just quit job

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I just quit my job.No orientation,and was expected to pass meds for 45 people,and do treatments for 90.I am not even joking.I did not know who anyone was who was not in their rooms.Staff was horribly rude.

Am I the only one who has been in a situation like this?It was LTC.

Specializes in Med Surg, LTC, Home Health.

Make sure you get at least 4 weeks orientation in LTC. Anything less is just another irrational tactic to generate more profit, with total disregard for the pts and nurses. :)

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Specializes in NICU Level III.

Haven't been in that situation, but I would have quit, too!!

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Specializes in dialysis (mostly) some L&D, Rehab/LTC.
I'm not sure how long it has been effective. Also, the hospital may not have followed the law, but it is statewide. Please verify at www.calnurse.org It's one of the advantages of working in CA. Are you a treveler?

I lived there for 4.5 years...This is LTC...hospitals do have a ratio...LTC they don't give a crap

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LTC has been thrown to the wolves :( They have become acute care units and rehab units........but in name only! Still known to the state as LTC facilities, we fight every day to have our staff and facility upgraded! LPN's and RN's together fight to make it known that we are not just taking care of end-stage elders, we are building therapies for younger and younger pts. State guidelines say one nurse and 3 cna's for a 44 bed unit. (LTC) This is not enough for 3 pts. with PICC lines and 5 pts who need HHN Tx every 4 hours, and please don't forget those wound-vac pts. They are up and about every couple hours and need special care. Throw in a couple AMS pts. (did I mention we have a couple detox pts?) In my last admit form the hospital..they said the hard work was done,,,4 point restraint till the DT's were over..LOL.

My point is, that the problem is not where we work, it is with the state and government offices. They ship these people here to us without giving us the ablity to care for them. Instead of people complaining to us about care, take it to the people who make the scale. YELL AT DHEC...tell them they need to increase the pt to caregiver ratio!

YOUR VOICE, not ours..will be heard!

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Specializes in Med Surg, LTC, Home Health.
Instead of people complaining to us about care, take it to the people who make the scale. YELL AT DHEC...tell them they need to increase the pt to caregiver ratio!

YOUR VOICE, not ours..will be heard!

That is very interesting. I never even thought they had any kind of ratio for LTC. They might as well not though if they allow 1 nurse to have 44 pts. That is preposterous!

People complain to you about the care, because you are the one pretending it is sufficient. We cant just count on some elderly man's elderly wife to be the one to yell at anybody. We know we have too many patients. 73% of nurses say this. We compromise our career as well as our patient's well-being when we accept assignments we know to be too large. I refused many assignments in LTC. The problem is, nobody else did. The apathy or fear that stops nurses from standing up and saying "enough is enough" is the real problem. Neither our government nor facilities will ever step up on their own and fix things, because fixing things would cost money. We are the advocates for the patients, and we are the ones who should yell first. Things certainly didnt wind up in this shape because we stood up for ourselves. We were run over, in drive and reverse. So dont tell people not to complain to you. You are obligated to refuse any assignment you feel to be unsafe. Every time you accept one you know you cant possibly handle, you help perpetuate this tyranny. We should all be yelling.

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I found in LTC that we had more seriously ill, fragile, completely dependent old-old. Incapable of safely and/or adequately performing any of their own ADL's, and the facility's reimbursements don't come close to leaving room for more staff. Mine is a not-for-profit and the best place, the county home, operates at a HUGE loss every year.

The worst places are usually private for-profit corporate ventures, but they all bite.

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Specializes in Med Surg, LTC, Home Health.
The worst places are usually private for-profit corporate ventures, but they all bite.

Indeed they do. And i dont mean to place all the blame on the nurses. We are victims just like the residents. But with things getting worse instead of better, the day will come when we finally have to stand up for ourselves and our residents, because most of them are in wheelchairs.:)

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Specializes in tele, oncology.

When I was fresh out of nursing school I interviewed at a LTC. Their plan was to have me orient for a week, then work up to being a charge nurse within three months. For 80 residents with just four techs to help, no other nurses in the building (it was for nights). I looked at the woman like she was crazy and told her there was no way I was taking that kind of responsibility on, and that anyone who did was a fool. She then offered me $5/hr more.

I just got up and she literally chased after me, yelling that she couldn't believe I'd pass up that kind of money. I told her I couldn't believe that she was stupid enough to not realize that the problem was not pay rate, but unsafe staffing ratios, and that anyone who worked there deserved to lose their license for putting up with that kind of sh!t. In the lobby. As visitors were walking in. I'm sure she loved me.

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I did call admin and tell them exactly why I was never coming back.I've looked them up now and state already knows they have problems.

However,the money was good and my family is really,really,really,really angry at me for giving it up.They dont understand that I could easily loose my license.They think that all nursing jobs are equal.

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