Let's vent, I am first!!!!

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I started a new job in a LTC and Rehab about a month ago. Orientation was 2 day shifts and 1 night shift. I work the night shift. At the time of orientation being over I didn't feel comfortable with what was showed to me. But I figured that I won't learn something until it comes up. So I work and deal with things as they come. I pretty much have my routine down and get informed that if somebody is on antibiotics you are to chart on them q shift, that is cool nice to know 2 weeks after orientation. I don't think the whole thing would of made me so upset if it was handled right but I just let that pass.

I come into work one night and in the crappy report I get, which is nothing new, I find out that I am to get a UA. No problem!! The next morning I find out that it was a UA and a bladder retention. OMG!! What else can get screwed up on report.

So I work a day shift to help out and did not get in report that today is weekly VS on everyone and Bowel Assessment hasn't been completed on all individuals either. So I go to report to my relief and she asks me all this and I'm like I did not even know about any of this. Then she catches an attitude with me. Made me mad!!

Plus on top of this I had a pt. family member get into my face over an issue that I solved as best as I could @ the time until maintance got out of a meeting, so I spaced getting 1400 sugars. My bad!! I remembered it during report and the pts. sugars were high but they had already eaten diner and had their insulin for the night with their meals. Then this nurse is like well I am going to write a note to the DON.

I felt like go ahead b/c I know I messed up on the BS but you were the reason why I had the family member in my face today but I didn't point that out.

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{{{sweetpeanurse}}}

Welcome to a lousy LTC.

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Specializes in Ante-Intra-Postpartum, Post Gyne.

Maybe when you get to talk to the don you can tell him.her about the poor reports and shoty orientation you got...not to try to lessen the blow of your mistake...but..."since I have your attention"....

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I'm with you sweetpea - I'm at LTC/rehab (started 10/1) and the small minds there are unbelievable... report is CRAPPY, training is NOTHING. All the nurses do is the least amt possible to try to keep the pts alive until the next shift comes in - there are very few nurses at the place I am at that actually know what a nurse is supposed to do.

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Specializes in pulm/cardiology pcu, surgical onc.

HaHa, I picked up extra shifts in a LTC for 2 months and I could write a book LOL. Actually it's not funny, I decided the extra money wasn't worth losing my RN license that I've worked so hard to get! I suggest not having an attitude about what you weren't told or trained on but getting to know your fellow nurses and asking them what needs to be done at certain times/days, charting guidelines, etc. If you take a little initiative and ask questions it really will help in the long run.

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susieQ

I have done all of this and it is like I am not helping you. What they don't understand if you help everyone out it helps you out in the long run.

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Specializes in pulm/cardiology pcu, surgical onc.
susieQ

I have done all of this and it is like I am not helping you. What they don't understand if you help everyone out it helps you out in the long run.

There's just some places that nurses with morals and a conscience just can't handle working in. I loved the residents at the LTC I was at and I had done clinicals there also but the management was BS and the CNA's were just downright disrespectful and spiteful even though they were sweet as can be to your face, I just couldn't trust anyone there. Take a look at the pros and cons, speak with your DNS about your concerns and see if that helps? If not, try another facility, maybe it's not the right fit for you. Good luck!

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