I work in a LTC, since our move last July. I'm a charge nurse on the night shift. I love my job and the residents. When I walked into this particular LTC, I knew I came to the right place.
I have worked there for more than six months now. I haven't given any enemas so far. I do give suppositories in the early am, but it's not that awful. It's a routine, I'm use to. My duties can vary each night, yet most is just that routine.
When I come onto work, I count narcotics with the evening med-aide.
Then the evening nurse gives report.
I get the night assignments ready for my two CNAs.
Prepare the Vital Sign Sheet, I&O sheets and 24 hour Report sheet for that night and the next days shifts.
I do treatments, order meds, pass night meds, there isn't very many at night due to the fact that our facility feels the residents need their sleep.
The CNAs do the vital signs and I&O's, etc. I do the charting on residents on Alert, call doctors when needed and take doctors orders, prepare paper work for residents going to appointments the next day. I assess the residents on Alert.
I also have done IV Piggybacks, suctioning, tube feedings, wound care, suprapubic cath changes, Catherizations, lab collections, etc.
My nights can be very busy or quiet and easy going. I'm also IV Certified, so I can start IV's when needed. We are a skilled facilty.
I also have busy work for quiet nights. There is always something which needs to be done, that the last shift had no time for.
Day shift and evening shift both have med aides which pass the meds, plus the med-aides do the enemas, on those shifts. We only have a few enemas maybe twice or three times each month. It's really not an everyday thing anyway. We have an excellent bowel care program.
Being a new nurse is scary. Any new job can be scary. Working at Walmart can be scary if you are new. (To me starting each day doing their chant would be un-nerving.) (Sounds more like a cult instead of a job.):roll
When you are applying for a job, be sure to ask about orientation, how long will it be, do you get a chance to orientate for all shifts. I was lucky I received a 3 week long orientation on all three shifts, (one week each shift) so I'm well prepare.
I hope this helps some. Sorry this post is so long. Good luck.