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large facility vs small facility

Geriatric   (1,724 Views 5 Comments)
by LPN/Patsy LPN/Patsy (New) New

1,230 Profile Views; 5 Posts

Hi,

I am trying to decide between working in a large or small LTC

facility. I worked in a small LTC facility for seven months right after nursing school and a physican's office. So I am still rather new to nursing.

So I was wondering what type of facility everyone prefers to work in small or large and why?

Thanks for all of your imput!!

Sorry, I wasn't clear before.. I was working at a two Physican's office doing billing and coding while going to nursing school.

After getting my LPN license, I continued to work at the Physican's office and and the LTC facility 1-2 days per week. However the facility was experiencing staff shortage at the time so they called me in to work approx 4-5 days per week on top of already working 40 hour at the physican's office.... It just became to much..... So I decided to give my full attention and time to the Phyican's office since I have been there for 5 years.. Now the PAC that I work for is leaving the office.. So that pretty much leaves me out in the cold...

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17 Posts; 1,266 Profile Views

:zzzzz

Hello??????/

So why did you quit the small facility to work in a doctors office?

Second sounds like you have a problem with commitment, dont get me wrong if the pay was low, the nurses you had to work with p.i.a's I could see you leaving...

I've worked both large and small facilities, acute and subacute and LTC's, they all have their draw backs.

#1 A small faciity can be a like living in a small family which can be both a negative and a postitive, think about it ..........

#2 What is your motivation to get experience as a nurse, then opt for a larger facility with subacute with medicare pts you'll work harder then you ever have and get lots of experience with different kinds of pts, but they wont be so critical as working on a

med-surg floor.

Good luck and remember nurses do eat their young!!!!!!!!!

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5 Posts; 1,230 Profile Views

Sorry, I wasn't clear before.. I was working at a two Physican's office doing billing and coding while going to nursing school.

After getting my LPN license, I continued to work at the Physican's office and and the LTC facility 1-2 days per week. However the facility was experiencing staff shortage at the time so they called me in to work approx 4-5 days per week on top of already working 40 hour at the physican's office.... It just became to much..... So I decided to give my full attention and time to the Phyican's office since I have been there for 5 years.. Now the PAC that I work for is leaving the office.. So that pretty much leaves me out in the cold...

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Nurse Ratched is a RN and specializes in Geriatrics/Oncology/Psych/College Health.

2,149 Posts; 14,152 Profile Views

I'm not sure how you rdefine "large" and "small" - the first job I ever had was as an aide at a 25 bed ECF. Loved it! My brother worked at a 200 bed facility down the road - also loved it and we both became nurses. Personally, I couldn't stand the larger setting. We are so understaffed in long term care that it was utterly overwhelming for me to know the volume of care that WASN'T being provided. My OCD went on overload. The 25 bed facilty felt like I had a handle on; plus it was not-for-profit, which seemed to equal better staffing.

But alas, I don't know if they make 'em like that anymore!

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bandaidexpert is a BSN, RN and specializes in MDS Coordinator, CWS.

142 Posts; 3,931 Profile Views

patsy...the only opinion I can give is this.....after 25 years in LTC, I have worked at only 4 facilities, 3 were owned by a corporation with more than 10 other facilities around the US. The place I am at now(going on 10 years)is privately owned, non-profit. I absolutely love it. I will never work for a corporation again.(If I can help it)Non-profit facilities have bigger budgets, more staff and alot more support from management. This is my experience anyway. Corps send all kinds of people to make sure things are up to snuff. It seems like you answer to so many. So, whether it be big or small, try to avoid big corps with lots of facilities. :)

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