Lowest of the Low - page 2

Hi all, Hoping for some insight, support, advice. I have now been working LTC for 9 weeks. I am a new grad, had two weeks of training, and been on the floor on my own since then, hired as a charge... Read More

  1. by   gstrahan
    Quote from glasgow3
    Ahhhhhh.......New DON, DHS on the premises, new charge nurses (and new grads at that)......

    In LTC this all screams: PROBLEM FACILITY!!!!!!!!!!

    Run...Run very, very fast. With all due respect to some of the other posters the situation will NOT get better for you, at least not at that facility.

    :yeahthat: :yeahthat: :yeahthat: :yeahthat: :yeahthat: :yeahthat: :yeahthat: :yeahthat: :yeahthat: :yeahthat: :yeahthat:

    Get out fast!!!!
  2. by   gonzo1
    I am so sorry you are going through this. If you research this forum a little bit you will see that many new grads have had this problem. And the problem is not you, but the facility that you work at. There are many places that try to take advantage of new grads. You need to run from this place. Carefully read what all the posters have to say, don't burn bridges, just put in your 2 week notice. You will have no trouble finding another job. I recommend med/surg at a local hospital with a nice/appropriate orientation. Keep us posted, we care.
  3. by   banditrn
    Yep, I'd be outta there!! I got 4 days orientation to LTC, but I'd been a nurse for many years. Even so, there are still things I'm finding out that weren't covered during 'orientation'.

    Working in LTC takes excellent organizational skills, something most new grads need time to aquire. Even with all my experience, it took me a couple of months to 'hit my stride'.

    OP - don't feel bad about yourself - you need to be in a more nurturing, structured environment until you 'find yourself'. Good luck to you.
  4. by   Daytonite
    after a terrible fiasco with an acute hospital job where the don had lied to me about my starting wage and the area where i would be working, my first "real" job after graduation was in a nursing home, no orientation. it was very frustrating and many of the other charge nurses weren't much help. it was like they were watching and taking bets on how long it would take before i drowned. thankfully, the director of nursing was more understanding. all i can tell you is that at first i focused on routine things such as getting medications and treatments passed. i started to make lists of things i had to do and prioritize them. as time went on, and because of errors i'd made, i learned about things that were important had to be addressed. nothing upsets a person worse than learning you make a mistake. looking back, a big problem was that no one would tell me when i was making errors. they knew about them, but they weren't talking to me about it. very dysfunctional behavior on their part. i suspect this goes on a lot in small facilities like this which only adds to problems that new grads like you or i have or had. on the other hand, i wasn't asking for any feedback either. i was going along my merry way thinking everything was fine.

    in a small place you have to be careful of what you say and how you say it. when you are the "new guy" you have a place--the bottom rung. when it comes to making any kinds of judgments about the facility or the people that work there, the less you say, the better. looking back, i would say that one of the biggest mistakes any new grad can make is to constantly apologize for their lack of knowledge or ineptness at their jobs. it's natural to say these kinds of things because you so-o-o want to do your best, but you know you are all thumbs and slow. but, you just have to clam up and keep these feelings and emotions to yourself when you are in the workplace. these kinds of comments said enough and over time tend to be seen as a sign of weakness and craving for attention and sympathy or pity. some people will interpret it as whining. many co-workers eventually don't want to put up with this, so you start getting all kinds of unwelcomed behavior from them. some will latch onto the weakness and go for your jugular as happened with me. the more you talk, the more you reveal about yourself. that is not always a good situation. people are more reserved when it comes to taking issue with people who are quiet and speak only when necessary because they don't know enough about them or what kind of reaction they might get.

    you can't change past mistakes. but, you can learn from them. i know what is now going to happen for you because i was in management for some time. you are going to be asked to make some goals--in writing. make your goals achievable and not general--goals that you know you can accomplish. you will be supervised very carefully. if they are determined to terminate you, they will use this as a way to do it. the minute they can show that you are failing to achieve a goal, you'll be shown the door.

    if you want to stay in this job and give staying a shot, i would sincerely let them know that you are committed to changing and improving. ask daily for feedback. that is how they will know you are committed. don't wait for them to tell you if you've done something right or wrong. put some onus on these leaders to give you some guidance and preceptoring by asking it of them as things come up. they, as leaders, have that responsibility to you if they are going to put you into some kind of rehabilitation. and, don't let anyone else on the staff--not the cnas or the other charge nurses, know what is going on. what goes on in the meeting between you, the don and your supervisor on friday is strictly confidential between all the parties involved and no one else's business. discussing it openly with others is a sure way to put you on a fast track out the door. even if they violate that confidentiality, as sometimes happens in small places like this, don't you do it.

    if they are not going to be willing to enable you to improve, then their intention is merely to collect documentation to backup your upcoming termination so they won't get stuck having to answer to the state with regard to them paying out unemployment benefits to you. (if they fire you without documented cause or attempts to rehabilitate problems you are having on the job you are entitled to unemployment compensation and they have to pay the state back for it.) the graceful way might just be to start looking for another place to work. at a new place you bring with you some of the wisdom you learned on this past job.

    i also wanted to comment about this new don of yours who called you into her office and told you she was not going to recommend you for hire after your probationary period. that, to me, is a red flag of an inexperienced manager. that is the wrong thing to say to an employee that is on probation. it is also wrong to dump all your discretions on you all at once. evaluation of your performance should have been a regular ongoing activity of which you should have been part of. you might want to point that out. her job is to assist you to become a better employee by helping you out, seeing that you get more instruction, and getting you connected with resources to help you do that. that was also denied to you and i would point that out as well. unfortunately, this is the poor caliber of management and supervision staff that all too often is hired and staffed at long term facilities. it is just sad. this is not the proper behavior for a director of nursing. so, if you decide to stay here and while they are putting some goals on you, put some performance requirements on them as well in order to help you achieve those goals. this is supposed to be a two-way street. don't let them bully you.
  5. by   Mulan
    I would resign and look for another job.

    One thing, you said you had confided in your supervisor about your personal problems and she threw it in your face in your meeting with the DON. I don't know what type of problems you are referring to, but in the future I would keep any personal problems to myself, what you described happens all too often. These people are coworkers, they are not your friends or family and they don't care about you. Keep your personal life to yourself.

    Good luck.
  6. by   banditrn
    Daytonite - that was a most excellent post!! I'm going to print that out to refer to for myself from time to time!
  7. by   CathyRN06
    I remember 13 years ago my first job was in LTC also. I had worked as a tech before going to nursing school.

    My first eval was also very bad and I can empathize with what you are going through. I stayed to try to prove them wrong but in retrospect, it was the wrong decision for me. It was a negative experience from the beginning and it didn't get better.

    I moved on to a hospital and spent the rest of the 13 years in the ER. I succeeded in that position because I had proper orientation and supportive colleagues.

    You will also but I would move on now if I were you. Sometimes I hate nursing when I hear of stories like this. Negativity gets us no where.

    I just accepted my first position as a DON. Because of my past experience, I will never react this way. This is a "reaction" not proaction on her part. As far as I'm concerned, the loss is hers.

    Move on.
  8. by   CapeCodMermaid
    Unfortunatley it's not just LTC that does this....my first evening as a new nurse on a med surg floor in the local hospital...the supervisor told me I was going to be the Charge Nurse ....but, I said, this is my first evening here...yes, she said , but those initials after your name RN mean you're in charge. That was after one 8 hour orientation of which 6 hours was about IV's.
    Now some 20 years ago, most of which have been spent in LTC....We all take what we've learned as we go. I tell brand new nurses who come looking for a job on my sub-acute unit to think really hard about the challenges they will face,especially on a 3-11 shift, of being a brand new nurse with so much responsibility. It's the business...most places can't afford to have 2 week orientations. I am very honest with the nurses who come to see me. I don't want their first experience as a nurse to be horrible because they don't have the skills and we don't have the time to teach them. We give them as much orientation as we can, but a subacute floor in a SNF really isn't the best place to start one's career. I refuse to hire for the sake of hiring only to put the poor new nurse at risk of having the bad experience you're having.
  9. by   AfloydRN
    Get out as soon as you can. New grads should NEVER be in charge. They lack hindsight and foresight that only comes w/ time. Sounds like patient safety is not of concern. Try a step down unit or med surg unit that has good rn to patient ratios.
  10. by   brendamyheart
    Welcome to LTC. They will eat their young!! As a new grad, you should have been supervises by someone, and believe me when I tell you this, the DON is responsible for you!! You have given it your all and do not worry about a thing. Someone out there will appreciate you. We all make mistakes. If you were perfect, you could be God!!!! Have worked with LTC for some time now and I have seen it all, Be at peace with yourself and good luck.
  11. by   NurseCard
    I have to agree. Go find yourself a med surge job. Most hospitals are constantly needing med surge nurses and usually will offer an adequate training period. I would recommend about 12 weeks, though my hospital only had about 6 week orientations for med surge nurses; a majority of them did okay with that.

    Med surge can be stressful, but IMO, nothing like what you are describing. Good luck!
  12. by   Jo Dirt
    If they told me I would not be recommended for hire after my probationary period, no way would I go back to that shappy operation!
    Are you some kind of masochist? Get out of there yesterday!
  13. by   Faye1
    Jeez...when I hear this stuff it scares me. Do I really want to become a nurse? I had absolutely no idea how smart nurses really are...why do they get so little respect? I mean, salespeople get more respect than this.