The ridiculousness of LTC/SNF - page 5

Oh where to begin. Anybody else running to save their sanity and nursing license or is it just me? I have been an RN since 2007 so I'm a very seasoned nurse. For the first 9 years of my career I... Read More

  1. by   QuietIsntAWord
    When I put my 2 weeks notice in from private duty nursing my manager asked where I was going and I told her LTC. She said "You are going to hate it there". After reading some posts about peoples experiences in LTC, I can now understand why she would say that. However, I guess I'm one of the lucky ones and found a LTC facility that is a gem to work for! My stress level is 0 most days. We have the correct amount of staff and our ED, DON, ADON and all department heads are amazing and really stick their necks out to help you. I have no issues going to them with a concern and if it's a legitimate concern they take action to fix it. I guess if anyone is looking to go into LTC make sure you ask a ton of questions during your interview so you don't get stuck in an unsafe environment.
  2. by   Crush
    Quote from QuietIsntAWord
    When I put my 2 weeks notice in from private duty nursing my manager asked where I was going and I told her LTC. She said "You are going to hate it there". After reading some posts about peoples experiences in LTC, I can now understand why she would say that. However, I guess I'm one of the lucky ones and found a LTC facility that is a gem to work for! My stress level is 0 most days. We have the correct amount of staff and our ED, DON, ADON and all department heads are amazing and really stick their necks out to help you. I have no issues going to them with a concern and if it's a legitimate concern they take action to fix it. I guess if anyone is looking to go into LTC make sure you ask a ton of questions during your interview so you don't get stuck in an unsafe environment.
    Ditto here back when I worked LTC. Sometimes we were short but most of the time we did ok. All depends on where you work. I did like the work overall. I felt I was able to use my skills and grow as a nurse. I have had no trouble transitioning from LTC to other areas of nursing either. But I am sure this can vary as well.
  3. by   smartnurse1982
    Quote from QuietIsntAWord
    When I put my 2 weeks notice in from private duty nursing my manager asked where I was going and I told her LTC. She said "You are going to hate it there".
    I worked LTC but transitioned to PDN 12 year ago.
    I want to transition back to LTC. I hope I am successful this time.
    I cannot stand the benefits for PDN. Most times I feel like a servant moreso than a nurse. Also,too many parents ask you t do dangerous stuff,and agency looks the other way.
  4. by   djh123
    Quote from QuietIsntAWord
    When I put my 2 weeks notice in from private duty nursing my manager asked where I was going and I told her LTC. She said "You are going to hate it there". After reading some posts about peoples experiences in LTC, I can now understand why she would say that. However, I guess I'm one of the lucky ones and found a LTC facility that is a gem to work for! My stress level is 0 most days. We have the correct amount of staff and our ED, DON, ADON and all department heads are amazing and really stick their necks out to help you. I have no issues going to them with a concern and if it's a legitimate concern they take action to fix it. I guess if anyone is looking to go into LTC make sure you ask a ton of questions during your interview so you don't get stuck in an unsafe environment.
    That's great to hear. The one I just left (but it's possible I'll go back to it) was somewhat in-between. Not as crazy as some of the stories I've heard on here, but sometimes I was overloaded due to short staff. In general, it wasn't bad, and yeah, some days pretty low stress.
  5. by   quiltynurse56
    The first LTC I worked in was wonderful too. I moved and ran into awful.

    Quote from QuietIsntAWord
    When I put my 2 weeks notice in from private duty nursing my manager asked where I was going and I told her LTC. She said "You are going to hate it there". After reading some posts about peoples experiences in LTC, I can now understand why she would say that. However, I guess I'm one of the lucky ones and found a LTC facility that is a gem to work for! My stress level is 0 most days. We have the correct amount of staff and our ED, DON, ADON and all department heads are amazing and really stick their necks out to help you. I have no issues going to them with a concern and if it's a legitimate concern they take action to fix it. I guess if anyone is looking to go into LTC make sure you ask a ton of questions during your interview so you don't get stuck in an unsafe environment.
  6. by   LadysSolo
    I am looking to go to one of the nursing homes I have been covering as an NP for the last 10 or so years to work when I semi-retire. I know their staffing patterns and their resident mix, and it will be fine. In fact, none of the facilities I cover are particularly bad, but I prefer the ones who do not take anything and everyone for rehab, but limit their population to the "over age 55" group. Makes a BIG difference in resident behavior.
  7. by   SanJose_FNP
    I used to work in LTC when I first started the RN journey. However, never ever have I encountered the serious problems like your situation. Your experience is one of worst part about LTC. I am sorry that it happened to you. I hope you will find your true niche soon.
  8. by   Neats
    I realize there are a lot of responses in regards to this original post. I think we can all take this as a lesson learned.
    Again for the life of me I do not understand why a large number of nurses feel they have to do it all. They shoulder the burden for so many until you break yourself down and really are physical and mentally sick from it. We need to stop doing this. We need to band together and we need to stick up for one another.
    Day 1 when I found out a CMA had a past history of medication abuse I would ensure they were not working under my license. If I counted with them I would do both the counting and reviewing the MAR BEFORE and ENDING EACH SHIFT, I WOULD ALSO ENSURE THE NEXT LICENSED NURSE or CMA had the keys and this person could not get into the med cart once end of shift counting, I would not care how long it took me I would cover my self. I would also inform the DON I am worried about working with this person and will be reporting daily summaries as to how the sift worked. I would request additional assistance for my work load. I would quad my time spent working and place in acuity what I MUST get done, everything else would be left undone, I would not stay 11 hours getting work completed. I may stay an extra 15 mins just to summarize what I needed. You are being treated as a work horse with no extra horse power.

    I would let the DON know if things do not change I will be placing my 2 weeks notice in and do it. No amount of dedication, pride, or feeling of attachment is worth harming your health, if they terminate you then heck so be it you can collect unemployment. Next job I would be honest and say I really tried and when I applied my common boundaries in the work place they terminated me. No one could fault you for that.
  9. by   arudesea
    Quote from YUKONrn
    Oh I forgot the most important part of my last post, they don't give a damn about those residents. They are nothing to them but dollar signs.
    This 1,000 times. I have worked exclusively LTC/SNF in my few years as a nurse. The corporate take over has happened to me once and went exactly as you've described. Went from having tons of nurses and help running all over each other to bare bones. Its all about the mighty dollar to corporate people. One of the other facilities I worked was under a large South-Eastern corporation and it was quite possibly the worst example of dollars over patient care I've ever seen. As someone else mentioned we'd send people right back to the hospital only hours after arrival. Glad you got out! I'm currently back in school to get my ASN and broaden my job prospects.

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