New grad, LTC job offer...advice? - page 3

I'm a new grad LVN in CA. My hope was to work in acute care but hospitals in my area are going to all RN staffing. My clinical experience was mostly med/surg. I accepted an offer from the best LTC... Read More

  1. by   tiona
    Canada must have some different policies. LVN stans for "licensed vocational nurse" which is the same as "licensed practical nurse." For some reason TX and CA call us LVN.

    I like the nurse supercisor role because I get to communicate with physicians, personally assess the residents and do stat procedures, which utilizes my skills. I help out where ever I can. But paperwork is the biggest issue....I was highly trained to do assessment and careplan in my nursing program, so I'm happy to have an opportunity to keep my skills. As a new grad this is all very intimidating and the state is coming next week ..YIKES. My facility has a very low turn-over for nurses and not bad for CNA's. They treat everyone pretty well and right now they treat me like a queen. I'm having some difficulty directing the CNA's. Some try to manipulate me because I'm new. Not many. They are the hardest working people in LTC by far. I believe in mutual respect, but I also need to be strong enough to make sure they do their jobs adequately for the sake of the residents. It is very hard to be a new grad, a new employee and be handed so much responsibility. So far, so good. But, inside, I'm terrified! I'm using my nursing skills though, and gaining confidence. Too much too soon....?
    Last edit by tiona on May 14, '04
  2. by   renerian
    How are things going now? Just wanted to check on you.

  3. by   scarterlpn
    Of course you can do it ! I currently work at a LTC facility. The ratio is 34:1. When you do your med pass just take your time. Make a routine that fits you. I have worked 6 months as a LPN in LTC. I enjoy my job and working with my cna's. You can do it just believe in yourself. I know at first it is scary ! Things will fall into place and you'll learn more than you could ever imagine. Find someone to help you get into a routine and spend time with you until you feel comfortable about your med pass. Currently we only have 5 tx's and there split between shifts but if i have time i usually do them to help out the next shift. Help your fellow nurses and they will help you. Good luck !
  4. by   tiona
    Hi All,

    Things are going well. I'm working full time, hoping for a permanent part time kind of schedule sometime soon. I'm learning a lot about every aspect of the LTC "business" as well as how to manage 33 residents. It sometimes feels very overwhelming, but I get a lot of positive feed back from everybody. I can't say that I actually enjoy the job yet, but I can say that the work environment is very good. The time that they are taking to mentor me is a great learning opportunity.

    I spend a lot of mental energy even on my days off worrying about this-and-that, but I'm sure that will get better as I become more comfortable with my role. Right now, I'd just like 2 days in a row off!

    Thanks for all the advice and support! I'll keep in touch.
  5. by   renerian
    Good for you! I am glad to hear your hanging in there!

  6. by   Betty_SPN_KS
    I'm glad to find this thread. Tiona, I'm glad to hear it's going well for you. I am also a new grad (of an LPN program in Kansas) and also going to work in LTC. I'm going to work in 2 facilities. Fortunately, I have worked as a CNA in one of them so I already know the residents. But the other is all new to me, and after my orientation, I will be the only nurse in the building from 6 pm to 6 am.
  7. by   HisTreasure
    I, too have been hired on a sub-acute floor of a LTC. I am working evenings. It is a 24 bed unit. I will be the only nurse on my unit with 3.5 CNAs. The charting is computerized, and the CNAs and nurses said there is some downtime. Many of the patients shouldn't be considered subacute, but they keep the beds full anyway with LTC patients (if that makes sense). I will get phlebotomy and IV certification which I look forward to. I am excited and scared. I feel ill prepared, and as I haven't been in healthcare prior to nursing school I really don't know what the reality of nursing will be like. I enjoy reading these posts, I am learning so much from each of your experiences.