Quote from iceprincess492
i realize this was not addressed to me but as a don in a very busy snf i felt compelled to answer anyway
first of all you need to realize that the mcr and mcd cuts that you mention were very significant and in order for many facilities to be able to stay in business they have had to make pretty significant cuts in their budgets. think of it like your own home....if you are used to having an income of 4,000 dollars a month and something happens and now you are only receiving 2,000 dollars a month, i'm assuming you would have to make some financial changes to your budget. that is what is happening in ltc right now.
secondly, you also need to realize that for profit nursing homes are a business. as with any business if you do not have good profits you cannot produce a good product. the same is true in snf's....in order to be able to pay for high quality staff, equipment, etc....you have to have a profit. i'm pretty sure that the nurses that work in my facility like to get paid every 2 weeks and would be upset if we didn't make enough of a profit to make payroll...
lastly the way you feel about ltc/snf's and their management why would you want to become a don? it sounds like you may enjoy another specialty more. ltc is definitely not for everyone.
i'd like to be don for the experience.....and the bonuses. apparently the don and administrator and admissions liason get hefty bonuses twice a year, they always cut hours before the end of the year. i don't see them taking a cut in pay, they always take from the bottom when they should start by taking from the top. but, that is jmho. i have been a staff nurse for 6 years and i would like to learn a different side of the business. i know my coworkers, i know the residents, and would like to see the business side. and they must not make enough of a profit if they can't even order enough supplies for us to do our jobs. i work my butt off, get my charting done, clock in, out, take my lunches, have no un-approved overtime, keep my work station clean and organized.....and do some of my aide's work, too, that is not my responsibility. so, in other words, my high quality work isn't good enough for high quality pay??
and, yes, i don't plan on staying in ltc after i get my bsn if i can't be don. i have a specific specialty that i would like to do, as a career. like all "new" nurses, ltc is just a stepping stone for me. if no one in my facility values my opinion and doesn't feel they need to take my concerns to heart then i will find some place else who values my skills more....cuz, obviously, my skills aren't good enough.