Does this job offer sound good?

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Hi, Everyone,

I was wondering if you could help me with some advice regarding this job offer that I've received.

It is a LTC Nursing Center

Staff RN

Days, full time.

$30/hr plus benefits.

This facility has vents, the patient load is large (up to 30pts per nurse). But I'd be working with a CMA, CNA, Resp Therapist, and they have a phlebotomist. And a wound nurse.

Does this offer sound good to anyone?

Thank you very much, I must give an answer tomorrow.

Specializes in ED, trauma.
Hi, Everyone,

I was wondering if you could help me with some advice regarding this job offer that I've received.

It is a LTC Nursing Center

Staff RN

Days, full time.

$30/hr plus benefits.

This facility has vents, the patient load is large (up to 30pts per nurse). But I'd be working with a CMA, CNA, Resp Therapist, and they have a phlebotomist. And a wound nurse.

Does this offer sound good to anyone?

Thank you very much, I must give an answer tomorrow.

What area do you live in? Like city/state? That will vary your response regarding pay.

Specializes in nursing education.

Also, how many years of experience do you have as an RN?

I'm in Oklahoma City and I have 3 years of experience as an RN. Thank you for replying.

Specializes in nursing education.

I think that sounds pretty darn good, then.

Specializes in Trauma | Surgical ICU.

From where you are located, it sounds like a good offer.

Really? Im a little concerned about the patient load...Also, they have some pts on vents. I don't have any experience in LTC, but right now its hard for me to imagine how will I ever complete even initial assessments on 30pts.

It might take the whole shift to do just that. I think Im pretty efficient and manage time well..., but...

Or, am I wrong?

Also, it is about 40 min away for me.

Specializes in ER, progressive care.

Typically the respiratory therapist will be responsible for managing the vent but you still have to properly assess a patient with one. RT can be a valuable resource :)

Specializes in ED, trauma.

Have you interviewed to see if there is an LPN or other RN on staff who would be helping? Or perhaps ask to job shadow for a shift to see how the RN manages.

I think shadowing and speaking with the RN would be beneficial. If they will let you do that it would be great.

The offer doesn't sound horrible, the patient load sounds concerning. Will you be receiving any kind of orientation? Even a week? That would be a good time to learn how the RN manages that large of a patient load and is able to assess all of them.

Hope you find your niche and that this job works out for you!!!

I had a patient load of 35 as a new grad in LTC. You dont do assessments on everyone everyday. It depends on diagnosis, insurance (medicare pts do get assessments every shift), and what baseline is. Without having to do meds you should be fine if LTC is what you want to do. I personally did not care for the short staffing, lack of interaction with residents, and the idea of assembly line nursing. I quit after a year but some people love LTC. Most vents in LTC are stabilized as well and need prn suctioning which will become second nature for you quickly.

I have 7 years experience in LTC. You should be able to manage your patient load with that kind of assistance. But will you really have that kind of assistance?

I hate to rain on the parade, but I have yet to walk into a LTC situation as described by the hiring manager before I accepted the job. Is there an RT 24/7? Doubt it. Is there a wound team doing all the wound care in the whole building every day? Doubt it. How is the med pass handled? You mentioned a CMA? Do they handle it all, or are you doing part of it?

Between 20-30 patients is pretty standard for LTC, but the acuity (and how it's handled by management and staffing) is different everywhere. If they do actually have that kind of help and staffing for you, then that sounds like a great job.

Thank you so much, guys!

They said I should get a week or two of orientation and CMAs will not administer certain medications like narcotics, IV meds, antibiotics...So I will be doing that.

I think I would be the only nurse on that entire hall.

I think I'm kind of scared... Will I be able to handle it?! Will I be able to do a good job?! My head is spinning.:clown:

Could you name a few usual tasks/procedures I'd be doing regularly? IVs, meds, trach care?

Because if I'm going to administer blood and heparin drips, I know I won't be able to do it. 35 people is a serious business.

I do realize that staffing won't be perfect:scrying:

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