in a climate where nursing jobs are scarce and competition fierce....that a facility has to offer a sign on bonus to attract staff should speak volumes
you may find this thread interesting..... http://allnurses.com/massachusetts-n...664-page2.html
and this one...
ltac's are a unique combination of very sick patients in a ltc setting. these people are the sickest of the sick and they have had complicated hospital course. a 4:1 ratio may not seem like very much but in an icu setting like kindred
.....at time a nightmare. almost always the icu patients at kindred
are the failure to weans so you will have 4 vented patients. most will have multiple lines including pa catheter's/swan , including pressors and iv's.
these patients are the icu patients that remain critically ill but have run out of "paid days" on insurance/medicare. you have settled for nothing and i will tell you, you will see a ton of stuff.......everyone else's failure to discharge home. open hearts with complicated post op courses, trauma's with halo traction, many unique disease process with complicated recoveries, open wounds, chest tubes, vac dressings, wound irrigation's. you will give tpn, blood, do labs...your iv skill will make you valuable to them. these patients are mostly full codes and every attempt is made to get them home.....but withe a fraction of the nursing staff in an acute care setting.
hospital administrators need to pull their heads out of their butts and find out what and ltac really is.....other that the place where they dump the financial drain out of their system. i have to humbly admit i was one of them at tone time. i knew the patients were sick but i actually went there as a supervisor to have a "slower pace"
i was sorely mistaken. the particular kindred
i worked for had a reputation too for being as tough place to work.....they are strictly for profit and they are strict about profit. as the super, i spend a ton of time clinically, in the unit(more than other supers) because i felt bad for the staff.
you will gain a ton of experience and at least they do have great orientations. i wish you every bit of good fortune and luck in your new journey. if you have any other questions about and ltac....pm me.
another thread about ltac's http://allnurses.com/general-nursing...te-657335.html
any ltac can be a challenge to work but you will gain a ton of experience. that they are offereing a sign on bonus when everywhere else have waiting lines sets of alarm bells. the ltac's i know are in the northeast but i know the company. good luck!!