continuing care hospital vs long term care facility

[MissMcCoy]

Whats the diffrence? Is there a diffrence?

Do the residents in the hospital setting require more complex care? Or is it just a government facility vs. private facility?

[joanna73, BSN, RN]

I work in long term care, also known as continuing care. They are the same and you will hear people refer to either one.

[joanna73, BSN, RN]

The complexity of care might vary depending where you work. I am in a rural area, so when our residents go downhill, they stay on the unit instead of being transferred to acute care. We do IVs, wound care, catheterisations, ostomies, etc... You also have various psych issues, same with most units.

[loriangel14, RN]

I s it Continuing Care or Complex Continuing Care? There is a difference. I started off in a CCC hospital and it is different from a nursing home.I got this explanation from the MOH website:

In Ontario, the term “complex continuing care” (CCC) is used interchangeably with “chronic care”. Complex continuing care provides continuing, medically complex and specialized services to both young and old, sometimes over extended periods of time. CCC is provided in hospitals for people who have long-term illnesses or disabilities typically requiring skilled, technology-based care not available at home or in long-term care facilities. CCC provides patients with room, board and other necessities in addition to medical care.

We had a range of patients including palliative and physical rehab patients as well as seniors waiting for nursing home placement but not in need of acute hospital care.

[MissMcCoy]

I honestly don't know. I have an interview at a hospital in the continuing care section. Any other LTC facility is at least an hour away.

When I look up the facility it sounds like the CCC.

"Our continuing care services are designed for those who can no longer be cared for at home or in an assisted living facility due to illness, injury, frailty, or other limitations"

It also says "The level of services offered by each facility can vary."

I guess I truly wont know until the interview. I just wish I had some insight.

Ill have to sit down and come up with a bunch of questions that I want to ask them.

I wonder if I could do a shadowing to see how everything works?

[loriangel14, RN]

If it is located as part of the hospital it will be CCC not LTC. They wouldn't have LTC within a hospital but CCC can ( and usually does) exist within an acute care facility.

[Fiona59]

Lori, Alberta does it slightly differently.

We built a load of small community hospitals under the Lougheed governments. Basically every small town than wanted a hospital got one. Due to the centralization of services they no longer do a lot of surgical procedures or deliveries in these small hospitals. Rather than close them down, they converted them into local continuing care centres. So basically ltc is being provided locally instead of sending the patients/residents out of town or building ltc/cc centres they are using under utilized hospital beds.

[loriangel14, RN]

Actually the one that I started in was just like that but it wasn't LTC being provided. The patients were usually long term stays, sometimes months waiting for a LTC bed. I have seen large hospitals in Toronto that have there CCC unit as part of the hospital.

Thanks for the perspective of another province. Everyone does things so different region to region.

[MissMcCoy]

Ohhh

That could make sense. I am in small town Alberta. The rest of the hospital is normal its just that small CC wing. They also have home care attached to the hospital. Thats who I was going to apply with but they were closed up for the day so I just went right in the hospital.

[electricblack]

I will have an interview with a CCC unit sometime this week and so far I have reviewed nursing leadership roles and various roles of the unit, major chronic illnesses such as Daibetes, chronic heart and lung problems, and some basic psych....anyone else can add to this list? I am sort of freaking out since I really want to get this job.

[electricblack]

Just want to update: I got the job for the CCC unit and had to turn it down due to location issues. But another hospital from the same system pulled my file up (after I applied to the same unit before) after they realized that I've had a previous interview at their system and interviewed me. I got the full time job and am almost done my orientation now.

I just want to say that I practiced a lot of the questions here and they really did help. So for that thank you.