Jump to content

Long Term Care Nursing is Lame

Posted
purplegal purplegal (Member)

You are reading page 7 of Long Term Care Nursing is Lame. If you want to start from the beginning Go to First Page.

kbrn2002, ADN, RN

Specializes in Geriatrics, Dialysis. Has 19 years experience.

My state actually pays ltc nurses more. A ltc new grad lpn and med surg new grad to make exactly the same in my town.

The first time I heard that LTC pays more than acute care in some places I was shocked. In my area LTC pays less, way less.

3ringnursing, BSN

Specializes in ICU; Telephone Triage Nurse. Has 25 years experience.

I really hate to point out all these "skills" you mentioned with reverence are actually attached to REAL PEOPLE experiencing them. I find it somewhat morbid and gauche that you idolize doing these things, as well as place those that do actually do them in the course of their job on a pedestal. Back when I worked ICU that would have certainly creeped me out a bit to hear.

Ah, no offense.

I really hate to point out all these "skills" you mentioned with reverence are actually attached to REAL PEOPLE experiencing them. I find it somewhat morbid and gauche that you idolize doing these things, as well as place those that do actually do them in the course of their job on a pedestal. Back when I worked ICU that would have certainly creeped me out a bit to hear.

Ah, no offense.

Of course I know that they're real people. I just find it fascinating what can be done to save people's lives.

QuietIsntAWord

Specializes in Geriatrics. Has 5 years experience.

My starting pay in LTC was way higher than starting pay for any of my nursing friends that took positions at the hospitals and with my annual raises, my pay is still higher. I think there are some "nursing homes" that give this field a bad name, but there are some good ones out there just have to do your research

We work in an environment that is long term and difficult. You make actual bonds with you patients and this can be one of the most brutal situations when the end comes.

Also, we have to be able to notice and intervene when things are going wrong for a patient without the incredible amount of resources of a hospital.

We also handle a huge amount of responsibility at work, I've had 50 patients I was responsible for during a shift. QMAs are amazing but not nurses.

I've learned more about wound vacs, peritoneal dialysis, and wound care than a number of my hospital nurse friends. They're often impressed with my abilities in areas they would call in a team to handle.

I currently work in geri-psych and I always tell my coworkers who have second jobs in LTC that I have so much respect for anyone who works in LTC. Since I work in an acute setting, my patient ratio is 6 to 1. And some days I feel so overwhelmed. I can't imagine having to be responsible for 50 patients! So many problems can arise in just one shift. I know I couldn't handle that many patients and I am so thankful for nurses like you that are able to do the work that you do.

I realize this is an old post, but I had to comment.

It hurts my heart to read that you think LTC is lame.

I've worked in LTC for two years now. I absolutely love it. However, because of mentality like yours I have asked my husband and family to stop telling people that I'm a nurse. When I tell them where I work I get asked for clarification, " you're an lpn or an rn? "

I'm an rn with a bachelors degree tyvm

I won't say that I don't have regular panic attacks thinking that I need some sort of acute care experience (I went into LTC right out of school) but then I tell myself that LTC needs good nurses.. And I am good at what I do.

There are several areas of nursing that could be considered "lame"

Those areas still need dedicated nurses.. And less judgement.

As far as the pay goes... I make $5 more an hour than the medsurg nurses at my local hospital.

I work in a small, rural hospital. We have to do it all - Med/surg, ER, respiratory therapy, and until a year ago, labor and delivery/postpartum care (our hospital no longer delivers babies). I have developed quite a skill set. I really like where I work, but I recently applied for and got offered a part-time position at a highly rated LTC facility for night shift. I am really nervous!! I mean, really nervous! I have no idea if I have what it takes. I do know that we have an LPN that is fairly new, and he came from a LTC facility and I have to say, I am impressed at his ability to manage patients. I don't have to worry that when I go to the ER that my patients won't be taken care of. He will take care of my patients and his patients until I get back to the floor. I have no clue how I will manage 60 patients when I'm used to 3-7 patients. I do think that I will learn a lot, and I hope to make a positive difference in the residents' lives.

Those nurses mostly rely on machines, not instinct. Sad for you to feel less of a nurse because of skills. Guess caring for someone that can't care for themselves isn't a skill.

What is the point of this post? To deal with your self esteem issues?

anewsns

Specializes in Neurosciences, stepdown, acute rehab, LTC. Has 8 years experience.

This is the most insecure post ever. How can you be good at something and yet not be proud of what you do? For me I really couldn't stand long term care. It was too difficult, too many rules that didn't make sense. I love that geriatric population and I really just couldn't stand to see them living in an institution. I had too many residents and I didn't feel I could do my job thoroughly and that's why I wasn't proud. I felt that if I did a good job I always missed my break and had to stay late. I couldnt tolerate that every day. I just was not cut out for this. Anyone can learn the long list of skills you named. Few can really grasp some of the crap you go through in long term care. Of course you can't respect long term care. You don't even seem to respect yourself. I'm personally just proud I survived and have major respect for everyone who remain there to give awesome care to the residents. Just for the record, I blame the crap of LTC on the system of how it runs in this country. This is over a year later but it definitely deserves any answer it's gonna get.

anewsns

Specializes in Neurosciences, stepdown, acute rehab, LTC. Has 8 years experience.

.....

anewsns

Specializes in Neurosciences, stepdown, acute rehab, LTC. Has 8 years experience.

(Deleted due to technical difficulties )

Jaramillo111

Has 1 years experience.

I have worked LTC for most of my 6 years in nursing and while I do understand where you are coming from, one thing I do know is not all nurses who work those specialized units can work with dementia. It takes special skill and patience to understand how to talk to and work with residents that live in LTC. Plus in most hospitals meds can be used for behaviors that we can't use except as last resorts. I have been slapped, punched, bit, dodged a flying vase, and jumped over tables to save a falling resident. It takes a special set of skills to work LTC. I have seen many experienced hospital nurses come and quickly go, because they can't take the craziness that goes on. It's all about not everyone has the same training or skills or patience to be in the same job. The good thing about our industry is you can always learn new skills.

819Nurse, BSN, LPN, RN

Specializes in Nursing. Has 16 years experience.

I wouldnt necessarily say LTC nursing is "lame". But it definitely is not the same as it once was. And i know nursing is an ever evolving career full of change at the drop of a dime. But LTC.........is a different story. Nothing here has changed for the better....only the worse. On top of the negative stigma put upon our geriatric population, can definitely make someone think and feel that LTC nursing is lame.