"Nursing homes" giving nurses a bad rap - page 6
Hi, Im a nursing student and I'm putting my 2 cents in. I think if the public had a better idea of what nurses do, they would support us and not only insist upon but demand better patient care. ... Read More
Jun 1, '05I work in a nursing home and yes I also disagree with what was said I am a cna and I love the people in our home. The sad part about nursing homes is for the most part most are there living out their last years and thank God for those who work in the homes and can give them this care. To me the worst part of my job is when they die because I know we cry and mourn the loss we become attached and look forward to seeing them every day. I just hope that anyone who reads this post whom may have a loved one in a LTC knows that their family member is being taken care of and loved by those who are working there.
Jun 1, '05Quote from Male Nurse/ParamedicThese comments as well as your other post seem intended only to inflame. Please leave out the attacks and generalizations about Nurses. Although I have never worked in a nursing home, I have as a medic been to quite a few and have seen how hard the staff works. Sometimes they have 20 pts with one RN and yes there are as in any profession, such as a medic who tries to intubate without clearing the airway first, some inept staff they on the whole manage to provide quality care. As a medic you only have one pt at a time, if you had more than one pt there would be multiple units and personnel on the scene.I am a half a year away from graduating. I will have to say i agree with this girl. The majority of nursing home nurses are garbage, absolute garbage. I have been a paramedic for four years now, so as you can expect I visit a nursing home about more than 5-6 times a week while working two 24 hour shifts. I have seen those idiot nurses do everything from filling up the patients mouth with denture cream so it occludes there airway, and about once a week we will get a call for "someone turned blue" and when I go to intubate them, all i see is there trachea is blocked by eggs's that the nurse decided that she will keep jamming down the patients throat. Don't get me wrong though some nurses try, they will put on a nasal cannula and give the patient 15L of o2, or even do the opposite, and this happens alot, they will put on a nonrebreather and give 4L of o2 and i will have to pry the mask off the patients face cause it is stuck to them and suffocating them. Also, never try to help out the paramedics by putting in a 24 gauge IV in the patients AC for a hypoglycemic patient while we are walking in the door and "wasting" the only good site the patient has because there is now way in hell i' slamming D50 in a 24 or am i gonna adminster adenocard in a 24. Again if your too lazy to change the patient before we arrive don't change them at all, i'm not going to sit there on scene and waste time while you wipe ***. By the way don't be jealous we can intubate, surgical crich, place chest tubes and give meds, all by ourselves and all with out a doctors order.
As for being jealous, a lot of Nurses are medics and we have had to deal with the hostility from both sides because of the completely ignorant comments such as your post.
How could you have been a medic for four years if you are only 21? You would have not even had been old enough to take the boards.
Jun 1, '05Wow. Even with these responses, the original poster has not made another appearance to comment. I wish they would, given the variety of responses here. I do not work in a nursing home. I work in a hospital. However....
If we are to keep going with the nursing home side of nursing, there are many ways of looking at it. I am a nurse. I have visited friends in nursing homes. Aside from the fact that many places are understaffed, the common thread for me is I don't see family coming in. I don't see community services visiting and checking. I don't see volunteers.
Thus, the down-headed blank staring people, or the terms the original poster stated. I believe in many ways, the feelings the original poster is regarding is their responses to their own realization of, and the families' own guiltiness of not paying attention to theirown. Nurses, CNA's, techs and anyone in the nursing home facility, I give my heart to you. You are there. For the most, many of you do the absolute best. Be well.
Jun 2, '05Quote from M2BchgoRNHi,
Im a nursing student and I'm putting my 2 cents in. I think if the public had a better idea of what nurses do, they would support us and not only insist upon but demand better patient care. Too many dont realize that the nurses are the ones on the front line and advocating for the patient. Too many people have only encountered nurses when they had their tonsills taken out or when someone in their family needed a C-Section. When my family or my friends families think of nurses, they think of "nursing" homes.
You know, I'm sure each and every one of you know what I'm talking about. You walk in and are almost knocked over by the smell of urine. You walk down the hall to your loved one's room and try not to look at the pitifull old people lined up and down the hall with their heads hung over, waiting for their morning meds. "It will make them more comfortable" is the reason for this soon to be dead parade. You find your loved one totally incoherent and with unexplained bruises and you wonder what happend to your grandpa(ma) that was so full of life just a month ago.
Your family may of put them there in good faith, believing that after a temporary family mishap, your loved one would come to live within the family once again or you may assume that this is the place for your loved one to live out his or her golden years (and give you a much needed rest). Unfortunately, your grandpa(ma) only lives a few months after being admitted and you can't understand why. Also your grandparents of your freinds that are in similar "homes" end up only living a few months as well. Soon the community begins to talk and you realize that, this is how nursing homes work. Once someone is admitted, they drug them untill they lose their will to live and just die. It's really a wharehouse for old people waiting to die to make room for the next wave of old people. They must make a half way decent profit as their turn around time is usually 3-4 months at most.
So when most mid-westerners (at least the ones I have come into contact with) think about nurses, they think about "nurs"ing homes and how it only takes a minimal amount of effort to oversee a group of old people and give out meds.
I have been a nurse for 13 years. I've worked at the same LTC/rehab facility for the last 10 years. I am SORRY that the LTC facilities in your area smell, but instead of beating up on the nurses, look to the administrator and the housekeeping staff. If this is truly your view of nursing, I hope you rethink your career choice, because you are in for a rude awakening. So many people think nursing is full of glam and glory, but it isn't. When you have 25-30 patients, that 2 hour period you have to pass medications isn't enough time. Those patients that only last 3-4 months may have come in with End Stage Lung Cancer, COPD, CHF, AIDS. Anyone removed from their home and loved ones is going to be depressed. Some of these people don't have family, and some family don't come to see them. After you are liscensed, and find yourself in LTC facing 25-30 very ill, scared, depressed, demented, demanding or just plan rude patients, med passes, mounds of paperwork, patient assessments, drawing blood, IVs, central lines, dressing changes, Peritoneal dialysis (I've had a couple), trachs, suctioning, feeding tubes, patients who think it's your fault they can't go home, family members who decided you are the perfect one to take their guilt out on, doctors (not all are going to value your input and some do act like children), you will let your friends know nursing homes aren't where the elderly come to die and BABYSITTERS WE ARE NOT!
Jun 2, '05Quote from Male Nurse/ParamedicLook, I respect what you do--please respect what we do. Those "nurses" you are so quick to pass judgment on are in all likelihood NOT nurses, but CNAs.I am a half a year away from graduating. I will have to say i agree with this girl. The majority of nursing home nurses are garbage, absolute garbage. I have been a paramedic for four years now, so as you can expect I visit a nursing home about more than 5-6 times a week while working two 24 hour shifts. I have seen those idiot nurses do everything from filling up the patients mouth with denture cream so it occludes there airway, and about once a week we will get a call for "someone turned blue" and when I go to intubate them, all i see is there trachea is blocked by eggs's that the nurse decided that she will keep jamming down the patients throat. Don't get me wrong though some nurses try, they will put on a nasal cannula and give the patient 15L of o2, or even do the opposite, and this happens alot, they will put on a nonrebreather and give 4L of o2 and i will have to pry the mask off the patients face cause it is stuck to them and suffocating them. Also, never try to help out the paramedics by putting in a 24 gauge IV in the patients AC for a hypoglycemic patient while we are walking in the door and "wasting" the only good site the patient has because there is now way in hell i'm slamming D50 in a 24 or am i gonna adminster adenocard in a 24. Again if your too lazy to change the patient before we arrive don't change them at all, i'm not going to sit there on scene and waste time while you wipe ***. By the way don't be jealous we can intubate, surgical crich, place chest tubes and give meds, all by ourselves and all with out a doctors order.
We are not idiots. We are not stupid. We are not lazy. Above all, we are not "garbage."
You might be half a year away from graduation, but you're a looooong way away from knowing all there is to know about nursing, take my word for it.Last edit by UM Review RN on Jun 2, '05
Jun 2, '05Really is that fair?
I honestly don't think any nursing home can do it all-------and someone here mentioned family involvement and support. I think that is a critical key issue----one that is missing for many residents. It's like blaming the schools and teachers 100% for student failures and their social problems. Where is the FAMILY in all this? How many residents sit there day after day, without a visit, call or even a birthday CARD from the "loving" families who dropped them off there?
I don't think anyone can lay blame 100% at the feet of nurses for the sore and sorry conditions in some nursing homes. It's a multi-faceted problem. Don't let administration, state agencies, and the families off the hook, either, if you MUST assign "blame". And, remember, many of the employees at nursing homes are not even nurses.Last edit by SmilingBluEyes on Jun 2, '05
Jun 2, '05Look all I meant to say is that nursing homes are understaffed and that I don't think that CNA's should be the majority caregiver for any patient, I think most family members of the patients, and nurses you know which ones I'm talking about, are more medically understanding and competent than any given CNA
The majority of my friends are nurses also, so believe me I have nothing but respect for this job. If the members on this site do not want my opinion, let me know, thats fine I'll never post again.
Jun 3, '05please feel free to voice your opinions and concerns and debate is always a good thing, i would prefer it however if you would stray away from such broad generalizations and name calling in the future. the cna's you are describing sound like a nightmare, however i have been a state registered nurse aide in kentucky for over 2 years and six months and i know that i am competent. i resent the implication that all cnas are stupid because we are not. i am proud to be a cna because i know in my heart that i do a good job providing care and that i make a difference in the lives of my residents.
i love ems! my cousin is an emt, some of my friends are emts and medics, and of course i see them at work and chat with them there. i have had a few bad expiriences where ems has been dismissive, rude, and even down right hateful to me or the other nursing staff but because of these negative expiriences i don't think all emts or paramedics are mean or stupid.
Jun 3, '05[QUOTE=sandigapeachlpn]i am trying extremely hard not to take what your post said personally. /QUOTE]
DITTO. I DID TAKE IT PERSONALLY. I AM A LTC RN AND HAVE BEEN SO FOR 30 YEARS. I LOVE MY RESIDENTS AND THEY ARE WELL TAKEN CARE OF- ANYONE WHO SOES NOT THINK SO CAN KISS MY RUBY RED....... :angryfire :angryfire
Jun 3, '05Quote from Angie O'Plasty, RNWow these hit close to home. I have worked in geriatrics for 6 years now and i do the cna work and the med tech work depending on where im assigned that day. Although there are some nurses who i dont have the most respect for i dont see ANY of them as GARBAGE. Look at all they do for these residents. AS far as the CNA'S I dont see them doing all these "stupid" things we/they work very hard. Not to say any of us are free of mistakes b/c lord knows we forget to do things sometimes. However, think of it this way we are responsible for doing a TON of things with minimal about of time and minimal amount of staff most of the times. Another thing i read was about "nursing homes stinking" @ our facility we are VERY good about doing proper peri care, changing are residents every 2 hours or as close as possible to that and i bring in my own body spray to help my residents smell good. What everyone needs to remember is just b/c these people are old doesnt mean they dont want the same kind of things me and you want. Just b/c they cant say what they want doesnt mean they dont want or need anything. Also those "CNA'S" ARE usually the ones that come across things such as the resident doesnt look quite right, The resident has a new skin tear which the aide may or may not of caused. When I was working noc shift i ran across ALOT of EMT'S that get there calls @ 12am-4am and they come in with a bad attitude like "why did they call over something stupid like that" what they need to remember is they called for a reason they called b/c they were concerned about the resident which is why were there for the RESIDENTS nurses and CNA'SLook, I respect what you do--please respect what we do. Those "nurses" you are so quick to pass judgment on are in all likelihood NOT nurses, but CNAs.
We are not idiots. We are not stupid. We are not lazy. Above all, we are not "garbage."
You might be half a year away from graduation, but you're a looooong way away from knowing all there is to know about nursing, take my word for it.
Jun 3, '05Quote from Angie O'Plasty, RN.I disagree with that generalization, but you're certainly entitled to your own opinion.
It's not that we don't want your opinion. It's that there are lots more tactful ways to get your message across than by name-calling. Maybe it'd help to check out some of the other threads to see how this board handles discussions. We get our points across pretty respectfully without flaming one another--most of the time, anyhow.
He did not need to use a sledgehammer to a point.
Your opinions and views are welcome but what you posted was an attack on the people that work in LTC. Your remarks about nurses being jealous over your "skills"was very condescending and made you sound like a pompous fool.
Jun 3, '05I am a fairly new grad, been in practice a little over 6 months. I work in a nursing home and see more love and care there then many others area. We are the family for residents with no famiy. We are Advocate for residents on a daily bases. Do you know the hardest part of my job? To see people die with no family by thereside, or suffering.
I know hospitals have a limited amount of time, but it often seems we get pt sooner then we should, but then again we get looked at as the bad people. As a nursing career, we all have an important job no matter where we work.
Jun 3, '05When you actually become a nurse you will find that nurses everywhere make mistakes. When I did my 1st clinical years ago my rotation was at a nursing home. I wasn't looking forward to it. I descovered the first day that this was the population I was made for. Nursing homes are all different and if you did some research you would find that many receive high ratings and if there are deficiences they work hard to correct them. Hospital nursing has the advantage of having doctors in the ER if their is an absolute emergency that comes up. Doctors have a quicker call back time. In every profession there are bad apples. I believe that healthcare people should support each branch from cna's to medics. We are the ones that get held responsible if something goes wrong. I have worked in nursing homes, hospitals and as a nursing supervisor for a home care company. Nursing homes require much more from their staff and are not able to pay anywhere near as much as hospitals or nursing homes. A lot of the people in NH's get govt. funding and it barely meets the expenses. Families mean a lot to a resident and if no one comes they still need conversation, encouragement and empathy.Last edit by VickyRN on Jun 4, '05 : Reason: Quote with offensive post deleted