It's not so bad!

Specialties Geriatric

Published

Hi everyone,

I'm a new grad LPN and I took a job at the nursing home where I did my leadership hours. This is a privately owned facility just north of Atlanta. Most of my classmates thought I was crazy to take the job. Who in their right mind would accept a job at a nursing home???? Well, I did!

This is a clean, well-run, and decent facility, with lots of wonderful, friendly staff. My preceptor is patient and nice, the administration is friendly and welcoming, the DON is great, and the other nurses are friendly as well.

Granted, it's HARD work, and my feet are aching as I write this! And some of the residents are a big pain in the you know what, but some are sweet as can be, and overall, it's really not so bad.

They are giving me 3 full weeks of orientation, throughout the month of December. I passed meds for the first time tonight ---- 30 residents ---- once at 4pm and again at 8pm. I managed to get it all done, but I was an hour late. No big deal, my preceptor said, not to worry, it was my first time and she has seen worse! Everybody got what they needed, and despite many interruptions for additional PRN's and other various requests, I managed to get it done. My preceptor was nice enough to do the other treatments, vital signs, and documentation that needed to be done so that I could focus solely on getting the med pass down.

It's very hectic, and seemingly impossible at some points throughout the shift. Sometimes I stop and think, "Oh My God, this is crazy! I can't do this!", but I keep plugging away and eventually, you see a light at the end of the tunnel, and before you know it, the night is over and it's like, "Oh My God! I made it! I did it! I survived!"

I have to say, there was one point in the night when the CNA's cleaned up a resident and the smell permeated the hallway ...... really, really unbearable smell. I decided the best way to deal with this was to breathe through my nose and hope that the smell dissipated soon. :uhoh21: But this kind of stuff is unavoidable. There are going to be smells. No way around it I guess.

What really keeps me going is thinking that "these people are depending on me, they need me to do a great job" and I treat them as I would treat any family member or friend.

Overall, I don't think LTC is a permanent career choice for me as I'm planning to continue on and get my RN, but I think it will be a nice transitional phase for me with lots of opportunities for learning. It will definitely prepare me for time management and dealing with the geriatric population, which comprises most of a Med/Surg. floor at a hospital anyway......

After reading all of the bad posts regarding LTC, I thought I'd throw a positive one in the bunch. There are a few good ones out there...... :) I'm working at one now!

Thanks. :)

Hi everyone,

I'm a new grad LPN and I took a job at the nursing home where I did my leadership hours. This is a privately owned facility just north of Atlanta. Most of my classmates thought I was crazy to take the job. Who in their right mind would accept a job at a nursing home???? Well, I did!

This is a clean, well-run, and decent facility, with lots of wonderful, friendly staff. My preceptor is patient and nice, the administration is friendly and welcoming, the DON is great, and the other nurses are friendly as well.

Granted, it's HARD work, and my feet are aching as I write this! And some of the residents are a big pain in the you know what, but some are sweet as can be, and overall, it's really not so bad.

They are giving me 3 full weeks of orientation, throughout the month of December. I passed meds for the first time tonight ---- 30 residents ---- once at 4pm and again at 8pm. I managed to get it all done, but I was an hour late. No big deal, my preceptor said, not to worry, it was my first time and she has seen worse! Everybody got what they needed, and despite many interruptions for additional PRN's and other various requests, I managed to get it done. My preceptor was nice enough to do the other treatments, vital signs, and documentation that needed to be done so that I could focus solely on getting the med pass down.

It's very hectic, and seemingly impossible at some points throughout the shift. Sometimes I stop and think, "Oh My God, this is crazy! I can't do this!", but I keep plugging away and eventually, you see a light at the end of the tunnel, and before you know it, the night is over and it's like, "Oh My God! I made it! I did it! I survived!"

I have to say, there was one point in the night when the CNA's cleaned up a resident and the smell permeated the hallway ...... really, really unbearable smell. I decided the best way to deal with this was to breathe through my nose and hope that the smell dissipated soon. :uhoh21: But this kind of stuff is unavoidable. There are going to be smells. No way around it I guess.

What really keeps me going is thinking that "these people are depending on me, they need me to do a great job" and I treat them as I would treat any family member or friend.

Overall, I don't think LTC is a permanent career choice for me as I'm planning to continue on and get my RN, but I think it will be a nice transitional phase for me with lots of opportunities for learning. It will definitely prepare me for time management and dealing with the geriatric population, which comprises most of a Med/Surg. floor at a hospital anyway......

After reading all of the bad posts regarding LTC, I thought I'd throw a positive one in the bunch. There are a few good ones out there...... :) I'm working at one now!

Thanks. :)

It's great to hear you've gotten off to a good start. I see so many new grads at my LTC facility who have a hard time and quit or get fired. The fact that your facility gives a proper orientation is a major positive!

As for your classmates thinking you are crazy---Where do they expect to end up working?

I love working traditional LTC. The patients are generally grateful that someone is taking the time out to care for them, and many of the regularly-visiting family members are simply happy to see the same face week after week (yes, families notice the employee turnover).

I now work nursing home rehab, and I dislike it due to too many high-acuity, needy, maladjusted patients who have just had surgical procedures. It is time for me to find another position in a traditional LTCF with no rehab whatsoever!

Rehab IS especially difficult.It is wonderful when one can find a place that works for them and they can work for the resident. I might be tagged as a negative voice here on the LTC forum, but I want the truth to be told. Maybe one day most nursing homes will be as nice as the one this new nurse describes.I hope her experience in LTC continues to be a positive one.

I started out working in nursing homes and only left because of circumstances that were beyond my control. If it were not for these circumstances, my entire career would have been in these facilities. However, none of the facilities where I worked would I categorize as "good". We all just did the best we could.

I've found a new niche in home health. If I ever needed a job badly, and could not get something in home health, then I would apply at long term care facilities again. But as for now, I don't see that happening in the near future.

Hello Dmarie, this is the only way I can think of the get in touch with you. I also live in Atlanta, and I am having a rough time finding a job as a new grad LPN. Can you tell me the name and address of your facility and if they are hiring? I would very much appreciate it.

Thanks

Specializes in acute care and geriatric.

Oh come on there is good and bad in every field- the best thing about nursing is that we have so many choices!!!

When I worked pediatrics, I was 20 and looked 16, the parents were so skeptical leaving their babies in my hands, they questioned everything I did. In Nursing homes, the patients are so grateful for every little thing- you are so appreciated. The long term relationship makes it so intimate, we are more like family than some of my biological ones. It also helps us care for recurrent infections or problems... Most families are appreciative and helpful and we too get to know them very well.

Re the ODORS... open a window, spray air freshener, clean bottoms well with soap and water or baby wipes and send dirty laundry out of the unit. THERE IS NO REASON A NURSING HOME HAS TO SMELL!!!!!!!

It is up to us to take care of the patients as if they were our own and take pride in their appearances and body odors. If they need mouthwash or oral hygiene we must do it. If they smell, we must clean them. Bad odors give us a bad name and repel visitors. If it smell bad to you- and you are paid to be there how much more so to the patients or visitors.

Please take the time to see what can be done to dissipate the odors. I know that we are not growing flowers here, but we shouldn't ignore the problem and say- what can you do....

Nursing Homes can be pleasant places too. (not just not bad...)

You are a great addition to the LTC nursing team! It takes a special person to work in an "extended" care facility. I started my career in '94 as a CNA, and got my LPN license in '04. I can't think of anywhere else I'd rather work.

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