most family is ill equiped to take care of their loved ones, most family can learn, PLUS they will have NURSING care come into their homes to help them.In my state the Governer is Democratic and is pushing for this type to be expanded throughout or state.

    I don't know how they will do all this, and on $10.00 an hour, or even $20.00. TennCare, the Medicaid program in Tennessee, is bankrupt from offering this option to families. It was really big for awhile, TennCare patients were really racking in the benefits of having a private duty nurse at their beck and call in their own homes, many of them receiving nursing care 24/7.
    Nurses will not work for $10/hr. The private duty CNAs are sitting with patients for right around that now. When you get patients who have COPD or any kind of disease process that needs to be monitored, this is too high acuity for a CNA. Private duty LPNs make $19-$25/hr.
    Private duty nursing or CNAs cost TennCare anywhere from $10,000 to $24,000 monthly. The cost of a lot of nursing homes is $4,000-$5,000 a month.
    The government does not care if your loved one can stay at home. The government doesn't care if you roll your loved one into a lake. The government cares about the bottom line.
    Consequently, TennCare is no longer accepting private duty patients and private duty is fading away as the patients die off.

    If you are talking about someone to come in to teach the family how to care for their loved one, or to assist with baths, home health is already used for this purpose.
  2. by   Jo Dirt
    Quote from GardenDove
    Well, the purse snatcher will most likely be a burden on the group that's trying to survive. The granny can help care for the child in the group by telling stories from her youth, while the other adults try to keep everyone alive.
    If we're struggling to survive we won't be concerned with bedtime stories.

    I'm sorry, Grandma...
  3. by   banditrn
    Quote from motorcycle mama
    But the purse snatcher may change, if given the opportunity. After all, Granny may have been pretty wild in her younger years only she got the opportunity/time to change.

    I still say Granny has to go. And that doesn't mean I don't like old people... we will all get there one day if we live long enough. There just comes a time to step aside. I'm learning that as I get older.

    Though, youth isn't everything. I would give Granny reprieve over a sociopath without a second thought (it is well documented there is no cure for a person with no conscience).
    Mama - I've seen this same scenario from other groups that had nothing to do with nursing - and a lot of them will dump the purse snatcher. Now, if 'I' were the granny, I might be the only person onboard with any medical know-how.
    I say that this scenario is too broad to make a decision. I'd want to know a little more about the people onboard. Such as the age and general health of the grandma - I was a gramma at 40!
  4. by   shadow hawk
    Each area of nursing have their own unique challenges. I have worked in ICU and LTC. The ICU nurse looks down the the floor nurse. The LTC nurse looks down on the private duty nurse. Everyone thinks their job is harder, requires more skill etc. As a LTC nurse you don't have the bells and whistles that the hospital has. Access to stat lab draws, xrays or dream of dream a cardiac monitor. Your patient load is higher and between the paperwork and "the great med pass" you are generally pushed for time. Don't worry about what othe nurses think. Stupidity comes in all shapes and sizes. Do what feels right for you and feeds your soul. Read and keep current in all your skills, not just the skills you need right now. Hospital stays are shorter, not everyone can go home, the population is getting older and if you look around LTC is not just for old people anymore. The youngest I have right now is 33 the oldest is 103. Each present unique challenges and I hope I met them everyday. LTC means that the stay is longer than the hospital will allow. It does not always mean til death do us part.
  5. by   newLPN04
    Some of the worst cases I have seen in LTC were pts who came from home in such a horrendous state...we took care of them and got them into a much better condition, and guess where they went..right back to the family home where they came from us to start with....makes you wonder.
  6. by   SuesquatchRN
    Quote from motorcycle mama
    The government doesn't care if you roll your loved one into a lake.
    I think that you might get into trouble for that. Just a guess.

  7. by   GardenDove
    Quote from shadow hawk
    Each area of nursing have their own unique challenges. I have worked in ICU and LTC. The ICU nurse looks down the the floor nurse. The LTC nurse looks down on the private duty nurse. Everyone thinks their job is harder, requires more skill etc. As a LTC nurse you don't have the bells and whistles that the hospital has. Access to stat lab draws, xrays or dream of dream a cardiac monitor. Your patient load is higher and between the paperwork and "the great med pass" you are generally pushed for time. Don't worry about what othe nurses think. Stupidity comes in all shapes and sizes. Do what feels right for you and feeds your soul. Read and keep current in all your skills, not just the skills you need right now. Hospital stays are shorter, not everyone can go home, the population is getting older and if you look around LTC is not just for old people anymore. The youngest I have right now is 33 the oldest is 103. Each present unique challenges and I hope I met them everyday. LTC means that the stay is longer than the hospital will allow. It does not always mean til death do us part.
    I second this post, well said.
  8. by   bshaw96
    For a long time (I've been in LTC 10 years now) I worried about what other people thought about my working in LTC. It upset me soooo bad to hear people talk down about LTC nurses. But then I decided I could care less. I am where I'm supposed to be, at least right now. I left LTC for awhile and went to a med surg floor b/c I felt pressured to. I was sick of being asked why I didn't go to a hospital. I hated it. Not b/c I couldn't do it. It was different, but not hard. I just didn't like coming to work with these 8 patients, and at the end of my shift, they were likely 8 different patients. I looove my relationship with the elderly. No one could be more appreciative. Nursing is not just about how good you are at IV sticks (although you get quite good at them in LTC- if you can maintain a vein in a dehydrated, 80 lb. woman, you can maintain one anywhere). But nursing is about sooo much more. The relationships. It is such an awesome awesome calling and ministry to work in LTC. There are good nurses and bad nurses in every specialty. After my hysterectomy a few years ago, 24 hours after, I had a med surg nurse come in, do my assessment, noted blood on my pad, and asked if I was on my period :uhoh21: . And I've had some awesome med surg nurses. LTC is no different. We're all called to different areas. One day, the nurses that look down on us will likely find their loved ones or themselves in a LTC facility. I think then and only then when they develop that relationship will they see how wrong they were.
  9. by   BoomerRN
    For a long time (I've been in LTC 10 years now) I worried about what other people thought about my working in LTC. It upset me soooo bad to hear people talk down about LTC nurses. But then I decided I could care less. I am where I'm supposed to be, at least right now. I left LTC for awhile and went to a med surg floor b/c I felt pressured to. I was sick of being asked why I didn't go to a hospital. I hated it. Not b/c I couldn't do it. It was different, but not hard. I just didn't like coming to work with these 8 patients, and at the end of my shift, they were likely 8 different patients. I looove my relationship with the elderly. No one could be more appreciative. Nursing is not just about how good you are at IV sticks (although you get quite good at them in LTC- if you can maintain a vein in a dehydrated, 80 lb. woman, you can maintain one anywhere). But nursing is about sooo much more. The relationships. It is such an awesome awesome calling and ministry to work in LTC. There are good nurses and bad nurses in every specialty.... We're all called to different areas. One day, the nurses that look down on us will likely find their loved ones or themselves in a LTC facility. I think then and only then when they develop that relationship will they see how wrong they were.

    Amen BShaw96! My feelings exactly.
  10. by   jojotoo
    Quote from ntcomplt8265
    Of course they told the family that my coworker and I were dumb and she only had a fever. (I would too if I lost that much blood...)


    Am I missing something here? What is the relationship between fever and hypovolemia?
  11. by   CapeCodMermaid
    Quote from ingelein
    The Family Care Program is designed to take Medicaid money and use it for NURSING care in the patients home or in an assisted living facility, NURSES will be coming in to the home to help the family member take care of their loved ones.The phylosophy of wharehousing our elderly and disabled IS beginning to shift to keeping them OUT of nursing homes, do some research ,I think you will find that because of the poor care LTCs have provided in the past and continue to provide , the GOVERNMENT has FINALLY made strides to keep our loved ones at home. I have heard you say that most family is ill equiped to take care of their loved ones, most family can learn, PLUS they will have NURSING care come into their homes to help them.In my state the Governer is Democratic and is pushing for this type to be expanded throughout or state.
    I can't speak for your state....in VERMONT it will be FAMILY members NOT nurses doing the care.
  12. by   CapeCodMermaid
    Quote from Suesquatch
    I think that you might get into trouble for that. Just a guess.

    Suesquatch...you're a master of understatement! (don't flame me...it's meant as a compliment...and some people on here wickedly overreact to some statements others make).
  13. by   SuesquatchRN
    Quote from CapeCodMermaid
    Suesquatch...you're a master of understatement! (don't flame me...it's meant as a compliment...and some people on here wickedly overreact to some statements others make).
    Oh, I'm too tired to flame. One nice thing about aging is that as the hormones diminish so does the getting all exercised about stuff that really doesn't much matter. Like what other people think of me and my choices.



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