Quote from Jessica 392
I'm also curious about this topic.
I'm a new grad & was just hired to work part-time in LTC. When I asked my manager what exactly my new responsibilities would be, she only told me that it would be my job to "cross all her i-s & dot all her t-s".
She also told me that the place was fully staffed with LPNs & CNAs. Oh, & that it would be my responsibility to make the call on whether or not a resident should go to the hospital - but that their policy is to send residents out to the hospital even if they get the smallest of skin tears.
**BTW, it wasn't until after I was hired for this position that I became aware that LTC isn't necessarily the best place for a new grad. I had always assumed that the only 2 possibilities for new grads were LTC & staff nurse on a MedSurg floor. Had I known so many experienced nurses felt this way about new grads in LTC, I probably would have pursued the hospital route a little harder.
I hope I didn't discourage you. I received a lot of conflicting info. from my former DON. She told me that the facility was well staffed, and that I would work a med cart very seldom, but it was almost the norm that I worked the med cart, in addition to paperwork, compliance rounds, transfers of patients, admissions, etc., and the staffing was terrible, and the call outs on third shift were awful.
We didn't send skin tears to the hospital, unless they were terrible, and there was another injury. I have really good assessment skills, with a critical care background, so I guided the LPN's in the decision to transfer pts. out. Some LPN's wanted me to assess and make the decision, others did it on their own (which I don't approve of), and the one's who did the transfer with my input, were the ones I loved!!! So many had so much more experience than me, but just needed validation that it was the right thing to send a pt out. Some nurses work great under pressure, and some crumble. I stay really calm throughout the crisis, and breath a HUGE sigh of relief afteward. If you have great assessment skills, and can remain calm and clear headed in a crisis, you will have no problem. If not, it will come with time. You know way more than you think.
You'll probably be fine. Is it day, evening, or night shift?
Good Luck!!! LTC needs really good, special nurses. Hope you love it.