1. I had a last minute interview today and everything was going well, untill the last question.
    "Would I be be confident enought to handle 49 residents by myself". and my dumb response was; I am confident enough to handle 49 residents by myself but I would be more comfortable if I had another nurse working with me because that is a heavy work load and you run the risk of having a potential medication era and not being able to chart properly on all my residents. After my response she ended the interview. I messed up big time, i was thinking about the safey of the residents not me getting the job. She said i would hear from her, and she didnt shake my hand goodbye.
  2. Visit Bigmaine33 profile page

    About Bigmaine33

    Joined: Dec '11; Posts: 86; Likes: 11


  3. by   mjo07
    she didn't shake your hand goodbye? that's a bit rude, did you try?
  4. by   mariebailey
    For my last interview, I worried and worried over something NOT said for about a day. Finally, I emailed the interviewer an addendum to my interview. I got the job.
    Moral of the story: If you really want the job, call or email to follow-up; that is appropriate. Then you can bring up the question and amend your answer/provide clarification.
  5. by   LTCNS
    You never know! If you really want to have a shot at getting the job and honestly feel you could handle 49 residents alone, then I would do as mariebailey suggested and follow up with an e-mail. I honestly believe that one thing that helped me land the job I have now, is that I sent an e-mail the next day to the Program Director thanking her for taking the time out of her day to interview me. It couldn't hurt
  6. by   FaithGurl93
    Better for you to had been honest then than to say "i can handle it" and be making mistakes and get fired for it.
  7. by   Bigmaine33
    LTCNS, I take it you work in LTCNS wat is your patient ratio
  8. by   LTCNS
    Quote from Bigmaine33
    LTCNS, I take it you work in LTCNS wat is your patient ratio
    I just recently started working in a clinic as of 3 months ago, but I did indeed work in LTC for more than 16 years. My average nurse/patient ratio was 30 on day/evening shift and 60 on night shift. My first job right out of school was on night shift in a LTC home with 60 residents. There were times when I had one CNA for those 60 patients but we made it work.

    I very well may end up going back to LTC at some point, but I needed a break. To be honest, the only thing I like better about clinic work is the hours and benefits. My heart will always be with the elderly.
  9. by   Bigmaine33
    Honestly how bad was my answer. I don't want to make that mistake twice. I never worked in LTC so 49 seemed above average to me
  10. by   itsmejuli
    I think you gave the right answer. If they expect you to handle 49 patients then you don't want to work there.
  11. by   mariebailey
    Quote from Bigmaine33
    Honestly how bad was my answer. I don't want to make that mistake twice. I never worked in LTC so 49 seemed above average to me
    I think that's what you can amend. Keep in mind I'm just speaking to the interview etiquette component; I'm not in LTC. You can clarify that you are unfamiliar with the typical ratios, but you are qualified and can excel as long staffing is adequate to meet the patients' needs. If this seems high, research the organization and the staffing ratios. Maybe you need to ask her some f/u questions about the organization. itsmejuli may be right.
  12. by   notmanydaysoff
    that's a "damned if you do, damned if you don't" type of question. bleh!

    I try to not answer those types of inquiries directly, cause honestly, you can't win.

    my response would have been in a question form, to drive the conversation away from me. probably something to the effect -

    "do pt: nurse ratios generally run that high"

    "how does current staff manage"

    "is there back-up"

    "what is the pt acuity"

    seek information. that's (almost always) legit.

  13. by   AngelicDarkness
    OP you were honest with her and I applaud you for that. I remember my first interview being scared about the ratio being much higher. I was hired on as a night charge nurse for a RH of 105 patients. I remember being nervous but I accepted the challenge. I learned so much experience from it - it truly made me a better nurse. The best way to see if your able to is to accept the training from the facility. After training with a mentor you will know how much you can handle
  14. by   Maremma
    Honesty is ALWAYS the best policy! 49 patients? Really? How heavy are the med passes? How many chem sticks? How many g-tubes? How many crushed med patients Etc? Could you REALLY safely and accurately get them all out in the two hour windows (three if they split the halls for admin times) What ELSE are you ALSO responsible for in an 8 hour shift?

    Unless you know what you are REALLY dealing with there is NO way to honestly say you could handle something or not. On an overnight shift sure 49 may be doable but day or second? I would question ANY nurse that would say "Oh sure piece of cake" and not even know what all is involved and expected of them.

    I work with some of those type. Umm they also sign for meds that aren't even opened yet or even in the building. The patients "mysteriously" always have super high chem sticks only after THEY worked the shift before me. The patients supplements they signed for are still in the fridge when I go to get mine for my shift. The patients are literally lined up waiting for me to come in to tell me something is wrong because "They tell other nurse's but they don't DO anything about it and so they have given up on them" What about the patients that CAN'T come and tell you something is wrong?

    Is THAT the kind of nursing YOU want to be providing? Probably not and that is exactly why you questioned whether you can REALLY do what they are expecting you to do. Consider how you would feel and what would happen to you when you are scrambling to get all those meds out safely and someone is deteriorating but you are so frantic getting meds out you missed it?

    You absolutely did the right thing by questioning this and being honest. Now if ALL nurse's would just have that good conscience and not pretend they can do more than we really can humanely do maybe things would change for the better for both nurse's and patients.