No Respect for LTC nurses?

Specialties Geriatric

Published

I've been in LTC for 14 years. Does anyone else experience the total lack of respect for LTC nurses? Anytime someone finds out I'm an RN, the first question is always "Where do you work?" I always answer with in LTC and almost every time get the same answer.... "Oh". It's like you're not a "real" nurse if you're not working trauma or something. I routinely care for 30 + patients, meds, treatments, documentation, ADL care when short staffed, counselor, social worker, tx nurse, admissions, dietitian, emergency care, etc, etc, etc. Yet what I get is "oh, don't you want to work in the hospital?" It frustrates me to no end. Do people go to the ER and ask them why they don't work in LTC? If my parents were in a nursing home, or myself even, I'd hate to know the nurses taking care of us was doing it "just b/c she couldn't hang with a med surg floor". I get so sick of explaining why I like LTC. I've been a CNA, LPN, RN, and hope to one day be a geriatric NP. But my love will always be LTC. I know people have had bad experiences, and sometimes group all facilities and nurses into a big category, but I'm truly an AWESOME LTC nurse! I even had an instructor in school say LTC was for nurses who couldn't "cut it in the hospital". I briefly went to med surg, and I tell you, other than the fact the computerizd documentation was giving me a fit (used to writing a novel by hand every day), I found it to be a lot less work. (not knocking MS nurses, that would just be doing back what people do to me). I know it's a unique monster all its own. But I've noticed you can say you work in MS, public health, home health, a doctors office, psych, etc, and that's OK. But say you work in "a nursing home" and people look at you like they feel sorry for you??????????

Specializes in RAI/MDS Facility Administrator.

I LOVE my job! When those other nurse's roll their eyes at me when I say that I am a geriatric nurse it does not bother me. I am there for my residents and at the end of the day I know that I have made a difference in someone's life. I don't bother getting defensive anymore, we all have our strengths when it comes to nursing and it takes a really special person to work LTC and really enjoy it. Perhaps there are areas that we would not enjoy, I think it's better to have the attitude that ignorance is bliss. You know what a difference your skills and your heart makes, you are the lucky one to have the privledge and honour to care for the elderly. I only hope that when it's my turn I have a kind, caring nurse that loves her job.

I loved working with the elder population, alzheimer's included. However, the trend here in eastern Massachusetts has been corporate takeover of most of the LTC within the past 3 years. Diagnoses of dementia, failure to thrive, alzheimers, etc. do not reimburse as much as some of the newer patients entering LTC, or as it is now being called here, Skilled Nursing Facilities. It is my humble opinion that the elder patient should not be housed on the same unit as detoxing from ETOH or drugs, HEP C with varices, HIV complications, 500lb diabetics with trachs, foley's & g-tubes, or middle-aged psychotics, drug seeking types. Some of my residents were totally confused, amb in w/c, but were at the mercy of the aforementioned newer residents. Also, I was asked by one of these detoxers if was the "Lady with the keys to the drug closet". If I could find a position locally that was with the elderly only I would take it regardless of pay. LPN's aren't hired in Hospice, hospitals, home care in my area; only LTC.

How about when your brother who is an RN in a cardiac intensive care unit says to you....oh you work the other end of the nursing spectrum from what i do. you'll never know what its like to call a code or do what i do. I swear to gods..mine said that to me. I'm an LPN in LTC. My reply to him was.. and you have how many patients? He said 2. I said..well I have 40! I have to be up on every aspect of care, not just cardiac. I love what i do, i enjoy my people i take care of. So he will never know what its like to have an "oldster" tell you about life years ago. As an LPN LTC you become a part of their daily lives. Its wonderful to walk into a room and hear...hey where have you been? I've missed seeing you. It's an honor to hold the handof the dying, to cry beside the family because this gentle soul is a part of who/what you do and are. Yes, I might not work ICU, but I AM important to the residents I care for. I dont need to know just cardiac, I need to know stroke, diabetis, rehab, alzhiemers, etc. I feel sorry for him in his arrogance that he doesnt do what i do. We learn from our past,and boy am i in a learning enviroment. You just need to take the time to ask questions and listen.

Rose

Yes, nurses who work in a nursing home don't get the respect others get. When you apply for a job in a hospital in NY and you come from a nursing home, you are considered a fresh nurse. You do not get paid for experience differential regardless of how many years you work in a nursing home. I have that experience, and I do not like it.

Specializes in Nursing Home ,Dementia Care,Neurology..
Yes, nurses who work in a nursing home don't get the respect others get. When you apply for a job in a hospital in NY and you come from a nursing home, you are considered a fresh nurse. You do not get paid for experience differential regardless of how many years you work in a nursing home. I have that experience, and I do not like it.

Sounds just like here! I've been working in a nursing home for 16 years,if I tried to get back into the NHS system I would probably be told I don't have the experience.We try and keep up to date with new developments but you do tend to stick to your own specialty.

Specializes in Geriatrics/Family Practice.

I remember during LPN school after we did our LTC rotation, I said I would never, never, never work in a nursing home after I graduate. I felt the elderly were treated terribly. Well I started out at a Family Practice Clinic after graduation and still work there prn, but I felt for some reason to try and work in LTC and see if I actually would like it. I thought maybe I could make a difference. And by the way, I do. Well I thoroughly enjoy it. Alot of these people are just left there to die and never smile. Guess what I bring a smile to their face at any cost. If I have to dance while giving there meds, or make a joke, or tell them how handsome they are, or how beautiful they are, I do. They are beautiful human beings who have so much life experience and love to share it with you. Even if they have dementia, if you listen closely to their stories you can tell alot about them and what they were like before their type of old age set in. The other night when I came in after being off for quite a while due to being prn, one of the residents hugged me and kissed my cheek, another gave me a old cookie from her drawer just because I care. Yes I know to some I am "JUST A LPN" who works LTC but to these old people, I make a difference and that is why I went into nursing. So for all who think that working LTC is the lowest of the low, you know exactly what you can do. Again, as I've said before, those that think LTC care nurses are the lowest of the low, they will change their minds when WE are there taking care of their grandma, grandpa, mother or father.

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