strawberryluv, BSN, RN 7,283 Views
Joined Oct 8, '09 - from 'New Jersey'.
Posts: 715 (32% Liked)
Thanks for this inspirational post
I love long term care. You should give it a try. The pace isn't too bad, like someone else said, you are able to get a routine down eventually. There is predictability because you know the residents. It's hard work if you work day or evening shift but as you know their meds and treatments you will be able to manage your work better. I'm able to pick up a lot of overtime working long term care so you can really make $$$ if you put in the hours. The residents are quirky and have much wisdom. Hope you consider it. It's a great specialty for new grads to hone their skills in assessment.
I graduated in May 2015. I am in an area that has a lot of nursing programs but at the same time, many nursing homes. I chose to work in a nursing home since the hospitals I applied for were not accepting me for interview. Got my first job but lost it because I couldn't handle the fast pace of subacute. I am now working long term care and I love it! It's most suitable for me and I am learning things along at a good pace for me. Don't immediately turn away nursing homes. It's a good place for a new nurse to grow! The pay is competitive as well
I applied in March 25, 2016
received my permanent California RN license 09/26
it took 6 months
I do not shower before work. I do shower after. I feel it helps me unwind and keeps me clean from the germs that touched me airborne or microscopic whatever lol
My LTC facility is also terribly understaffed as well. I pick up double shifts 2-3x a week but always try to get day off after doing a double to recharge. Doing back to back doubles is not good..at that point judgment wanes. Don't feel at all obligated to sign up because of their situation. They won't have your back if you make a terrible mistake that cost your license...
This reminds me of something that happened to me during my shift on Sunday as a CNA. One of the nurses made
a very rude comment to me when all I did was repeat back to her what the patient had said about her bowels. I guess
the nurse thought it was stupid of me to bring it up. Instead of replying back in a very aggressively hostile way and making an
awkward work environment, I chose to chat with her. I quietly relayed with her that I was not aware of the patient's status since I worked very little hours at the facility nor was I aware that this patient was not in her right mind. In other news, I continued to talk to her more so that we can somehow lose the hostility and to help myself "make up" for the hurt feelings I felt by her comment.
In the end, she taught me a thing or two and even suggested a very interesting medical television documentary for me to check out. I don't think we're friends but I feel like my approach made her an ally rather than an enemy in my book. Hopefully, she will treat me better since I've spent some time talking to her.
Social skills really do matter.
I think the "putting my license at risk" is so overdone. If you go to work and do your job right, you should have no fear of losing your license. If you go to work and you get the supervisor involved in any issue you have at work, you should be okay. I always bring the attention up the chain of command and make sure I document anything that goes on and leave many FYI to doctors on their answering service. I try to cover my butt always. LTC is not perfect and it can't always be a good ratio for nurses since most patients are stable and just confused. Have confidence in yourself and do your best or start looking but most nursing home are run the same way
It's actually pretty normal for 11-7a nurse to work 1:60 patients in LTC facilities in NJ. At my second job that is the ratio for me. I don't do any direct patient care though. I think your DON wanting no aides for such high amount of patients is just wrong and unsafe! Most of patients need incontinent care and or assistance to toilet at night. With no aide, they will work that nurse to death. People are not going to be toile ting in time or not at all! At my job, at night I have at least 3 nurse aides for a floor of 60 patients which is okay. I can't imagine not having an aide at all for my assignment. I would just resign...
A big congratulations on passing this road block on your journey to be a caring nurse. Give yourself a pat on the back and maybe a glass of wine because now your journey begins!
Okay that is terrible! I can't believe that is the practice at your facility. Quickly, apply to other places while staying at your job so you can be paid. Try your best for the patients and by the way, if supervisor tells you to do something and you think it's against your judgment as a prudent nurse, don't be afraid to go right over her head! It's your license at risk! One trick I use is when the supervisor Advise me to do something I don't think is right I tell the family what is going on with their family member and get the family riled up to demand to bring their family to hospital and then connect the phone line to supervisor to speak to them. After the supervisor speak to family member they have no choice but to be okay to sending patient out of facility. Of course after that you call the doctor to get the real order for the hospital evaluation but that's how it works. The supervisor would never go against family wishes because they know their butt is on the line in a lawsuit if they go against family wishes
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