multi10 4,311 Views
Joined May 5, '04.
Posts: 185 (55% Liked)
I worked in LTC and the experience was that we suddenly started admitting very sick patients. Our residents needed wall oxygen at bedside in their rooms. They needed wall suction apparatus in their rooms. But we didn't have either of those things.
The portable 02 and suction machines (We nurses had to find them, then set them up, then attach all the various tubes and connectors in the clean utility room which was always in a shambles.), were usually broken.
LTCs don't have the basic infrastructure to keep their increasingly acute residents safe. The facility I worked for was deemed a SNF facility. Now it's called an "Elder Care facility."
OP, you will be amazed at how things like bodily functions won't bother you so much as you encounter them more and more. Things that you may find revolting and/or disgusting today just won't bother you, say, a year from now. They are not free-flowing out in space; they come from human beings that you care for, and all are critical in assessing your patient.
Bodily fluids: It's all data. It allows you to give better care and recognition to each individual.
We are resilient while learning new things and get de-sensitized after awhile to smells, etc.
The thing that always scared me was germs because I got strep infection after suctioning a trached patient who coughed in my face. I became sick but it was my fault because I didn't wear a mask during the suctioning. (The hospital was out that day.) I got a shot and took oral antibiotics for a week and was fine.
Just protect yourself while in the clinical setting. There are lots of nasty bugs that you don't want and you don't want to take home.
San Francisco is the best city in the world for nurses. First of all, it's an inspiring place to live. It is so beautiful. The vistas are breathtaking.
The pay is fantastic and staff ratios are adhered to because of heavy union presence.
San Francisco has Major teaching hospitals/universities with fantastic learning opportunities available for nurses.
The public transportation (BART) system can take you anywhere very efficiently. San Francisco is a walkable city. (You don't have to use a treadmill at the gym, just walk up and down the hilly streets of San Francisco.)
Granted, the cost-of-living is high in San Francisco, but nurse salaries are high. Besides rent (or housing), San Francisco is not expensive. The food costs (especially inasmuch as there are so many healthy and cheap foods available), plus no smog/air pollution, makes this my # 1 choice as a healthy city and optimal environment for nurses.
After years as a critical care nurse I took a job at a nursing home. But it advertised itself as "more" than a nursing home to the outside world. Unfortunately, it had no infrastructure in place to fulfill the promises made. No built-in oxygen next to the bed. No built-in suction apparatus next to the bed. We had to scramble to find the portable O2 machines and the (one or two) portable suction machines when, for example, the NP ordered q2h and prn suction.
There were few working defibrillators and no crash cart of course. The place was spread out over a large area so we were running all the time. (How to lose ten pounds in three months without even trying.)
The place insisted upon written charting plus computer charting for the same things. Why?
We were giving patients many, many pills. If one doctor sat down, face-to-face, with each patient and his/her family, at least half of the pills would not be prescribed.
I can't help it. I'm in love with San Francisco. For nurses, it's just the best. The prestigious medical centers and hospitals where we all learn so much. Golden Gate Park to walk through. Napa and Sonoma for wine tasting. Tahoe for skiing.
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