2nd day in nursing home and I want to quit

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Msviv17RN

Msviv17RN

2 Posts

I really appreciate all the encouraging words and support. :) didn't expect that this would be really HARD, very different from the hospital environment in our country. however, knowing many of you had gone through this and didn't quit gave me hope that someday I'll get there. Can anyone give me some tips on how to start a day at work so that I can be organized until the end of the shift which includes reading each chart of 20+ patients? Honestly, it scares me knowing I'll work again the day after tomorrow. :eek:-----:D

tagutab

tagutab

23 Posts

have faith to yourself...if they can do it, then you can do it too! stay positive all the time.

nurse_autumn

nurse_autumn

30 Posts

You could always make yourself a 'cheat sheet' at the start of the shift. Use a list of residents on the hall and make a few quick notes as to who gets meds at midnight, who gets meds at 6am, etc. You can jot a quick note beside the name for who has treatments, etc. I have one that I keep on the computer at work and update it as there are changes. Still always use your books, but it is helpful to have a quick place to look. Also, I don't know if it is an option or not, but we keep an updates list on the med carts for how each resident takes their pills.

9livesRN, BSN, RN

Specializes in SNU/SNF/MedSurg, SPCU Ortho/Neuro/Spine. Has 2 years experience. 1,570 Posts

Oriented for 2 days, my preceptor qit, and I was on the floor, feeling like walking in egg shells, but I needed the job so I learned quick, I taught my self thanks to school.... I kept thinking I was being challenged by my clinical instructor!

9livesRN, BSN, RN

Specializes in SNU/SNF/MedSurg, SPCU Ortho/Neuro/Spine. Has 2 years experience. 1,570 Posts

You could always make yourself a 'cheat sheet' at the start of the shift. Use a list of residents on the hall and make a few quick notes as to who gets meds at midnight, who gets meds at 6am, etc. You can jot a quick note beside the name for who has treatments, etc. I have one that I keep on the computer at work and update it as there are changes. Still always use your books, but it is helpful to have a quick place to look. Also, I don't know if it is an option or not, but we keep an updates list on the med carts for how each resident takes their pills.

At The the skilled/ rehab I could not do that, admissions, and discharges daily.....

9livesRN, BSN, RN

Specializes in SNU/SNF/MedSurg, SPCU Ortho/Neuro/Spine. Has 2 years experience. 1,570 Posts

Just think you often give 30+ shots per day to your diabetics + lovenox, + tb + vaccines + extras....

SP1CEGRL

SP1CEGRL

Specializes in med-surg. Has 2 years experience. 39 Posts

wow i would have killed for two weeks orientation! i started at a nursing home as well with my LPN and was given 3 days orientation, each was a different shift on a different unit. Then set loose to do a full med pass on 40 patients with 15 diabetics who were each to get 2 sets of accuchecks and standing insulins it was a freaking mess. Since they started me on fourth of July, a holiday, I had no charge nurse at the desk and I was stuck at the med cart in tears because I didn't know one patient from another and which keys opened doors and carts it was such a mess. My supervisor ended up doing almost my whole med pass. But I stuck it out, and five months later I've been doing much later but I still get overwhelmed all of the time. It is such a shame nursing homes don't offer better training. I have seen several nurses come and go because they were scared for their licenses.

laderalis

laderalis

Specializes in LTC. Has 4 years experience. 59 Posts

I am a recent grad working in LTC too. I take on around 20 residents a day, sometimes more/less depending on if there are 3 or 4 nurses working the shift. It IS overwhelming and it is NOTHING like acute care in hospitals.

The biggest obstacles for me were learning names/faces/rooms and learning how each person likes there meds prepared. fortunately we have pictures outside rooms and in the med book. we also put a sticky in the med book about how meds are prepared (crushed, whole, pudding etc). if you facility doesn't do this, see if you can!

I am amazed at how fast I learned routines and residents. I never thought I could remember so much about 20+ people. I wish you luck. try and stick with it at least 3 months, to give it a fair shake. that's what I'm telling myself.

You WILL get it, it just takes time!