Work in LTC ? Does this nurse to patient ratio sound right ? - page 2

Hello everyone. I wanted your opinion in regards to this nurse to patient ratio. Im a new graduate Nurse and this would be my first job as an RN. Im excited, but nervous at the same time. Just recently I was offered a... Read More

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    It's silly to wake everyone up at 5 or 6 am to give a stupid synthroid. We've been giving everyone their synthroid along with 8am meds on 1st shift for years. And guess what? Their TSH levels have ALWAYS been 100% therapeutic. I don't give a flip what theta stupid med handbook says, it is FINE to give synthroid close to breakfast.

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    I regularly have 51 patients every night but have had as much as 103 all to myself for the greater part of month. Its very manageable when most are sleeping. But when you have dementia patients that are up and are a danger to themselves and/or elopment risks, hospice patients at the very end of their journey, fresh surgeries out of the local hospital that no longer has a post surgical skilled unit of their own... it can be interesting. Don't ever let anyone tell you night shift doesn't work as hard as any other shift.

    Besides, in my facility night shift gets all the paperwork that no other shift wants and all the follow up on physician's orders and pharmacy issues, even though no one is awake to respond to our faxes.

    Also don't ever believe that LTC nurses don't use just as much "critical thinking" and assessment skills as any other area.

    I think it takes a special kind of nurse and a specially developed skill set to truly excel at LTC.
    IowaKaren likes this.

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