Our facility has undergone a quite a few of changes of late, for the past few years we have endured construction so that we can have a 'house hold' model of care. Some of these changes have been positive, such as full showers in each room, and our own kitchen on each unit for meals.*
Others have not been so great - medications are now in cabinets in each Resident's room for example, no nurses' station, and no *nurses cart because they are too 'institutional.'*
You walk miles more and in circles, med pass takes ALL DAY, no one can find you, you can't monitor other residents since you are stuck in rooms, they want you to help them in the *middle of meds so you do more care than ever, or look like a mean nurse when you don't, Residents want to know why you are in their rooms and get paranoid you are stealing from them, putting meds delivered from the pharmacy away is a pain in the you know what...
But today topped the cake when they told us 2 things - that Day shift and evenings would have to take over the weekly cleaning and auditing of the drug cabinets since 11-7 can't do it when Residents are sleeping. *They estimate it's only a 'few minutes' each. *Never mind that I have no idea how I will find those few minutes...
The second thing they told us that bothered me the most is that we will no longer be called nurses. All *LPNs and RNs will be known as Care Coordinators. *Can I tell you how much I hate this? I find it utterly depressing. I realize that this comes from the push to make nursing homes more homelike and get away from the 'medical model' of care, thus the fact that none are called nursing homes anymore, but I take pride in the fact I'm a nurse. I just feel like no one respects nurses in LTC, not even those that work in LTC (non - nursing) - they'd rather we weren't necessary at all.*
If I didn't love my Residents and like my hours I'd leave. *
*
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Our facility has undergone a quite a few of changes of late, for the past few years we have endured construction so that we can have a 'house hold' model of care. Some of these changes have been positive, such as full showers in each room, and our own kitchen on each unit for meals.*
Others have not been so great - medications are now in cabinets in each Resident's room for example, no nurses' station, and no *nurses cart because they are too 'institutional.'*
You walk miles more and in circles, med pass takes ALL DAY, no one can find you, you can't monitor other residents since you are stuck in rooms, they want you to help them in the *middle of meds so you do more care than ever, or look like a mean nurse when you don't, Residents want to know why you are in their rooms and get paranoid you are stealing from them, putting meds delivered from the pharmacy away is a pain in the you know what...
But today topped the cake when they told us 2 things - that Day shift and evenings would have to take over the weekly cleaning and auditing of the drug cabinets since 11-7 can't do it when Residents are sleeping. *They estimate it's only a 'few minutes' each. *Never mind that I have no idea how I will find those few minutes...
The second thing they told us that bothered me the most is that we will no longer be called nurses. All *LPNs and RNs will be known as Care Coordinators. *Can I tell you how much I hate this? I find it utterly depressing. I realize that this comes from the push to make nursing homes more homelike and get away from the 'medical model' of care, thus the fact that none are called nursing homes anymore, but I take pride in the fact I'm a nurse. I just feel like no one respects nurses in LTC, not even those that work in LTC (non - nursing) - they'd rather we weren't necessary at all.*
If I didn't love my Residents and like my hours I'd leave. *
*