Why dont we get respect as LTC nurses? - page 4
Hi everyone, I am hoping for some input to a questions that has been really burning my butt. I am a new nurse, and recently switched from med-surg at a local hospital (loved the job, hated the 12... Read More
Sep 9, '06I worked for many years at the hospital - WON'T go back!!
At my LTCF, there are a couple of awesome nurses, an RN and an LPN, that I've learned a lot from .
One problem, tho, could be some of the nurses themselves - I've heard from some of the other staff "It's just a nursing home." And I resent it!! I've even heard it from the DON, as her excuse for not calling doctors at nite.
Nov 21, '06One reason may be that LTC facilities owners are not worthy of respect.They dont respect the patients, they dont respect the staff, we dont respect ourselves, the only thing that gets respect is the almighty dollar.We can help change this by helping ourselves , by empowering ourselves so we can be the type of nurse who DEMANDS respect. UNIONIZE.
Nov 21, '06I agree it has to do with the low self esteem thing. Most people who berate other professions are usually unhappy about themselves, and must make themselves feel better at other people's expense. It's not just with this situations, it happens in many situations and has caused a lot of sufferring and grief, seggregation, probably even wars.
But it's human behavior, as wrong as it might be it's an easy fix for a bad day. You can't really change this, but you can change the way you cope with it, by realizing what is going on, and either walking away from it, or setting them straight.
That's what i think neway. hope it helps.
Nov 21, '06Quote from rjflynI have taken report about a resident that will be admitted to LTC. Many times the nurse states" This patient is new to me" .When asking questions, the nurse cannot answer. So this works two ways.Well let me go from the ER nurse prospective. Please dont shoot the messenger.
We often get patients from LTC that their care often times leaves alot to be desired. Often times we get a patient whos condition does not match the report/paperwork we get from the facility. If we get any paperwork that is. When we call to get more information we get met by staff who have no clue about the patient or their history.
So you who may have nothing to do with said problems get lumped in to the same boat. Personally I give everyone the benefit of the doubt until you prove otherwise.
All this I believe is a symptom of our health system. Personally no nurse should be responsible for that many patients (24) is the number you mention. Of course its like everything else it comes down to money. Just imagine all the health care one could buy with the money that we are pouring down the rat hole called Iraq.
Nov 21, '06Quote: "We often get patients from LTC that their care often times leaves alot to be desired. "
Helloooooo....we sent a patient out rescue and our screener got a 'comment' from the ER nurse that the patient wasn't shaved when he arrived. Wait...wait...hold the ambulance...the man is having a stroke, but let's stop and shave him before we let them bring him to the hospital." For crying out loud, it was 7 am and the hospital nurse was trying to give me a ration of S*** because the man had a few whiskers. Get over yourself,sister!
Nov 21, '06I'm so sorry that the OP feels that LTC nurses don't get respect. It's really awful that we all pass the same NCLEX, yet have to look down on one another.
Early on in my career I worked 2 Sundays a month in a LTC facility. I also worked full time in the ER. I can honestly say that the jobs were VERY different. I learned things in the ER that i'd never learn at a LTC facilty, and vice versa. I liked this particular facility because it was very clean, and I had done some clinicals there while in nursing school. The only thing I didn't like about it was the "mean-ness" of the aides.
I'd like to add that some of the skills that I learned at the LTC facility are now helping me in the ER. In the ER, we hold patients for DAYS at a time now. Some of these patients have tube feedings, skin conditions, and peg tube meds. Those are not normal "ER" things, but it seems with the trend of holding patients they are. I'm glad I had the opportunity to learn these things in LTC.
Also, as an ER nurse, I've heard awful stories from the EMTs. In report they tell me that they picked up the patient for shortness of breath, they arrive at the facility and the patient doesn't have oxygen on. YIKES.
Just last week a facility transported a "possible stroke" patient to the ER by basic ambulance service. (not an ACLS service) YIKES.
It's sad that stories like the above have to happen, but they probably always will. We are all nurses, and we shouldn't look down on each other. The reason nursing is so great is because of the vast opportunity of "different" jobs available.
Dec 12, '06I don't care which you work in, nursing is nursing...Bashing each other isn't the way!
Although, I have only been a nurse for a year, and LTC is my first nursing job, I have been accepted for other specialty positions. The one's that require me to leave LTC, but I just never seem to leave...
I have been bashed by everyone... Doctors, PAC's, NP's, etc... Whoever whenever. But, in the end I know my stuff and I do the right thing!
The ER bashed me one day. It wasn't only the nurses, it was the doctors. I had a patient sent back from the hospital bleeding through IV line. She was on Lovenox daily... The bleeding didn't stop, the EMT's made the decision to take her back, they didn't even get her off the stretcher... Of course they told the family that my coworker and I were dumb and she only had a fever. (I would too if I lost that much blood...) Well, at the end - her Medical Director thanked us, said that we did the right thing! That was the only moment I doubted the ER, but of course they were trying to cover there own butts!!!
Dec 17, '06Good morning,
Have been sitting here reading all the LTC posts, and the most I can say is Thank God I have been called to be a LTC nurse. I was an aide for 21 years, all LTC, and have been an LPN for 13 years, also LTC. Strictly agency for the past 8 years.
Working LTC is hard, back breaking work for CNA's. Having an average of 15-20 patients, most of them non cooperative to say the least. So, I know where my roots are planted so to say. And they hold me firmly grounded.
I have had the extreme pleasure of taking care of our Veterens, who once passed their prime, are put in a home to live out their days. They bring with them smiling pictures of young handsome men in uniform, themselves in former days. Young women in pictures in wedding gowns, beaming in love, now surrounded by a few peices of furniture and noone to talk to. Working in LTC is more than passing meds, and charting. I can not tell you the number of patients hands' that I have held, prayed with as they have been called home. To see a confused, combative patients eyes light up and hear their strong voice loud and clear when they hear a Bobby Vinton song (miss you Irene). You have to be called for this job, and such a blessing to be called.
I guess I have rambled long enough, so, the next time you feel as if you are being treated as second class for being who you are, bow your head and thank God for your calling, for He watches over us and knows our thoughts and will bless us, for we are taking care of his next angels.
Dec 17, '06I just quit my LTC RN job. The most disrespect I got for working there was from the DON of the facility. She was really nasty. I did start as a new grad, and in my annual review, she basically told me that she didn't trust me b/c of this - but don't you think working for a year gave me long enough to prove myself? And talk about bad nsg judgement - this DON was scary.
Oh well-I got hired into a hospital system (psych unit) and the pay and bennys are significantly more. And I cant help but say it made me feel good when an old coworker from this LTC told me that they couldn't find anyone to hire into my spot and had to use agency. This DON HATED agency nurses!!
I don't hate LTC's - I started working as a CNA in one, and I may work for one again, maybe thru agency or PRN. Some are better than others.
Dec 17, '06Interesting thread. I originally worked in a small nursing home in a small town. That was my first job. One thing I noticed was that the DNS was an alcoholic and always had coffee spilled on her lab coat. Also, because of a severe need of staff, they ended up with a few nurses who were unable to get a job anywhere else. One nurse was just making up blood sugar numbers, rather than taking them herself. One nurse was stealing morphine. Another replaced the SL morphines with nitros, and was stealing them for her own use. These were more the drifter types.
I have a nursing friend at the hospital where I work who also worked in another nursing home, and she said there where many incidences of nurses being caught stealing narcs. I think because these places are so desparate for staff, that they can end up with a disporportionate percentage of staff being lower caliber, with serious personal issues.
Probably, if the pay was better, it would be more attractive. So, more ambitious people end up going to the hospitals. There were some awesome nurses in the LTC where I worked, but I did noticed some very washed out, questionable people as well, more than I see in the hospital. That was my personal experience with it.Last edit by GardenDove on Dec 17, '06
Dec 17, '06Hi All,
I have been an LPN in LTC for over 20 years and I have to say yes, when it comes to Administration, it is about the almighty dollar, however, I must say that IMO it takes a very special Nurse to be in LTC and I have worked with some of the finest!! But I will give you an example of how viscious the DON's can be.....My present DON has still not put out the Christmas Schedule....nobody in nursing in the facility knows if they are on or off for Christmas, which you could imagine the tension there..you could cut it with a knife...as of yesterday, about 10 have said if they are on, they are all calling out!!! It's just awful, and you can't even blame them because they all want to make plans for Christmas!! And as for Unions, forget it, we have one and they just say..oh just give her a little more time....Crazy!! Anyway, didn't mean to go on and on....but once I start thinking about it, I get so upset.....Anyway, I hope you all have your schedules!!!
Dec 17, '06I am a DNS. MY Christmas schedule has been posted for weeks. The request for holidays was posted in September. So now I have a nurse who puts in a request for a week (read Christmas AND New Year's) off. She put in her request on 12/14!!! and is mad because it was denied....please stop blaming all the shortcomings of LTC on the DNS or the management....I say look in the mirror a time or two. I have a nurse who didn't know enough to take a diabetic's blood sugar when the patient c/o being dizzy and sweaty......
Dec 17, '06Quote from CapeCodMermaidExactly my point!!! Your schedule has been out for weeks...Hers is STILL NOT OUT!! What does that have to do with your nurse who diidn't know enough to take a blood sugar? I was not talking about requests to be off, I was talking about the inconsideration of a DON to not put out a Christmas schedule and causing chaos in the facility...you must have misunderstood me!!I am a DNS. MY Christmas schedule has been posted for weeks. The request for holidays was posted in September. So now I have a nurse who puts in a request for a week (read Christmas AND New Year's) off. She put in her request on 12/14!!! and is mad because it was denied....please stop blaming all the shortcomings of LTC on the DNS or the management....I say look in the mirror a time or two. I have a nurse who didn't know enough to take a diabetic's blood sugar when the patient c/o being dizzy and sweaty......