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Cinquefoil, BSN, RN 5,675 Views

Joined Oct 3, '08. He has '2' year(s) of experience and specializes in 'Med Surg, Home Health'. Posts: 200 (35% Liked) Likes: 239

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  • Aug 28 '16

    If you like working with the elderly but don't like LTC nursing, have you considered home health or hospice?

    Hospice is what I'm headed for. I work in LTC but I almost always click instantly with the hospice RN's. Dying doesn't depress me as much as poor patient care, and I've also seen people improve and be taken off of hospice after enjoying the increased support hospice can give.

    Hospice nurses are generally ENCOURAGED to sit down and really get to know their patients....many nurses know they could benefit from doing this and would like to take the time, but are discouraged from this by caseload. Many hospice agencies make sure to do things a bit differently. So if you like quality time with the elderly, hospice might be another option for you.

    PT sounds fun too - I agree that PT's in LTC seem to have found a decent spot, and are also encouraged to actually have fun with the residents because then the residents *GASP* enjoy the PT and want to do it again! But of course I'm not a PT myself so take this with a grain of salt

    Finally, have you considered geriatric social work?

  • Aug 10 '16

    From the oral care and skin conditions you're describing it sounds like the care isn't getting done on the other nurses' shifts, either.

    Management is not responding to the chronic shortage of care by offering more support but by reprimanding the CNA's. Tread carefully. I don't know your CNA's so don't know if they're really doing their all, but what this means is that your management is treating a SYSTEMIC problem of lack of care and understaffing by trying to apply PERSONAL pressure to the employees. They sound aware of the lack of care but OK with it as long as the budget is happy.

    I have several friends who are CNA's that have worked these ratios and they describe them as "h*ll". And these are Type A, VERY hardworking people, who have genuine compassion for patients yet acknowledge that they had no time to do much other than brief changes, and sometimes not even that.

    If you're getting any nursing care done at all with all the extra work you're doing you rock. If you're only missing "a few" major nursing actions you're downright amazing.

    You may want to consider looking for another job. It doesn't sound like you can save this unit.