High turnover in LTAC's? - page 3

by nursingilove 15,667 Views | 43 Comments

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


  1. 2
    Gee...I was 'scolded' and didn't even realize it.I know the difference between LTAC and LTC/SNF levels of care. And I know the difference between subjective and objective. It bothers me when anyone makes a blanket and often incorrect statement about nurses who work in long term care.
    BuckyBadgerRN and SleeepyRN like this.
  2. 0
    I think the OP question was answered about the turnover rate in LTAC's. We are all nurses and we all follow physician's orders and we all experience varying degrees of autonomy depending of off shift physician coverage.

    Will close.....for staff discussion
  3. 0
    Due to multiple requests, we have opened a new forum: Long Term Acute Care (LTAC/LTACH)
    and moved thread here.

    Come and visit to see all the chatter about LTAC
  4. 1
    I currently work in a LTACH (Long Term Acute Care Hospital), completely different from Long Term Care. As someone said before the patients are very sick, many are total care. Lots of vents, trachs, wound vacs, feeding tubes, central lines, telemetry, etc. I started there as a new grad and have been here for a over a year. I have learned sooo much! A float nurse once told me that if you can work in an LTACH you can work anywhere. There is a high turnover rate where I work. Many nurses start here as new grads and after a year or two move on to specialty areas. That's the main reason nurses here leave. CNA's often leave because the work is very difficult physically. Our team work is great, we nurse always pitch in and help, there is no task that is beneath us but it's still hard because they have anywhere from 10-15 patients a shift. Overall this has been a very valuable experience, it hasn't been easy but I'm grateful for all I have learned. One more thing, our patients and their families are with us for an extended period of time so we do get quite attached, it can be difficult when they pass away.
    KimberlyRN89 likes this.
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    Quote from Esme12
    Working at a a LTAC will give any nurse experience beyond belief. Unfortunately.....Hospitals still view them as "nursing homes" due to their lack of understanding of what an LTAC is....even though they send the patients they failed to get home. So a nurse who has worked at an LTAC has more selling to do about her experience than other nurses in acute care.
    I'm a new grad working in LTAC and I can't agree with this more...everything Esme said is spot on. I have gotten tons of experience with "chronically, critically ill patients." These pts are basically the ones that have survived major traumatic insult who, 20 years ago...some even 5-10 years ago, would not have. They come to us with multiple active disease processes, many of them (somewhere between 50% to 70% in our LTAC) with antibiotic resistant bacterial infections. They have chronic wounds, both DQs and surgical. One shift that I worked, I had a patient that was a longtime anorexic who had developed pneumonia and been hospitalized in ICU. The patient was discharged to us for wound care and nutritional monitoring. The patient 13 pressure related wounds from the weeks spent in the ICU at the critical care hospital. Lately, we've had a rash of abdominal wounds; massive ones, with huge wound vac sites...some of them with ostomies exiting the abdominal wall through the wound bed. It's challenging; stress is HIGH, time is short, and supplies can be near impossible. And as Esme said, many hospitals still assume that LTACs are LTCs, *EVEN THOUGH* they're discharging their most ill patients to us! That means when you're ready to move on you really have to push that you know your stuff and that you have the multitude of experience that you have. You *have to* "sell it." It's not for the faint of heart or the slow learner. They won't hand hold, but they will teach. Be prepared to ask questions.
    Last edit by mschrisRN on Sep 5, '12 : Reason: wording
    Esme12 likes this.
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    my pt. load is 55-60 with 3 CNA's. i'm running as soon as i can.
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    Quote from P-medic2RN
    my pt. load is 55-60 with 3 CNA's. i'm running as soon as i can.
    Are you in Long Term Care/SNF?

    I believe they are talking about Long Term Acute Care Hospital. A totally different place. If that staffing is at an LTACH you need to leave!
    texasmum and BrandonLPN like this.
  8. 1
    Quote from P-medic2RN
    my pt. load is 55-60 with 3 CNA's. i'm running as soon as i can.
    Even if this were on a low acuity long term ward, this would be pushing it.
    born2circulateRN likes this.
  9. 0
    Yeh that's overkill. These pts are a sick I think 6 pts is enough to cover. 56 no way. That's the whole floor???
  10. 0
    It has to be LTC or SNF....


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