ltctravelnurse 576 Views
Joined: Oct 17, '03;
Posts: 8 (50% Liked)
; Likes: 6
As a day shift LTC supervisor, I use my 24 years of experience ever minute of every day. I am the person that is expected to know it all & tie it all together! The floor nurses & CNA have such a heavy workload, so I handle anything that is not ADL's, meds or treatments (& I also do those from time-to-time, PRN). I handle all emergency situations &/or change in status assessments & assure prompt & proper decision making based on the details I find......make rounds with & follow up on orders of all MD's, FNP's, & other specialists.....I make assignments.....insure adequate staffing.....do all required quarterly assessments....assure all Medicare, Medicaid & private insurance guidelines are being properly followed.... note & transcript all new orders.....handle all complaints/concerns/conflicts (residents, family members, Administrator, DON, ADON, dietary manager, social worker, pharmacy, supply clerk, medical record clerk, housekeeping, maintanance, HR, Corporate, MD's, NP's, etc .......admit/discharge all residents .....maintain all immunization administration & records.....and on & on & on......BUT I love my job!
Sorry for your misfortune...hope something comes along soon...maybe give agency work a try in the meantime.....can keep you from starving! Good luck!
I got myself into the same situation back in 1987 as a new nurse....I stuck it out for a year, stayed some nights with a friend that lived closer to the hospital & then got the heck out.....I was really surprised how many opportunities a year of "tough" experience offered me....Good luck!
Hi! I have been a nurse for 24 years (RN-15 years) & over half of those have been in LTC. It is a very demanding, but rewarding area of nursing. I recommend devicing yourself a prioritized checklist. It saves time, for much needed resident care & saves mental stress from having to try to remember the every day B.S. that must be done d/t regulations. As a LTC supervisor, I still rely on a reminder list every day! Good luck!
I live in NC & our local university, Western Carolina University, has a RN-to-BSN program that is totally online & is quoted to cost $4210 all inclusive......not bad at all! It is sure alot cheaper than the recent quotes I have gotten from other online programs.... $24,000.......$18,000.....I don't think so!!!!!
STOP!!!! No "holier than thou" here! I have been a nursing assistant, a LPN, a RN, DON....... Everyone has a vital role in health care. No where is it more important to work as a team than in LTC. As a nurse, CNA's are my eyes, ears, hands, etc. I respect them, their opinions, their dedication! I am open to discussion r/t any resident care issue a CNA brings to my attention. I have no problem with a CNA reviewing charts (when do they have time for this?). I have no objection to CNA's rating my job performance, as long as they are knowlegdable in the total requirements of my performance.
The point of my comment was NOT to down CNA's - I could not do my job without them!
We all have a scope of practice - if I prescribe a medication, make a diagnosis, etc. I exceed my scope - that is my point!
I agree with getting out, but the board of nursing needs to be aware that CNA's are potentially being allowed to exceed their scope of practice in this facility - bottom line, like it or not, a CNA must, by law, have a licensed nurse "tell them what to do", not vise-versa!
Dear Fooling Myself,
Long term care is a very challenging nursing position, despite the old myth that "bad nurses work in nursing homes". I have been in LTC for approx. 14 years & find it to be very difficult still. Your assessment skills are imperative, esp. the ability to notice minimal changes in condition. Your time management & able to determine priority are a must. On a positive note, the fulfillment comes when a resident smiles at you or thanks you for making their facility life a little better quality of life. Don't give up! It does have it's rewards!
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