Successful Transition from LTC to Hospital - page 2

I'm a new grad RN with a 3-month-old baby with eczema and a 5-year-old, so moving is not an option for me, since I have a good support system here. It's hard to get a hospital job in my area, so I'm... Read More

  1. Visit  KaLynRN profile page
    0
    Quote from JQ_RN
    I also have been roaming this site in order to find out if its possible to transition from a SNF to acute care. I have been working at a SNF/Rehab facility for 3 months. I landed an interview at a hospital for a telemetry position after I had updated my rsum to include my most recent RN experience. To make the long story short, I got offered the position the morning after the interview The best advice I can give is to never give up and keep applying, update your rsum and have faith.
    That's awesome! Congratulations
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  3. Visit  LadyFree28 profile page
    1
    Let's keep bumping THIS


    There are MANY roads to Rome...
    KaLynRN likes this.
  4. Visit  lchapman profile page
    0
    This board has given me hope. I have worked the last 2 1/2 yrs in behavioral health and was fired for med error (pt outcome was good, but it's a long story). I have been looking to get out of behavioral health as I have always wanted to work in peds. I feel unable to get into a hospital setting because I don't have IV, wound, or all the experience needed to get a position in the hospital. I may try to get into SNF or LTACH and see what happens. Thanks for all the encouragement from your posts!
  5. Visit  lilsnfrn profile page
    0
    I got my start in LTC on a skilled unit. I worked there as an aide during nursing school, so I just stayed there as a nurse. After a couple of months, I received an offer on a cardiac unit. I accepted, because I wanted the acute care experience. I spent a year there, then accepted a position on a tele/med/surg unit. I'm back in LTC now, just because that's the environment I prefer. It's definitely possible to transition from LTC to the hospital setting.
  6. Visit  lchapman profile page
    0
    Thanks banks sarin for the encouragement!

    Sent from my iPad using allnurses.com
  7. Visit  latexfree profile page
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    I worked in LTC/Rehab floor for a year, now i am an ER nurse in one of the biggest hospital in NYC. LTC/Rehab is a great place to get your feet wet.
  8. Visit  Concerto_in_C profile page
    1
    I did it successfuly and have been at the hospital for almost 2 years and can do med-surg/telemetry without any problems. I floated to different floors like ortho and cardiac surveillance and found them very similar. Cardiac patients more unstable, oh well, I assessed a guy and his BP was 70/36; I called rapid response, the team arrived instantly and helped me stabilize the patient. Awesome support system. No rocket science. Even if you're new, a person with more brainpower is just a button click away.

    Hospital med-surg is easier. Before the hospital I worked in rehab. Rehab acuity is so high its like a general medical floor in the hospital, but with 15 patients per nurse, low tech facility, poor support system, etc. They don't don't have their on-site pharmacy so its daily mayhem trying to obtain missing medications. Long term care doctors rarely seen on the floor so you feel you're on your own, nurses ovewhelmed by the sheer number of patients so deteriorating vitals signs/abnormal labs/etc. not being reported until patient very acutely ill.

    Working in long term care was very rough, my compliments to people who thrive in that kind of environment.
    Last edit by Concerto_in_C on Dec 14, '13
    Al.ginger likes this.
  9. Visit  KaLynRN profile page
    0
    Concerto_in_C- I could've written this exact post ^ as I am living this right now. I have 9-12 pt load on subacute rehab, and I am seeing pts right out of the hospital. People are being d/c prior to things really being resolved and some things are evolving so we send them out again. You don't have med support so nurses think on their feet more and I call the MD's or NP's alot more than I did in the hospital. I am looking to go back to to the hospital for many reasons.
    Last edit by KaLynRN on Dec 14, '13 : Reason: typo
  10. Visit  Concerto_in_C profile page
    0
    Quote from KaLynRN
    Concerto_in_C- I could've written this exact post ^ as I am living this right now. I have 9-12 pt load on subacute rehab, and I am seeing pts right out of the hospital. People are being d/c prior to things really being resolved and some things are evolving so we send them out again. You don't have med support so nurses think on their feet more and I call the MD's or NP's alot more than I did in the hospital. I am looking to go back to to the hospital for many reasons.
    Nursing staff hates rehab jobs. Nurse absenteeism is a constant problem. If a nurse calls off, management expects you to pick up additional patients so you can go from 15 to 20 patients. In the management office, a morbidly obese, lazy director of nursing and her morbidly obese assistant have a table stacked with food, they are eating all day while the staff breaks their backs. My managers at the hospital are at least trying to help us, within their means. Somebody above them makes budget allocations so we can't always get what we want, but at least they are trying.

    I hope some day we will have legislation that will look into long term care/nursing homes/etc. and address the working conditions there.
  11. Visit  Al.ginger profile page
    0
    OMG! COncerto! And I thought that's me. Sub-acute rehab with ppl from the hospital dying on you. I though that I need to be more organized, more educated, more something.... of course there is always way to grow but in the environment like TCU it can be tough
  12. Visit  tammymvincelet profile page
    0
    I have worked on a sub-acute rehab wing for 3 years. I was offered a job at local hospital working on the surgical floor. I'm both excited and a little scared, but it can be done.
  13. Visit  nbamus profile page
    0
    Hi everyone,

    I am a new grad and 2 weeks ago, I signed up with a registry that is sending me to a hospital night shift medsurgfloor. They only problem is that the registry don't provide training. So I've decided to get a job at a LTC first, get some experience, then go to work at the hospital once I feel comfortable and know what I am doing. So I got a full time job at a SNF/Rehabillitation 10 minutes from my house and I am starting next week. My question is how long should I wait until I start working for the registry? How long does it take to feel comfortable working in medsurge floor? I would appreciate feed back from people who left LTC to hospital and had minimal or no training at the hospital. Are there people who got their first job in the hospital through registry?
  14. Visit  ruralnurse84 profile page
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    I graduated in June and started in LTC right away, a week out of graduation. The LTC is within the same facility as the hospital and they had an opening. So I started orienting this month at the hospital but I really feel starting in LTC helped with my assessment skills, critical thinking, really getting to know meds, talking to physicians, etc. in what felt like a more relaxed setting. The crazy part to me was that after 8 days of orientation and being on my own for a few shifts, I was charge nurse...that I was not ready for and was a big part of me switching to the hospital. I feel doing that though has allowed me to really gain some good leadership skills.


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