High turnover in LTAC's? - page 4

I was wondering if there is a high turnover in long term actue care and if so why?... Read More

  1. Visit  Here.I.Stand profile page
    1
    it's long termACUTEcare
    Esme12 likes this.
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  3. Visit  virgojd profile page
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    OMGSH! you have just described the facility I started working at a month ago...... I hate my job. I am stuck here because I am in IPN. I made some mistakes in my past and have since paid the price three fold. now, I can only find a job in LTAC. I am on the sub acute unit. everything you describe fits. I am an RN. The LPN's just don't care and neither do the CNA's. there may be 2 LPN's that give a crap, but have no skills per se. I am a 30 year O.R. nurse, so there are no past nursing skills I can use except with PICC lines, etc..... maybe. it's so overwhelming. I just want to go back to the OR...... HELP ME GOD!
  4. Visit  Esme12 profile page
    2
    Quote from virgojd
    OMGSH! you have just described the facility I started working at a month ago...... I hate my job. I am stuck here because I am in IPN. I made some mistakes in my past and have since paid the price three fold. now, I can only find a job in LTAC. I am on the sub acute unit. everything you describe fits. I am an RN. The LPN's just don't care and neither do the CNA's. there may be 2 LPN's that give a crap, but have no skills per se. I am a 30 year O.R. nurse, so there are no past nursing skills I can use except with PICC lines, etc..... maybe. it's so overwhelming. I just want to go back to the OR...... HELP ME GOD!
    This kind of got off track. You are in LTC this is about Long Term Acute Care a different animal. Long Term Acute care is an acute care hospital with all patients having complex medical issues but have run out of days. These patients are transfused and have chest tubes. Most LTACH facilities have ICU's with lines and vents.

    THere is a MD on duty in house they ahve x-ray and some have a lab. The nurse patient ratio is greater like 8-10 patients a nurse on nights. ICU is 3 to 1. They have drips and complex lines. But these are long term acute patients with multiple co-morbidities and complex hospital stays. I ahve seen halo traction. The ICU patients are vented and not necessarily trached.
    Here.I.Stand and mso819 like this.
  5. Visit  virgojd profile page
    0
    no, it's an sub acute care unit, not LTC. we have chest tubes, vents, post cabg pt's. we have an in house PA and a dr that come 2 times a week. no one stays longer than 100 days.
  6. Visit  Esme12 profile page
    0
    Quote from virgojd
    no, it's an sub acute care unit, not LTC. we have chest tubes, vents, post cabg pt's. we have an in house PA and a dr that come 2 times a week. no one stays longer than 100 days.
    Right but it is sub acute...an LTACH is accredited as acute care....like any other hospital. These patients are acute care. The MD is in house like any other hospitalist. They have intensive care units and manage critical care drips.

    Long-Term Acute Care Hospitals (LTACHs) serve patients with complex medical needs who require longer hospital stays and highly specialized, expert care.


    Most patients admitted to LTACHs arrive from traditional hospitals, referred to as acute care hospitals, with many patients admitted directly from a hospital's intensive care unit for the specialized programs of care offered. Many of these patients have medically complex conditions. For example, many patients are ventilator-dependent and need the continued level of treatment and care provided by a long-term acute care hospital, such as pulmonary and cardiac monitoring.

    LTACHs differ from chronic care settings, such as skilled nursing facilities and sub-acute care settings. LTACHs focus on treating critically ill or high acuity patients in an intensive way, using individualized treatment programs and medical expertise geared towards the patient's illness and requirements.

    http://medres.med.ucla.edu/Practices...%20Options.pdf


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