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Maremma 2,752 Views

Joined Aug 31, '11. She has '4' year(s) of experience. Posts: 85 (56% Liked) Likes: 132

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  • Mar 22 '17

    Oh dear I feel so bad for you! I am LTC too and a pretty new nurse. I understand how frustrating it all is. I more often than not cannot get done in time either now. I have been put in a permanant hall that is a mix of LTC and rehab making it a great big zoo!
    Speed really does come with time. There are just to many new things to learn in a very chaotic environment. You need to give yourself time to become familiar with everything. It is not you. it is the nature of the job.

    One of the things I learned real quick was to prioritize in order that I can "hand over the cart" at the right time and then finish all my own work after the night shift nurse takes responsibility for the hall. You do not need the extra stress of having coworkers angry at you for making them start late and getting them behind.You also can work faster on the other stuff once another nurse is in charge of the hall.

    For example if "crap hits the fan" and someone falls for example. I will ONLY do the absolute most essential things required at the time it happens. In our facility we must call "Dr rehab" to room whatever" so the RN super comes to "assess" the patient.Help get them off the floor, vitals, call family, call or fax the "FYI to Dr and save the rest for later. I keep my vital sheet with me on the med cart and the patient stays in the hall with me so I can keep getting my vitals as I do med pass. If they have a skin tear etc again bare minimum. cleanse apply bacitracin cover with clean dry dressing. Worry about the paper work part later.
    Do not try to do treatments while getting meds out. if you must stay late to finish all your own work, again better to finish treatments after you handed off the cart and the next nurse is responsible for the hall. They don't need you to be done with treatments for them to get started with all their own work.
    It takes a little time to learn your residents too but I have also learned to use my census sheet to make slash at each persons name after giving their meds. That helps me ensure I do not miss anyone and can more safely "jump" to the ones that I need to take care of first to avoid problems with later. For example if I know a patient takes seroquel or ativan routinely I make sure they are at the top of the list on who gets meds first. it is less likely they will become behavioral and wind up on the floor or something. As unfair as it sounds I also am quick to jump to the "trouble makers" that are more demanding right after any on psych meds of any kind. it also prevents problems interrupting the med pass. You know like taking off and needing chased down in a temper tantrum because you didn't drop what you were doing and get them what they want first. Little tricks like this will become more and more apparent to you as you learn your residents.

    Where is your RN super while you are drowning by the way? In our facility the RN super is suppose to help the LPN if crap is hitting the fan. For example, a fall they should be calling the family Dr etc for you so you can get back to med pass as quickly as possible. I can see our RN super getting in an awful lot of trouble for not helping a brand new LPN that has only worked as a nurse for less than a month!