Published Jan 28, 2009
mlrios2003
7 Posts
I am graduating in May, and considering starting out in LTC nursing. Do you think a graduate nurse should spend time on a Med/Surg floor first, or can gain good experience in the LTC setting too? for your thoughts.....
kermitlady
114 Posts
In LTC, you'll be able to practice your basic skills ALOT! You'll become familiar with lots of different meds, caths, blood sugars/diabetes, g-tubes. But you'll need to remember that it is a very specific population group you'll be working with - geriatrics. You will get the occassional non-elderly patient but 99% of the time, they will be age 65 and over. You will also learn to function pretty much on your own (supervising CNA's) for a large patient load. In my current job, I have a patient load of 25 residents. I have 2 CNA's working w/me - not under me, with me. I couldn't get everything done if it wasn't for them. And in LTC, your aides will make you or break you; so, hope for the best.
If you decide to go this route, please remember that EVERYONE is slow in LTC at the beginning. It takes awhile to get a routine down.
~MIA~, ASN, RN
132 Posts
Well, after fighting it for the entire time I was in nursing school...I gave in to the fact that I LOVE Geriatrics. I had absolutely no intentions of working in LTC, but couldn't get it out of my head and my heart. EVERYONE said I was crazy and should work med-surg for the first year at least.
I met an awesome admin. of a LTC facility (at our school job fair) and after talking with her, I KNEW that's the route I had to take.
It's only been a week since I started working, but I am loving every minute of it. I'm nervous and unsure of everything I do, S L O W as molassess, but I feel like I'm in the right place. :heartbeat
evilolive, BSN, RN
193 Posts
I started out as a RN in LTC in May of 2008. I can't believe the year mark is creeping up on me! Anyway, I must say for me, there was the "honeymoon" period where I oriented, and everything seemed to be going smoothly. But you do learn more as you go along. For me, more bumps in the road came up and I felt barraded more than guided in the right direction. I learned more of what is TRULY expected as a nurse in terms of documentation especially. Boy if anyone told me during orientation that if someone has butt cream that I should document how their butt looks, that would have been a HUGE help especially during "money month").
I've taken on a bit of extra being night supervisor, but it doesn't entail much. My facility has become more acute as the seasons changed and being only one nurse on a floor with 32 residents can be tough, time management will be key. I'm still learning new things daily from my ADON.
Congrats, and I hope that you don't become as jaded to the LTC environment as I have. Good luck!!!