Latest Comments by LTCangel

Latest Comments by LTCangel

LTCangel 4,304 Views

Joined Nov 8, '05. Posts: 85 (49% Liked) Likes: 137

Sorted By Last Comment (Past 5 Years)
  • 2
    TheCommuter and chaos0058 like this.

    I agree with The Commuter! Too many new grads think that the only place to work is in the hospital. If that's your idea, it's just not a valid one anymore. Look ANYWHERE that will give you a chance and that you can begin to hone not only your basic nursing skills but also your critical thinking skills. Anywhere there are patients to be taken care of, this is where you want to be, even if it is LTC/SNF. Most of these residents have multiple medical issues and of course multiple meds, all of which means many many opportunities to learn and to make decisions. LTC has often been looked down upon by RNs but it is a valuable place to learn and take that experience with you as you make other career moves in the future! Good Luck!!!

  • 4

    Well as the previous poster said, she learned all of those skills in the first week! So will you. Hospitals don't always give the best orientations either and when they are finished you are also on your own so to speak. My very first job was as an LPN in LTC. I was Charge Nurse. At that time the facility didn't even staff any RNs at night. I learned so much in that 1 1/2 years that I can't even begin to list it all! You will NEVER learn your critical thinking skills if you don't start using them! I would definitely ask for more orientation time but if there are going to be other RNs or experienced LPNs in the building there is nothing that you cannot learn to do! I know jobs are hard to come by right now and you really need to get some experience in order to even go to another job. Sooo... I say go for it!!
    P.S. If it sucks you can always give your notice,

  • 2
    nola1202 and handyrn like this.

    Ok, first of all I would like to say that I just finished "orientation" at a local LTC facility and it sucked! I just came from working 14 years in a hospital so my Nursing skills are up to date and I am very confident in them but this facility has failed to show me and make me comfortable with their policies and procedures and especially their paperwork. Oh just little things like, admission paperwork and charting, incident reporting, death papers and the procedures, etc. I got 3 12 hr nights with the RN Supervisor who had me working with her on the skilled unit( a much smaller unit) and then I came back for my next 3 orientation nights and the nurse that was to orient me had had surgery and instead of replacing her they threw me on my own with 40+ residents that I knew nothing about! Now I'm a big girl and I know Nursing can be brutal and I can take a certain amount of beating but I felt this was very unsafe and uncalled for. When I complained to the Nurse Practice Educator( who by the way said I could ask for 2 more weeks of orientation if I needed it), it turns out she was the one who told the scheduler that I was ready to be on my own with Supervision. Only one of these 3 nights included a Supervisor. This was Memorial Day weekend so you can see what happened. They threw mw to the dogs! When I was hired in, the DON(who is new) tld me she was trying to make positive changes. I had a discussion with her and told her I wasn't thinking her positive changes were taking effect! I got 2 more nights od orientation and that's it. I'm on my own. So when you are thinking about orienting someone, start by asking them what they are already comfortable with and see what they feel is important to learn. Also be sure and make them a little packet with examples of all of the paperwork they will need for all of those emergent or serious situations. any seasoned nurse can pass meds and do treatments, it may take longer in LTC but it's a basic skill unless they are a new grad. Make sure they are comfortable with knowing all those things that you take for granted now. I am still trying to decide if i want to look for another job or just stay here for a while and give it a chance. Needless to say, I have a sour taste in my mouth.

  • 3
  • 1
    Chin up likes this.

    At my facility, each unit has a sheet printed out for each hall with room numbers, names, and how they take their meds with space to take notes. since I'm new it's been a life saver and a great time management tool. It is not supposed to leave the facility and i put it on a clip board so I can keep it with me and not lose it. I don't think this should be on your PC though. Maybe you can type up one with room numbers and leave room for names and fill them in at work. Make copies for yourself and leave them there at work so you will have a fresh one each shift.

  • 0

    In the hospital you may still have to work the same type of hours, I know I did for 14 years mostly all nights. I would work 2 off 2 work 2 off 3 work 3 off two or some variation of this. I am now just starting a new job in LTC- floor nursing in the hospital has taken it's toll on my body. My schedule will be work 3 12 hr shifts and off 4. That's actually much better! I am just trying to adjust to LTC polices and procedures versus acute care. Also the 9pm med pass is killer! I am working on my MSN, so unless some dream job comes along that I can't resist, I think I will hanf out where I am until I am finished with school. I hope to become a Nursing Instructor. Even with all of my skills and 15 years of experience I have some trepidation about the new environment I am in. I know it while to feel comfortable. So just relax, it will get better, and if you desire to work in a hospital start looking at ehat's out there.


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