I graduated in May of 2014. I was hired at a local nursing home in November as the "flipper"....to relieve each full time overnight nurse for their weekends off.
The pros?
~Awesome coworkers ( for the most part)on my shift
~getting to know all of the patients on my floor intimately
~gaining much needed practical nursing experience
~Night and weekend differential pay
The cons? ( I really wish there weren't so many)
~too many patients to spend enough quality time with any one of them
~way too much paperwork and busywork that takes me away from patient care
~too many overtime hours being given to full time people who have no business caring for patients with that amount of sleep.
~Certain nurses making mistakes on the regular that EVERY other shift has reported to the manager and DON. Yet no disciplinary action has been taken and this is the person who regularly has 30+ hours of overtime on the books.
~My fantastic aides who regularly work double shifts being forced to stay longer because day shift NEVER shows up on time. (with no apparent repercussions)
~having to continuously get up while I am trying to finish charting/count off/give report at the end of my shift to answer call bells and alarms even though the charge nurse and unit manager are just sitting around chatting.
~The insinuation that my aides are lazy because they have 10 minutes to sit down and complete their charting. God forbid an aide ever be caught sitting down!! Even if they're doing the job that are supposed to do.
I am grateful to have this job, don't get me wrong. It is a lot of work, but I welcome it. As a brand new nurse, I want all the experience I can get. But I feel like I am never going to be successful in LTC. It's depressing. I don't like having to wake someone up just to give them a couple of Tylenol. I think the amount of paperwork is absolutely redundant. Isn't there a more efficient way to get things done, short of adopting an emar? We waste so many hours just to do changeover.....it's ridiculous.
Also, in terms of that "nurse" I was referencing earlier? She is so unsafe. She never does treatments or skin checks, but documents that she does. She pre-signs her MAR. She makes TONS of med errors. She talks down to the CNA's.....apparently she thinks it's above her pay-grade to change or toilet patients. She will literally walk away to find a CNA to do something that would've taken a few minutes. This is not new information for our administration. They know all about it. I don't think there is a nurse or aide in the whole facility that hasn't expressed concern about this person. Yet, she continues to pull at least 40 hours of overtime. Not to mention that she is downright rude to the patients themselves. It's clear in her interactions with patients that she has NO time for them. It's all about the med pass.
Sorry that I digressed. But it pisses me off.
Either way....I have 5 months under my belt at LTC. I have learned SO much. But I feel like the longer I stay in this type of environment, the worse off I'll be.
Any and all advice is welcomed.
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I graduated in May of 2014. I was hired at a local nursing home in November as the "flipper"....to relieve each full time overnight nurse for their weekends off.
The pros?
~Awesome coworkers ( for the most part)on my shift
~getting to know all of the patients on my floor intimately
~gaining much needed practical nursing experience
~Night and weekend differential pay
The cons? ( I really wish there weren't so many)
~too many patients to spend enough quality time with any one of them
~way too much paperwork and busywork that takes me away from patient care
~too many overtime hours being given to full time people who have no business caring for patients with that amount of sleep.
~Certain nurses making mistakes on the regular that EVERY other shift has reported to the manager and DON. Yet no disciplinary action has been taken and this is the person who regularly has 30+ hours of overtime on the books.
~My fantastic aides who regularly work double shifts being forced to stay longer because day shift NEVER shows up on time. (with no apparent repercussions)
~having to continuously get up while I am trying to finish charting/count off/give report at the end of my shift to answer call bells and alarms even though the charge nurse and unit manager are just sitting around chatting.
~The insinuation that my aides are lazy because they have 10 minutes to sit down and complete their charting. God forbid an aide ever be caught sitting down!! Even if they're doing the job that are supposed to do.
I am grateful to have this job, don't get me wrong. It is a lot of work, but I welcome it. As a brand new nurse, I want all the experience I can get. But I feel like I am never going to be successful in LTC. It's depressing. I don't like having to wake someone up just to give them a couple of Tylenol. I think the amount of paperwork is absolutely redundant. Isn't there a more efficient way to get things done, short of adopting an emar? We waste so many hours just to do changeover.....it's ridiculous.
Also, in terms of that "nurse" I was referencing earlier? She is so unsafe. She never does treatments or skin checks, but documents that she does. She pre-signs her MAR. She makes TONS of med errors. She talks down to the CNA's.....apparently she thinks it's above her pay-grade to change or toilet patients. She will literally walk away to find a CNA to do something that would've taken a few minutes. This is not new information for our administration. They know all about it. I don't think there is a nurse or aide in the whole facility that hasn't expressed concern about this person. Yet, she continues to pull at least 40 hours of overtime. Not to mention that she is downright rude to the patients themselves. It's clear in her interactions with patients that she has NO time for them. It's all about the med pass.
Sorry that I digressed. But it pisses me off.
Either way....I have 5 months under my belt at LTC. I have learned SO much. But I feel like the longer I stay in this type of environment, the worse off I'll be.
Any and all advice is welcomed.