Quote from dr2004rn
boy am i glad that you brought this up!!! i too am thinking of doing ltc, but i wasn't sure if i would get to use my critical thinking skills, as well as some i.v. skills; or get to work with trach/vented patients. i don't want to just be a manager. nor do i just want to pass pills all day either (no offense meant by that.) i enjoy the geriatric and mr/dd population very much, i know that is where my heart is, but i don't want lose any skills should i ever decide to work in a hospital again. i just got my license in june 04, and have worked in a hospital since. sorry, i didn't mean to ramble on. i just wanted to let you know that someone else out there agrees with you. good luck to you.
you can do all of this in ltc and more ....critical thinking skills are used everyday. iv, phlebotomy, trach, vents, wound care, teaching....you can see it all. please read other posts on this board..
one question i forgot to ask, do the ltc nurses do head-to-toe assessments on all of the residents? i worked as an aide in ltc, and i don't think i ever saw a nurse do an assessment. blood pressures were only done once a week. is it pretty much like that everywhere?
heck no...if i have 26 or more residents to pass meds on, do treatments,etc...there is no way you can to a full head to toe on them nor do you need to. we do focused assessments. what is the dx? pneumonia....id be doing a complete respiratory assessment. chf...cardiac...look at resident. listen to lungs, heart, feel pulses, check for edema...etc.. you get the picture. most residents are not bed bound...they are up for the day out for activities, therapy etc. hunting them down to get meds or treatments done is hard enough. vital signs are different depending on the facility policy. sometimes just because you aren't laying hands on the resident doesn't always mean i'm not assessing.