I got a job in an LTC/SNF, even though my main unit or I prefer subacute unit, but I was told I may float around in LTC as well.
So Friday (9/11) was my last day of orientation. The nurse who should orient me called out. And it is an LTC unit. I will care about 24 residents. I thought I will be fine because I just take vital signs, and pass meds. However, it is much hard than I thought!
First of all, I took temp and pulse ox on all my residents, and BS on some that required, it took me around 30 to 40mins to finish. Then I start to pull all the meds, some need to crushed, some don't, and some need BP, some do not, so I have to go to the pt get BP before pulling out some med. Then some people have fever, I need to report to the supervisor. some residents are not in the room, I need to go look for them, some resident asking what meds they are taking, and I have to explain. Sometimes the BP cuff does not work, or the BP is way too high or too low, I need to redo it. I am super behind the schedule. Finally, after I finished the 4-6pm meds, it is almost 8:30pm.
Then I had some water, then went back to the laptop to do some document, and prepare for the 8 to 10pm meds. I guess my supervisor cannot suffer me being super later, so she helped me to pull the meds, and I pass those med to the pt, do BS, BP as needed. And she also helps me to set up IV, antibiotics infuse for the pt who has fever.
Finally, we finished pass all the med around 10pm. I sit down to do all the documents. Then I found out, I miss some BP, so I went back to the Pt to get BP. Some people are on the nebulizer tx, I forgot to recheck them/stop the machine, so I need to go back to turn off the machine and reassess them. Then again, I found there are two pt need wound tx. So I went back to see if the pt still awake, one already sleeps, one still awake. So I did one of them. Then back to my laptop continue doing documentation.
Finally, I finished everything around 12:00 am (my shift end at 11:00 pm).
I cannot believe I did not cry. I do not know if I can do LTC or not.