CoffeeRTC, BSN 15,898 Views
Joined Jan 22, '03.
CoffeeRTC is a RN LTC.
Posts: 3,581 (23% Liked)
Another initial post from a first-timer!
I was mandated so much in my early career at a LTC, that it's a make it or break it issue with me now. I haven't been mandated in probably 20 years, if it happned I'd stay over, but only due to my license. I would seriously hold it against my employer though and give my notice as soon as I could secure another job. Recently they hired a RN that appeared less than reliable to the shift following mine. When I asked my supervisor what she would do if that new nurse didn't show that night, she insinuated I'd have to stay (The nurse did show up). Needless to say, that didn't sit well with me and I immediately found a new job. I'm too old now and will not play the mandation game for any employer; they might stick me once, but then I'd be out.
I have written similar orders in the past, and in doing so, I was aware I might be getting a phone call instead of the on-call. I can say that when a note like that is written, it is done for a reason; providers aren't just monsters that want people to suffer and perhaps the short-term pain from a foot fracture is less damaging to a patient than getting re-exposed to pills they previously suffered with.
there is an order that specifically states "Do not call the on-call MD for pain meds"
LTCs and SNFs are looking for RNs more and more all to meet the expectations of the 5 star rating system. There will always be a need for RNs.
I haven't seen The Family Feud since the 70's....
You all have free coffee at your facilities?!
Free coffee? What's that?
Time me to drink coffee? What's that?
What if the coffee brand was very good coffee and for a competitive price? Would you then lean towards purchasing it, because it expressed recognition for the nursing field?
AvaRose, did you find out what happened with the patient?
So..your facility admits patients,recovering from a NSTEMI..with no monitoring equipment available,and Nitro SL not available? Seems like you have bigger fish to fry..including your license.
And perhaps they wanted experienced nurses. LTC/LTAC isn't the no-brainer that people often think it is. It's a tough specialty, in more ways than one.
I tend to agree. I work in a SNF- LTC/Rehab. Assessing, charting, and medicating 30 sub-acute patient of all types and ages with multiple comorbidities, with more scripts than CVS, requires more skills than 4 nurses possess. We have 2 per shift.
Thank God I was an EMT in another life because I've had 3 people circling the drain due to various reasons that had to be sent back to the hospital they came from as 'stable'. Sometimes LTC is more reminiscence of battle field triage with all of the casualties and none of the help of a modern hospital offers.
I've had patients with drug seeking behavior being self medicated by family after I already hit them with Roxy, a violent dementia patient who almost broke the wrist of another nurse (we have no standing orders to chemically restrain) and a CVA who refuses thicken liquids but constantly aspirates everything.
We also have a problem with the life safety system alarms going off at random times through out the night waking everyone up. A gas leak threatened to close the facility and took 3 hours to resolve after the fire department and maintenance showed up 3 hours later. Security walked out one night and left all of the external doors unsecured for all of our exit seekers to find. All of this occurred in one month.
Please, tell me more of this non-complex LTC land of unicorns and rainbows, of which you speak, because it must be somewhere over the rainbow from where I work.
(We get in trouble if we file a time exception slip.)
Tell them anything that will comfort them.
Advertise With Us