Just curious what's so bad about working LTC? - page 2
I hear many bad things about working at a nursing home. What are the bad things anyone care to explain?... Read More
Sep 17, '07Occupation: Infusion therapy Specialty: 13 year(s) of experience in ER, Infusion therapy, Oncology ; Joined: Aug '07; Posts: 244; Likes: 205Just curious, How many IV's do you start? I know there are good nurses that work in LTC but it has been my experience, just taking report from LTC nurses, that there knowledge base is not as high as an acute care nurse. Acute care being any nurse in the hospital setting. You are mainly taking care of patients who when they become ill are transfered to an acute setting. I disagree with the comment about acute care nurses having an attitude about the elderly though. I think a majority of the patients they take care of are elderly.
Sep 17, '07Occupation: RN Specialty: 4 year(s) of experience in Nursing Ed, Ob/GYN, AD, LTC, Rehab ; Joined: Oct '06; Posts: 568; Likes: 284I have had only positive experiences in LTC. Sure sometimes we are under staffed or out of some kind of supply but what hospital isnt both of those sometimes as well? I think it depends on where you work and management of the place. Where I work its fabulous and I really feel we give A++ care to our residents. I love that you can get to know your residents and really make a difference in their lives because of the amount of time and follow through you are allowed. Getting to know your residents so well allows you to better customize their care and its so rewarding being able to actually see the positive out comes of your interventions. Something that is unique I think in LTC.
Sep 17, '07Occupation: RN Specialty: 4 year(s) of experience in Nursing Ed, Ob/GYN, AD, LTC, Rehab ; Joined: Oct '06; Posts: 568; Likes: 284Quote from miandersI also have to disagree with this comment. I think that is a huge misconception in LTC. I was surprised myself the diverse population we care for and the numerous IV, feeding tubes, vents, incision, pins ,wounds, infections, etc we deal with. Let me tell you we handle our fair share as well!It all depends what you want to do with your nursing career. If you stay at a LTC you will not develop a lot of the skills you would in an acute care facility. If you plan on spending your whole career there then more power to you.
Sep 17, '07Occupation: ICU float, medical, surgical, cardiac and neuro Specialty: 12 year(s) of experience in Travel Nursing, ICU, tele, etc ; Joined: Jun '07; Posts: 1,792; Likes: 792I am one of those fortunate nurses who has worked in a lot of different areas of nursing and to say one set of nurses is "better" than another is absurd. There are weak and strong nurses everywhere, including ICU. I will never forget some of the awesome LTC nurses who helped me along as a new grad and their assessment skills and knowledge base were as broad and deep as any nurse I know. It is just a different focus of nursing. There is a different "skill set" for each specialty of nursing, along with the basic assessment skills. Then there is that hard to quantify skill, intuition, which I believe all great nurses possess. You know, those nurses who just know when something is not right or know when to check on a patient because something tells them they are in trouble. That kind of deep insight exists everywhere in nursing and is not dependent on the specialty where one choses to be a nurse. If your heart and commitment is with LTC residents go and be happy in your choice. God knows great nurses are needed there too. The so called "skills" some think LTC nurses don't have like starting IV's is one of those skills that even if you do work in a hospital, doesn't mean that you are any good at it... what else...reading heart rhythms, etc are all skills that can be acquired without a lot of difficulty. The basic nursing skills, the ability to spot a patient in trouble, safe medication administration, skillful handling of family situations, compassion, end-of-life care is at least if not more keenly developed in LTC nurses. The LTC nurses I worked around are some of the most efficient anywhere. If you want to learn time-management skills, work LTC! Efficiency is key.
I am sincerely grateful for all of the great nurses I had the pleasure to work with in all different areas of nursing. Follow your heart and never feel inferior or superior to any nurses anywhere.
Sep 17, '07Occupation: CRRN, now a case management RN Specialty: Case mgmt., rehab, (CRRN), LTC & psych ; From: US ; Joined: Feb '05; Posts: 38,032; Likes: 69,287Quote from miandersI never made the claim or assumption that LTC nurses possess knowledge bases that are higher or lower than that of their acute care hospital counterparts.I know there are good nurses that work in LTC but it has been my experience, just taking report from LTC nurses, that there knowledge base is not as high as an acute care nurse.
Rather, it is best for me to state that each nurse has a knowledge base that it uniquely different from the next nurse. For example, I know a whole lot about the aging process, death and dying issues, and other aspects of gerontology that are intertwined into LTC. The next nurse may know a whole lot about oncology, because he or she has spent much of his or her career working on a hospital oncology unit.
It is prudent to refrain from assuming that all LTC nurses possess lower knowledge bases than acute care nurses, because many of my LTC coworkers started at hospitals before they moved on to the nursing home setting. One of my male coworkers was an L&D nurse. Several coworkers were med-surg nurses. Some worked in telemetry, triage, the OR, and other varied areas. When I ask about the reasons for leaving hospitals, they all state that they were looking for something with a slower pace that paid more money.
Sep 17, '07Occupation: Operating Room Nurse Specialty: 5 yrs OR, ASU Pre-Op 2 yr. ER ; From: US ; Joined: Jun '03; Posts: 17,036; Likes: 1,008I never felt that working in LTC was bad. It's just that i did it for so long, that when i went to LPN school, i wanted to try something different from LTC.
Sep 17, '07Occupation: LTC Specialty: 9 year(s) of experience ; Joined: May '04; Posts: 3,422; Likes: 1,298When I applied for the telemetry job at the hospital here the NM said her only reservation was that I had spent most of my nursing career in a nursing home and I would basically be a new grad..
I was a little insulted at this. I know that I worked in an intermediate care facility, I've never started an IV, have rarely done blood draws and had never read an ECG monitor. But to say I was basically a new grad was an insult, because I definitely realize that I know and can do A LOT more now than when I just got out of nursing school. The NM was giving me scenarios to see how I would respond and I was thinking she must think I'm some kind of idiot!
I even found myself buying into this mindset of LTC nurse=no skills.
I think LTC nurses are the Rodney Dangerfields of the nursing profession and our roles are devalued among other nursing disciplines.
I'm kind of offended when I look at how underestimated our abilities are.