Well today was my first day at the SNF/LTC facility I got hired at. Really busy, and really tiring! My preceptor was great and did a great job trying to show me everything she could... there is just so much to do with that many residents... We spent all morning passing meds and tracking patients down because therapy didn't let us know they were taking this resident or that resident, so we would have meds to pass and find the resident MIA. The aides are great!! There was four of them on the floor for almost 50 residents, and they all worked really hard to get things done and the patients taken care of. I was really impressed... when I did clinicals at a LTC facility the aides didn't work near as hard as these aides did. I will be on midnights and I have been forewarned though that the midnight aides can be "lazy" and "sit around and chat instead of answering call lights". Since my position is a charge nurse, this will have to be dealt with if it happens on my shift. I am not saying that they cant relax and have a conversation, but if there's still work to be done and patients' call lights are going off, I would hope they aren't sitting there ignoring them. I consider myself to be a fair manager, and just want the patients to be taken care of well and work to be done - I don't believe that is too much to ask, especially on a slower shift like midnights.
Anyway, It was a good day and there are many opportunities for me to learn, and lots of acuity!! Once I learn the residents better and their individual information/transfer status/toileting status, I will feel much more comfortable and really look forward to the job. Right now it's extremely hard since I don't know anything about any of the residents, except what I can get from my preceptor and the care plans I get a minute to look at... I don't have time yet to flip through every chart and so far, I haven't found a book that has the care plans... It will all come with time... Good successful day over all though!!Does anyone have any tips that may help me adjust to the job? I don't intend to be the nurse that calls the CNA for every little thing - I will do what I can, when I can in order to help them out. I will value my CNAs, they are a blessing to the nurses in my opinion... as long as they do their job correctly and provide good care to the patients.
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Well today was my first day at the SNF/LTC facility I got hired at. Really busy, and really tiring! My preceptor was great and did a great job trying to show me everything she could... there is just so much to do with that many residents... We spent all morning passing meds and tracking patients down because therapy didn't let us know they were taking this resident or that resident, so we would have meds to pass and find the resident MIA. The aides are great!! There was four of them on the floor for almost 50 residents, and they all worked really hard to get things done and the patients taken care of. I was really impressed... when I did clinicals at a LTC facility the aides didn't work near as hard as these aides did. I will be on midnights and I have been forewarned though that the midnight aides can be "lazy" and "sit around and chat instead of answering call lights". Since my position is a charge nurse, this will have to be dealt with if it happens on my shift. I am not saying that they cant relax and have a conversation, but if there's still work to be done and patients' call lights are going off, I would hope they aren't sitting there ignoring them. I consider myself to be a fair manager, and just want the patients to be taken care of well and work to be done - I don't believe that is too much to ask, especially on a slower shift like midnights.
Anyway, It was a good day and there are many opportunities for me to learn, and lots of acuity!! Once I learn the residents better and their individual information/transfer status/toileting status, I will feel much more comfortable and really look forward to the job. Right now it's extremely hard since I don't know anything about any of the residents, except what I can get from my preceptor and the care plans I get a minute to look at... I don't have time yet to flip through every chart and so far, I haven't found a book that has the care plans... It will all come with time... Good successful day over all though!!Does anyone have any tips that may help me adjust to the job? I don't intend to be the nurse that calls the CNA for every little thing - I will do what I can, when I can in order to help them out. I will value my CNAs, they are a blessing to the nurses in my opinion... as long as they do their job correctly and provide good care to the patients.