Birdy2018

I started as a case manager at my job about three weeks ago. I was an LPN for about five years and just bridged to my RN. As an LPN I worked mainly in LTC and i worked for about 10 months in home care but it was all shift work and medication pre pours. After one day of computer training and not even three full days shadowing other case managers, I started getting visits on my own. "Easy" revisits and simple wound care but now I am doing 4-5 visits a day with what I feel is minimal feedback and training. All my charts were reviewed and it seems I'm doing well with that but I am struggling with the basics of homecare. What to do in certain situations I.e how to structure your day, when to contact the doctor, scheduling, communication with other case managers etc. I was asked today who my mentor was and I didn't even know I had one! I'm not sure if this is what to be expected this early on, if they are using me for unfilled visits or if maybe this setting isn't for me. The agency has gone through a huge staffing change lately and admittly said they weren't sure if they had the staff to train someone with limited homecare experience but then offered me the job and assured me I would have proper training and support, but right now I don't know if that will be the case.

Hello, I am going to have my RN by the end of this year, I will have 4.5 years experience as an LPN mainly in dementia/LTC and some rehab. I am going to try to get into a hospital but with my associates I know it won't be the easiest, but I am definently interested in working 12 hour shifts overnight. Does anyone know of any LTC in CT that does 12 hour shifts? I live in New Haven area and would be willing to travel 30-40ish mins. Thanks!

Hey guys! I work in an assisted living facility. I have a bit over 4 years experience as an LPN and have worked in SNFs and homecare so this is my first assisted living job. I work overnights 11p-7a, there is only one 6a med scheduled. I was told during training that it was expected for me to give residents their 8a medication during my time to "help out" day shift. I didn't question it at first but rather just observed. Residents were being woken up at 5am to be given their 8am medications. When I started on my own I gave a few meds starting at 6a but i still felt weary about it and tried to chose residents that only had vitamins in the morning . I was then told I was expected to give 10-12 residents their meds before day shift came in. This facility is vey big on resident choices so I find it hard to believe they think it's okay to wake people up at 5am just to make things easier for the next shift. And also coming from a SNF it was never expected for overnights to give AM meds especially because it would be outside the hour window. I can't find a specific policy on med admin times here, I don't know if the regulations are different because it's an assisted living and this is their "home", but in my mind they are going against doctors orders for med admin times. I don't want to rock the boat but I am also first of all an advocate for my residents, and I want to do what's best for them. Anyone from assisted living have a similar situation or any advice? Thanks!