Successful Transition from LTC to Hospital - page 3

by Morningdew2112 11,902 Views | 25 Comments

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 thinking LTC is an option. In... Read More


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    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
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    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.
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    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
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    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.
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    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?
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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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