Why do I have trouble attracting RN's to work in one of the nicest nursing homes in cincinnati.
When we advertise i get 90 LPN's applying for every 5 Rn's and the RN's either dont interview or if they start workign quit within a week. Family problems , Medical Problems , It's Too Hard , going to do home care.
never a word about pay not being enough?
What am I missing ?
I have advertised everywhere . careerbuilder , craigs list , enquirer, queen city jobs, community press , with the same results.
WHAT DO RN'S WANT TO WORK IN A NURSING HOME. That doesnt smell, no major psych patients, no criminals . Nice new buiding.
I think it's the staffing to client ratio. I started out in a LTC facility where I was assigned about 15 patients, and I thought it was just too much for me. I like to feel like I'm meeting all of the patients' needs, but there's just no realistic way to do so with such a ratio. I was told it is worse elsewhere. Boy, they were not kidding.
I started at another facility where I have 48 patients. Like the nurses above have said, I spend probably more than an hour initialing on the lines and signing my license away in a place where I can not feasibly provide adequate nursing care for all the patients I am assigned to. And when I check regulations for nursing home staffing, I find that I could, by law, have more than double that patient load.
My head is spinning.
The answer, in my opinion, is more help. Fewer patients to take care of so their needs can be met; so the nurse isn't driving home every day wondering what they were not able to get to... wondering how they will ever get to everybody with an inkling of compassion. The nurses who are successful in this setting, I find, have become assembly line workers. They just don't care anymore if the patients are happy; they don't care if needs are not met. I hear "time management" over and over at work. What that boils down to, in my opinion, is prioritizing, and then telling all of the patients who are not high on the priority list that you don't have time to just hold a conversation with them. Priorities are priorities, but I think everybody's needs are important and deserve some attention. I can not honestly tell them "I have to take care of someone else right now, but I will be back".... because I know that as I take care of priorities, other priorities will arise that will supersede many clients' needs.
I am a new nurse with less than a year's experience (but with 18 years of aide experience). I long for the day when a hospital will call me up and offer me a position.
Last edit by eyknough on Jul 13, '11