LTAC (Long Term Acute Care) facility? - page 2

by Bridey 17,953 Views | 24 Comments

I recently attended a job fair at a local facility (SE Texas) that's called a "free standing LTAC". They're apparently a step down from the hospital and provide care for patients who need care that lasts anywhere from 20-60 days.... Read More


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    I had my last quarter of clinicals in school at a Kindred Hospital in Fort Worth. I loved it, and they do readily employ LVN's there. It's defininetly fast paced and not at all like a nursing home. It's more like med/surg with sometimes very acute patients. This particular facility did employ CNA's, so the nurses did not have to do total care. From what I understand, the pay in LTAC's is far better than in a traditional acute care hospital. Good luck to you!
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    Quote from TheCommuter
    I am in North Texas, and LTAC hospitals are a "dime a dozen" around here. There's Kindred, Lifecare, Regency, and a whole slew of others.

    These places tend to pay very well, offer good benefit packages, and entail plenty of nursing skills. However, the nurses who work at these types of facilities are expected to perform full care on their patients, at least in my area.
    so commuter you are saying there are no cna's in these places
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    Quote from TheCommuter
    I am in North Texas, and LTAC hospitals are a "dime a dozen" around here. There's Kindred, Lifecare, Regency, and a whole slew of others.

    These places tend to pay very well, offer good benefit packages, and entail plenty of nursing skills. However, the nurses who work at these types of facilities are expected to perform full care on their patients, at least in my area.
    My assumption is that you mean they didn't employ CNA's at the places in North Texas, is that correct? At this particular hospital they do employ CNA's. Thank goodness for that. I really think team nursing is the most beneficial for all parties involved... coworkers & patients alike.

    From what I have been told, patient/nurse ratio is 4-1 or 5-1 in Med-Surg & Med Tele... and 2-1 in ICU. I guess I'll find out in 15 day or so. I accepted the job offer and will be attending orientation on Sept. 18th. The pay is nowhere near what I made in California, but I'm also not paying what I would in California for a 3 br house. And the benefits package is pretty awesome and starts just 30 days after employment. Pretty awesome.
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    Hello Bridey Like Commuter, I am familiar with Kindred and LifeCare as they have many facilities around the U.S. Most "nursing homes" have moved past the long term pts. and have acute care units within them. It is a great way to sharpen your skills and learn. I relocated to the south from a hospital position to a LTC facility. I was surprised to see that most "Nursing Facilities" are not just nursing homes now. I also found that most of these facilities are willing to invest in spending more on the employee's education. As the needs of the facility are changing, so will the challenges. Most facilities pay well because they need the type of staff willing to step up to the new needs of the patients. So try it out, I don't think you will be dissapointed.
    TheCommuter likes this.
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    Quote from Bridey
    I recently attended a job fair at a local facility (SE Texas) that's called a "free standing LTAC". They're apparently a step down from the hospital and provide care for patients who need care that lasts anywhere from 20-60 days. The acuity level seems to be pretty high (post MI, CABG, CVA, Sepsis, Burns, MRSA/VRE, Chronic Pain, multi-system failure, vent dependent, etc). There's even an 8 bed ICU.

    Anyhow, this is a new concept for me. I don't even know that there are facilities like this in California (where I started my nursing career). If there are, I've never heard of them. I used to work on the Skilled Rehab unit of a Long Term Care facility that had patients with similar acuity levels, but this place I attend the job fair at was really nothing like my former job.

    This place has a 4-1 ratio in Med-Surg and Med Tele. And in the ICU it's 2-1.

    Do you have LTAC's where you live? Has anyone worked at one before?

    Just curious because this place offered me a position and I'm seriously considering taking it. It almost sounds too good to be true though... LOL
    I did my clinicals in California at a LTAC and there stay was limited to A 30-60day stay. These pt were post CVA, CRF, heart failure, horrilble decubs, MRSA, COPD, g-tubes, aspiration pneumonia with trach's, ventilators, osteomyelitis, and much more. There was a 4 bed ICU and the med surg floor held about 60pts. RT was staffed, wound care nurse on every wens, physical therapist. This facility was intense and alot of work. It would be a great place to get alot of experience.
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    Quote from softstorms
    Most "nursing homes" have moved past the long term pts. and have acute care units within them. It is a great way to sharpen your skills and learn.
    This is so very true. I work at a nursing home. However, I work on a short-term rehabilitation unit where the typical patient is discharged home in 2 weeks.

    I deal with mostly postsurgical patients who are too deconditioned to go home. These patients are CABGs, knee and hip arthroplasties, thromboembolectomies, hysterectomies, post CVAs, fractures, and so forth. One time I received a gentleman who was badly beaten and robbed, and needed reconditioning. Many of my patients are middle-aged, and wouldn't fit the description of the average nursing home patient.

    I regularly give drugs via IVPB and IV push, especially antibiotics. I remove sutures and staples, dress complicated wounds, operate CPM (continuous positive motion) machines, iceman machines, oxygen tanks, concentrators, and PEG tubes. I had been employed on a traditional long term care unit for a year, and I had not been exposed to some of these skills.
    WickedRedRN likes this.
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    I was just reading this thread and thought I would look to see if any of these facilities are around here and not one could be found. There are some a few hours away or out of my state of Illinois but none in the immediate area. I thought if there was one it would be a great place to actually utilize my LPN skills, but I guess it's not in the cards for me yet. Sounds like a neat place to work.
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    Does anyone know if there are facilities like this around Omaha, NE or Council Bluffs, IA?
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    I am in Louisiana. We have a LTAC facility attached to one of our Hospitals. LC Memorial. While they hire LPNs, you have to have several years experience. Memorial hires LPN's right out of school and is a teaching hospital. So, those interested may transfer before they hire from the outside! I do not see this particular facility advertising for help all that often. While I have not been in the LTAC, I have heard many good things. Lower ratio for one. I think that it is an awesome place to put skills to practice and learn new ones. However, I DO NOT think it is easy. I think you did well because you have alot of experience in assessment and time management. The fact that they were at a job fair could be good or bad. Find out why they are seeking new employees...expanding, had a couple leave for various benign reasons...or was there a mass exodus of employees? Ask around. People will talk. The place as a concept is great. It is the management that will make it worth working for.
    Last edit by BayouLPN on Feb 24, '08
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    I'm N.E. Ohio- they are pretty common around here. Hospitals used to be able to lease out an unused floor to an agency that woud open up a LTAC center. The feds have stopped that as of this year- it made too much sense I guess. I've never worked at one but the centers in this area seem like a nightmare. The patient you couldn't handle 1:2 in ICU with multi-system problems is on a floor with 1:5-6 staff to patient ratio. The outcomes at our local LTAC units aren't as rosey as we would like. I pray I can get better or die if I end up in ICU before I run out of approved days. The poor souls that get turffed to a LTCA center seem to be in limbo- to healthy to die to sick to recover! Great place for experience, but it is an experience I would rather never have.


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