After passing my NCLEX last April and looking for a job, I got a call from a LTC facility. Although I was ecstatic, I too had some reservations because of the horror stories I heard from my wife (a long time RN) and from friends. I only worked for 3 days in that facility and quitted. And for exactly the same reason. They were abusing the patients. The setting is like there was my perceptor, who was also an RN, and me, and 4 CNA in the floor. Between all of us we have 40 patients. Right from the get go I immediately sensed something is very wrong. When the med nurse started giving 10am meds to 40 patients at 9am and done by 10am, I was shocked. I couldnt believe that she could have given ALL her patients ALL their medications in such a short time. Following her around the next day, I found out that she wasnt actually giving them ALL thier meds. When I confronted her about it, the nurse was "Forget all about what they told you in nursing school
. Welcome to the real world". And the nurse followed this up with a tip that "start your meds with the A&O X3 patients coz they can complain. The rest u can skip their meds since they are demented anyway and wont know". I was horrified. During lunch, I helped in feeding one of the patient. I was shocked to see how the CNAs were feeding their patients. One of them was holding this 80 year old lady by the chin, force opening her mouth and quite literally draning the contents of her food down her throat. The poor lady was in so much discomfort and pain that tears were rolling down her cheek as she was being fed. I told the CNA, gently, that can u pls do it slowly? She snapped at me and said cant u see how many more patients I need to feed? Youre new here, you will learn. Well, after my shift that day, I went home and never came back. They called and called me to come back but I just couldnt. Its not just about me probably losing my license in that kind of practice. Its more of I dont want to be a part of that system. It just goes against everything I learned as a RN, and as a human being.