you know there is good and bad with LTC, when the residents say I am so glad your on today. It is not all a bed of roses. I have worked on both sides, nurse aide, then LVN, working currently on my RN, I teach the nurse aide class and do mds's/careplans with minimal help from IDT people. Our facility usually does not smell bad. We got a gal in the kitchen that can make a mean plate of enchiladas for $3.00 can beat MCDonald's anyday. I have seen good and bad adon's and good and bad DON's, I have a Don that is a bit on the lazy side, smoke breaks probably more than being actually inside the building. What I started doing is taking her to trainings with me putting out nice notes when I see her follow up on things. I know in a perfect world would not have to do this. But god forbid the last DON come back --- Telling all the family members that medicare pays the whole 100 days period lol. Yes good to vent about it. Yes you probably need more training but do you know her duties?? Has she been trained to train you?? Our RN consultant was stuck at a sister home with an IJ for a month before my boss was even shown our systems. Have to always look at the total picture. I really dont think most nurses get into the job just for a paycheck. The education part is the key. Like getting out there and turning folks to show them how to do it, proper body alignment. Show them how to make rounds, what to look for, teach them time management skills and encourage LESS TEXTING while on duty-- (drives me insane) I have worked in some big cities nursing homes an been afraid of the staff I worked with back when I was a young nurse, so I learned, "ok girls come on I will check these 3 rooms for you if you go get that light over there, then we will go turn them all together" I sure dont have all the answers but seems like more teamwork and less worrying about all the things the management or nurse is doing wrong would help a little. I teach my nurse aides when they come to work you dont have to like each other but while your in the building you have to work for the good of the resident. and some of that stuff like not getting your paycheck correct there are things you can do about that. If your DON is dogging you try to ask for a time to talk about how you can make things better for you and your residents? Conflicts dont get resolved if you dont talk about it. Sometimes if I have been so miserable working with unreasonable Don's, higher up's and could not get a resolution that worked for my own sanity and peace I did change jobs. But I always start a job hoping to stay there at least a year. I feel that is ample time to really see how things are going to be sometimes you have to get out sooner. NOt encouraging any of you to leave LTC-- we need nurses I never was upset with a nurse that came to me and said you know this is just too much I think I am going to work at home health, the hospital etc.. Everyone has a nitch. I want to motivate you to help someone you work with even if just bringing in some candy or fruit or special lotion for everyone to share. Or when they really need to get this guy off to PT but have to fill out meal intakes we go record a couple of intakes or answer a call bell. I am talking about DON's, Adon's Mds people , housekeepers offering to pick up your trash in your office those types of things for us all and you will see good things. We made a board and put thinks like WOW thank you ____ for completing your flow books, Thank you for cleaning out the fridge night shift, etc.. WE give movie tickets on pay day to the ones that are working extra. Kind people rule!!