Will I ever get out of LTC or am I doomed? - page 2

by JZ_RN

10,806 Views | 53 Comments

I am a newer grad. Graduated last summer. Only job that even gave me a chance is LTC/sub-acute rehab. I hate it. I want a hospital job, desperately. Even a clinic, anything but this kind of nursing. All I do is pass meds, do... Read More


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    a post i made to another person in a ltc thread criticizing a venter-

    it is not that we don't care for the elderly, i love my residents, but when i have so many that i have no time for them, or no supplies, or run out of meds and no pharmacy is available, or get staff cuts mid shift, or management wants to yell at me for things i have no control over because of their poor staffing, the nursing home is not an ideal environment to work. i have nothing against the elderly, and while i do get frustrated with behaviors, they are still people and deserve care, but i also deserve a decent place to work where i have the tools and time i need and am treated like a nurse, not a robot slave to abuse, and that is why i would love to get out of ltc. if my parents ever need care like that, they will move into my home and have a private duty nurse. i cannot stand the philosophy of nursing homes, just because they are not "acute" doesn't mean one nurse can care for 50 people at one time!
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    I'd say those of you who hate it...get out. We don't need people who hate their job so much taking care of frail people. Don't you think they get that you don't like being there so it makes them feel you don't like them. And for the person who said the patients mess up YOUR routine??? Really??? Being old and having to live in a nursing home is messing up their lives. Go work in a derm clinic.
    workingmama77, NoonieRN, onyx77, and 7 others like this.
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    Quote from JZ_RN
    All I do is pass meds, do basic, and rushed assessments, irrigate foleys, change bedsore dressings, chart, do fall work, and get yelled at, and the population I care for (elderly, dementia, or rehab and very needy and frankly a lot of them are abusive and drug-seeking) feels like glorified babysitting.
    Oddly enough I see much of the same type of comments posted from the hospital nurses. I would imagine with the baby boom generation exploding into the geriatric population that they will take up the bulk of hospital type admissions.
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    Quote from JZ_RN
    Oh please, egglady. As if you do not have patients that drive you nuts. I go out of my way to make sandwiches for people at 3 AM. I ambulate patients who just want to walk but it's night and the aides are all busy. I love my residents, but this is NOT the nursing I wanted to do, SO SORRY I am not so self-righteous as to not admit my frustrations. If you love every part of your job while getting punched by alzheimer's patients just because you approach them and said "Good morning" when they were already awake, you must be some kind of angel that I know doesn't exist. I will sit and have nonsense conversations with patients when they are confused. But I am not gonna sit and listen to a patient complain for 2 hours or call me every swear word and name on earth and pretend to love it. I won't pretend like passing pills for 5 hours a night is giving me useful "skills." I don't have disrespect for my patients, it is the care style in LTC facilities that I can't stand, 50 patients for one nurse, please. Just, please. If you have never felt compassion fatigue you must be some kind of saint, but I am sure that your post is just someone on their high horse while someone else vents. Like you've never felt burnout because of your work environment. Please get over yourself, oh mighty respectful of the elderly, always positive, never frustrated super-nurse. I feel sorry for your patients, if they complain you must give them a lecture. Can't someone just vent, jeezus.
    yup, I have those that do drive me nuts, and yup, I have been hit, kicked, spit on and everything else. It is the disease of dementia doing the combative behavior. you need to separate the disease from the resident. My grandmother wouldnt have hurt anyone for any reason ever, ever. Her dementia caused her combativeness. LTC isnt for everyone. My post wasnt made as a personal attack on you. LTC isnt a "stepping stone" like some may think. It just could end up being the hardest job you will ever love!! sincere good luck to you, again my post wasnt and isnt a personal attack...
    NoonieRN and onyx77 like this.
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    Quote from CapeCodMermaid
    I'd say those of you who hate it...get out. We don't need people who hate their job so much taking care of frail people. Don't you think they get that you don't like being there so it makes them feel you don't like them. And for the person who said the patients mess up YOUR routine??? Really??? Being old and having to live in a nursing home is messing up their lives. Go work in a derm clinic.
    I doubt it, because I am always kind and pleasant to them, and I never get upset at work, I stay calm and smile. So no. Just because I don't love every minute of it doesn't mean i am bad at my job or that I don't care about my patients. Really? If you guys are so un-frustrat-able, maybe you should be canonized. Honestly I never expected so much rudeness from fellow nurses, you of all people should know the difficulties that come with this job.
    Miss Molly and Bella'sMyBaby like this.
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    I hear you JZ. It's definitely frustrating. I have been doing LTC for 9 months - only job available after graduation last year. I have been applying to hospitals. I recently called a family friend who is an MD to ask for some help. It was kinda humiliating but after much prodding from friends I did it - they say "its called networking!" I say it's groveling. Anyway he was more than happy to help and placed a call to HR. He called me back and said "they are reviewing your resume as we speak!". For days I jumped for joy every time my phone rang. Well, it's been 2 weeks. I think what's missing is acute care experience. (duh!) So I decided to get ACLS certified. Maybe it will boost my chances of getting hired in a hospital, who knows. It can't hurt to have it, it's a good refresher after not being in school for a year. In the meantime, keep the smile plastered on. Give the best care you can - given our limited staff/supplies/support. After a recent heinous day from hell my nurse manager came out of her office (rare) and said "i don't know how you do it! I really don't!!" Really?!!
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    Nurse 456- thanks for understanding and offering advice rather than just bashing when I am frustrated clearly. Some of our managers have come in to work shifts recently to cover call-offs (people hate coming to work, not just me, guess we're all bad nurses) and they struggled, sweated, made mistakes, and barely made it through.. hope some of that reflects in our next nurses's meeting instead of them just yelling at us like slaves who didn't work hard enough.
    Bella'sMyBaby likes this.
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    I'm sorry, JZ, that you are feeling this way. However, it is coming across in your posts, and not just on this thread, that you are more than frustrated. IMHO, you are burnt out. I think you need to take a vacation, look at where you are at right this moment, and make a decision and then follow through with it.

    It is fine to vent and rant, however, when your feelings are starting to color your objectivity, it is time to step back. Only you are able to make the changes that will make you happy.

    Hope things start to improve for you.
    NoonieRN and onyx77 like this.
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    I had had a particularly bad day this day so maybe it does seem like I am more than frustrated. I am physically, mentally, and emotionally exhausted by this job. Because of my exhaustion I can't have any life outside of work. I wish I could take a vacation. I really do. I love my patients, but when I literally run for 13 straight hours without so much as a break, lunch, or pee break (yeah I have a UTI right now) and the patients are demanding more, management is demanding more, and everyone piles on the work but never offers help, I feel like, what am I supposed to do? I want nothing more than to do a good job, but this place is killing me. 4 hours of med pass, then 3 of treatments, then 2 of charting, then usually a fall or a skin tear or a foley issue, or a screaming person, it takes 15 minutes of forms to give a PRN, no one to cosign anything, no one to relieve me, aides don't want to help, it's like drowning, never catching up.


    I have this weekend off so at least I can sleep more than 6 hours before another 13 hour shift.
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    Quote from CapeCodMermaid
    I'd say those of you who hate it...get out. We don't need people who hate their job so much taking care of frail people. Don't you think they get that you don't like being there so it makes them feel you don't like them. And for the person who said the patients mess up YOUR routine??? Really??? Being old and having to live in a nursing home is messing up their lives. Go work in a derm clinic.
    Really CapCodMermaid??? You make it sound like it's so easy to just quit and find a new job. Well, I got news for you--IT'S NOT! And just because someone doesn't enjoy LTC most certainly does not mean they are abusing their residents (you're dangerously close to accusing previous posters of abuse with your comment "We don't need people who hate their job so much taking care of frail people.").

    If you would take the time to read my previous posts, you would see that I did NOT say the residents mess up my routine. I said a skin tear or fall messes up my routine, meaning that all the paperwork I have to fill out is monotonous (was talking about the facility making my night difficult, not the residents). I am well aware of how living in a nursing home affects their lives. My dad ended up in a nursing home and then PASSED AWAY in one. And for your information, I would love to work in a clinic. However, none of them in my area are hiring LPNs at the moment--they all want medical assistants. I've applied at every single one within driving distance. I have a family to support and cannot afford to quit my LTC job just because people like you think they know everything and are perfect.
    DizzyLizzyNurse and JZ_RN like this.


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