Nursing Home Nightmare

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new LPN started first nursing home job. I have only recieved 8 days of training and was left in 40 bed facility for whole shift with 1 TMA myself and 3 aides is this normal. oh my god should I get out of this isn't that a huge liability on myself if something goes wrong I barely remember where the bathroom is much less what ethel so and so's issues are and what to do in a emergencey. please help:angryfire

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Specializes in PCU.

Wow that is crazy... Must be 11-7... Most I had was 25 at night... regularly... 40 all by yourself? Yes you might want to reconsider....

You probably got lots of am meds... blood glucose check w/insulin, g-tubes... ...handwritten charting and never get out on time right?

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Specializes in med-surg.

Sounds VERY scary; I'd suggest RUNNING to the DON to voice your concerns; 8 days as a licnsed LPN and in charge? I'd be a FREAK!

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Specializes in PCU.

Wow that is crazy... Must be 11-7... Most I had was 25 at night... regularly... 40 all by yourself? Yes you might want to reconsider....

You probably got lots of am meds... blood glucose check w/insulin, g-tubes... ...handwritten charting and never get out on time right?

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No it wasn't 11 -7 It was 2:30 to 11pm there were 40 residents . the TMA could pass meds but I had to do all treatments injections and narcotics. the problem was that 20 of the residents on the 2nd wing I hadn't even met yet so I had to keep asking the CNA who each person was before I could pass meds to them because there was no identification. Oh my god this sounds worse and worse the more I talk about it.

I want to be a good nurse and I don't want to kill anyone but I had aides coning to me asking me questions about residents I had never seen before.

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The DON is the one sending people home to save $ I stated concerns and his reply was I have full confidence in your abilities. WHAT? I think I have spoken to this guy three times. Does anyone know the answer to the liability if something happens and I don't know what to do?

Tell me it will get better, I can't look very good on your nursing record if you quite your first job after 8 days. I don't want to appear like I can't handle responsibility.

trying to manage

thanks for replies

Aerin

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Specializes in PCU.

The thing that worries me is the number 40. Feeling like you do being new is normal but 40 compounds the matter tremendously... and 3-11 at that! With family around, new admissions,docs calling, calling docs, phone calls.... they are crazy.... I don't like telling people what to do but I'd run very fast.....

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thank you but won't that look horrible to the next job interview I have. To say I only last a week?

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Specializes in PCU.
his reply was I have full confidence in your abilities. WHAT? I think I have spoken to this guy three times.

LOL! That is crazy! He's blowing hot air, paying lip service! I remember there were days I wanted to run outta there and cry wondering what I got myself into.... With may 3 aides, 1 medicine, myself and 18-22 ... Trachs, gtubes, insulins, and pass meds....

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This sounds pretty normal to me...I work in a 25 bed facility and we have 1 LPN, 1 CNA, and 1 med aide for the evening shift. It just takes getting used to, developing a routine, and learning the residents. I doubt that the ratios or training time are much better anywhere else. Hang in there and see how it goes...

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Specializes in PCU.

You mean 25 not 40 right? (Is normal)

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40 residents to 1 lpn is normal? With 8 days training. At the hospital new lpn's have mandatory 6 weeks training before on their own

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