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LTC RN supervisor job??

Geriatric   (9,056 Views 23 Comments)
by ArwenEvenstar ArwenEvenstar (Member) Member

ArwenEvenstar specializes in med-surg, teaching, cardiac, priv. duty.

6,361 Profile Views; 308 Posts

I am interviewing for a RN supervisor position in a LTC facility. Years ago as an LPN instructor, I was in a LTC facility with my students. But I have never actually been employed at a LTC facility. So, I had a couple questions...

The place I am interviewing at is small with only 45 beds. On day shift (shift I am interviewing for) I was told the staffing is 2 LPN's, 5 or 6 nurse assistants, and a RN supervisor. This sounds like good staffing to me. But is it??

Also, what is typical pay per hour for an RN supervisor position like this in LTC? I know pay varies around the country, but I don't have a clue as to what is average.

On the phone I was told that my job would include a lot of paperwork and just "making rounds" and keeping an eye on things in general. Would paperwork be updating careplans, charting assessments, things like that? What are typical responsibilities for an RN supervisor?

I'm clueless, and was just hoping for some general info so I'll know what is typical when I interview for the position... THANKS!

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90 Posts; 4,096 Profile Views

Speaking from experience in a facility a little over triple your size, staffing sounds typical. You'll be overseeing that policies and procedures are being followed by nurses and CNA's, help out where needed, obtain supplies, and attend meetings. Paperwork may include employee evaluations, MDS assessments, RAPS, careplans, and monthly summaries. I don't work weekends and have holidays off with pay and make roughly $28.00/hr. I very rarely work the floor because of a call out. I am considered part of management and treated no differently than the nurse managers. Having support from and a good working relationship with the administrator and DON

is crucial. Good luck.

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Rizpah specializes in LTC / SNF / Geriatrics.

121 Posts; 3,109 Profile Views

Hi Arwen -

I've worked LTC my whole nursing career, at the same facility for 16 years. First as CNA, then LPN and finally RN. I've worked as an RN supervisor for the past 11 years.

My responsibilities are many - admits, discharges, MD orders, assessment of acute residents, MDS assessments, careplan updates, lend a hand to the charge nurses on the floor as needed, family contacts and when I'm not busy, I also operate as the inservice director and am the Train the trainer for CNAs for our facility.

We have capacity for 72 residents but have been running in the mid 50's for some time. On day shift we have 1 RN supervisor, 2 charge nurses (usually LPNs) and 6 CNAs with 1 Restorative Aide (is actually a CNA with some extra training in BP's, Accuchecks and they do the Restorative Transfer/ambulation and ROM program).

3 days a week I have another RN in the office with me, the office responsibilities are shared at that point. One person will supervise, do medicare meetings, care plan meetings while the other works on MDS's and when things are slow, that's when I go to the class room and work on my other responsibilities.

My current wage is $22.94 / hour. There is minimal overtime, unless there is a late admission. My hours are usually 8am til 4pm 5 days a week. I have to work every other weekend, have off the Tuesday after my weekend and off the Friday before my weekend. (so off every other Tues and every other Friday)

Good luck in your interview!

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ArwenEvenstar specializes in med-surg, teaching, cardiac, priv. duty.

308 Posts; 6,361 Profile Views

Thank you so much for the prompt replies!! My interview is actually tomorrow, and now I feel much more knowledgeable about what questions to ask...

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Rizpah specializes in LTC / SNF / Geriatrics.

121 Posts; 3,109 Profile Views

Hey Arwen,

Just wondering, how did the interview go?

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ArwenEvenstar specializes in med-surg, teaching, cardiac, priv. duty.

308 Posts; 6,361 Profile Views

Hi Rizpah! Thanks for asking! It went well, and it appears that the job is mine - but I don't have an official job offer yet. The DON who was supposed to interview me was overwhelmed because DHEC was there. So the nurse under her (the MDS nurse actually) interviewed me. Also - I need to clarify several details/specifics with the DON, which the MDS nurse could not... For instance, the DON had told me on the phone that my start time was flexible as long as I worked an 8 hour day. I am hoping that 9-5 will be okay. So pending an official offer, and pending several of my concerns being clarified by the DON, the job will hopefully be mine.

The job seems truly to be a supervisor role. The MDS nurse told me that she does all the MDS, KAPS, and care plans so that is not a supervisor responsibility. She mentioned I would do chart and MAR audits to make sure that care was being properly documented. I'd handle call-ins. Make frequent rounds just to keep an eye on things. She mentioned that the DON might have me do Infection Control stuff. When she notice my background on my resume, she asked if I'd be willing to help with educational in-services. She said in very rare circumstances I would have to take a cart and pass meds if no LPN replacement was found if there was a call-in.

Nursing homes (atleast the stereotype!) can be real holes, but this place really seemed nice to me. It is through Sunrise Senior Living. Ever hear of it? It is like a chain. They don't accept medicaid. They have 15 medicare rehab beds and the other 30 beds are long term care. She said that they are selective about what patients they accept - they won't take anyone too acute. The place has a home like atmosphere. Nicely decorated. The nurses can NOT wear a nursing uniform, but wear casual (but no jeans) street clothes. Nurse assistants do wear a vest/smock type of thing. Residents have lots of choices -like at meal time they have 2 choices, plus a standing menu of some basic meals, if they don't like either choice that meal. Etc.

She did ask me several questions in the interview about how I would handle a staff conflict, or what I would do if I saw a nurse assistant giving improper care. Made me wonder if they are having some issues, but not necessarily. As any Supervisor job will require having to deal with various conflicts at times.

Anyhow...The DON is suppose to call me Sunday. She works Sunday thru Thursday.

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38 Posts; 1,647 Profile Views

Hi everyone I'm also new in LTC RN supervisor will be on orientation next week. This is new to me since I'm into med surg for less than a year and now this. My reason for changing careers? Good pay. Here in Ny the offer for this position is $40/hr and above. While in MS only get $35/hr not to mention stressful. I get 8-11 patients mostly complete care post surgeries... Here in LTC I'll be in 11-7 shift which is quiet. Anyway I wish u guys all the best and hope to here more about LTC thanks!

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Rizpah specializes in LTC / SNF / Geriatrics.

121 Posts; 3,109 Profile Views

Hey Dex! Welcome to LTC! WOW $40+/hour! I'm at 22.94 and have been in my position as RN supervisor for 11 years! Good for you! Good luck! Keep us up to date on how the new position goes!

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fmwf specializes in Women's Health, L&D,hi risk OB.

73 Posts; 2,793 Profile Views

Hi everybody...I had to post b/c I too had the offer of RN supervisor today at an LTC w/217 beds. My case is almost a ditto to the OP. Except for the size of the facility. I too am less than one year as a nurse. I have mgmt experience 3 years on the night shift at a residential facility--non RN.

Question: What is the best approach (fair, firm, consistent?) w/ managing CNAs? LPNs? RN? The veteren? Why do the other RNs not want this position? :uhoh21: What type of dynamic/relationship can I expect w the DON? ADON? How will I keep all these folks safe from 7a-7p!!!!?

Any comments and direction?

fmwf

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txspadequeenRN has 20 years experience as a BSN, RN and specializes in ICU, PICC Nurse, Nursing Supervisor.

4,373 Posts; 29,025 Profile Views

lol!!!!

why do the other rns not want this position?

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fmwf specializes in Women's Health, L&D,hi risk OB.

73 Posts; 2,793 Profile Views

lol!!!!

queen give up the juice--fools rush in---help a sister out...

fmwf

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CapeCodMermaid has 30 years experience as a RN and specializes in Gerontology, Med surg, Home Health.

1 Follower; 6,069 Posts; 60,113 Profile Views

The facility doesn't accept Medicaid patients? I thought that was illegal.

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