Finallydidit 2,881 Views
Joined Nov 15, '09.
Posts: 137 (34% Liked)
Anyone willing to expand on LPNs in the Wilmington area, Jobs, Pay, Cost of living in general? 5 yrs exp. LTC & Corrections
Thanks so much
Check with Goodwill Industries in Knox or Morristown...... They both offer classes!
You have helped me narrow it down pretty much!.... Like many of you, I feel there are so MANY issues to choose from that it is really difficult to just pick a few, when I know I could write a freaking book!
Some of my biggest issues are staffing, and the treatment/abuse of staff members, Pt./family education... I too am usually able to make the family understand that Mom's time has come and its time to let her go.... But as a nurse, I feel that families should be educated, informed, and made aware long before I am in spending my "limited" time on why its not a good idea to go with a feeding tube.
But I honestly think my biggest issue that I really noticed starting to increase about a yr ago, is the FIGHT that a nurse has to go through to get a Resident sent to the ER..... I am not talking about the hospice residents.. I am talking about the one that you have been taking care of for months and months that you know like the back of your hand and you know something is not right, and they need to be sent to the ER and the Management wants you to wait 4 days until the NP comes in to evaluate them. It takes me contacting family to come in and insist they be sent and then they are admitted. Then have a supervisor tell you, well if they are not here we are not getting paid for them! #*%&# It really shouldn't take 8 hours to send a sick Res. to the ER!
Anyways thanks again for your input...
Hey Guys........ LPN here taking classes for RN...... Have to write a speech about issues in health care..... Can be any issue.. So as a fellow LTC nurse, I would like to take a poll from here and the top 3 answers will be what I cover in my speech. So please respond with your honest opinions & concerns<br><br>Thanks so much for your input
Hey Guys........ LPN here taking classes for RN...... Have to write a speech about issues in health care..... Can be any issue.. So as a fellow LTC nurse, I would like to take a poll from here and the top 3 answers will be what I cover in my speech. So please respond with your honest opinions & concerns
Thanks so much for your input
If you are looking at the Tri Cities, I would go to the VA Med Ctr.........
First of all...... Take your breaks!! If you don't take care of you, you can't expect to take care of anyone else.. ...
The first thing I would do is get your med times changed... This will be a HUGE help, and it is as simple thing to do.
The first half of my hall is sched for 9am meds and the 2nd half is sched for 10am meds. this turns a 2 hour med pass into 3 hours. Also look at your Med passes and see if anything can be combined and sched it accordingly. It won't work for all of your Residents, but every little bit helps....
My first med pass includes all 30 of my Residents of course, but my 1&2pm passes, are down to less then 10 residents. allowing me time to chart and stock etc.
The Residents that need coaxing, put their meds in food, or a drink that you know that will finish.
Tell your CNAs that unless it is an emergency or high priority, to make notes and tell you the little things all at once and speaking of CNAs, why are they not doing your vital signs?
Staff assignments, they are adults, let them decide among themselves, if they are unable to do this, then tell them you will have to, then put them all where they don't want to be, and it won't take them long to work out their own system.
If you allow family members to run over you they will.... I have been known to put them in their place in a very in a very nice way. If this was your mothers medicine would you want me to ignore giving it to her, so I could discuss a non-emergent matter with another Residents family member? The answer is Always NO!......... Then I say give me about 15-20 minutes and I will be happy to speak with you, They get the hint and it also shows them that I have no favorites and all of my Residents are important to me.
These are just a few of the tidbits that come to mind....... From what I have seen in LTC it takes 4-6 months to find your groove and actually be able to clock out on time!...... hang in there
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