Hope21

Have you shadowed both jobs to see what the day to day life is like? If not, I would recommend doing that for some clarity.

Hi, There are a lot of options with a nursing degree like you mentioned- maybe mental health/psych nursing would be something you would be interested in? However, if you don’t enjoy nursing and are passionate about psychology, then perhaps you should explore switching majors. It is your life and you will have to work for many decades, not your parents.

Good luck! ?

I would look and see what the other programs you are interested in require as well to make sure you are taking the correct Chemistry class and any other required classes.

So the other unit is getting both the difficult male patient and the time-consuming female patient?

Good luck! You can do this! I don’t have any specific tips but make sure you know what each nursing school you’re applying to requires and what they’re looking for, and staying on top of any dates and deadlines they have.

Why can’t the staff nurses do some of those things? It seems like admissions, discharges, provider visits, wound rounds, reviewing orders, and addressing some complaints are all things that can be delegated, can they not?

Why is the solution of only having two people move rooms that you had mentioned in an earlier post not an option? Is one of those two residents refusing to move?

What is absolutely critical in terms of covering all of those patients? Can your managers help, if they can’t find anyone else to help?

Does your facility have someone who is in charge of doing room assignments? While I’m just a student, it seems odd to me that you and your colleague are playing musical rooms with patients. Is this a common occurrence in LTC? Is it too late to choose the option you laid out above where the male patient goes to your floor and the female patient goes to your colleague’s floor? This seems like the best solution, especially if your floor nurses are willing and able to handle the difficult patient since he isn’t as time-consuming.

I am confused on why 5 room changes need to be made for this one resident- this doesn’t seem like a viable solution, especially if there’s the option for only 2 room changes. Is your facility still trying to move 5 patients around? Are you still advocating for that?

How would you pay for the 4 year school? If you don’t have a way to pay $16k, then that’s not really an option.

This doesn’t sound like good management if they are refusing your requests for help and not making the staff they do have show up and do their jobs. I would look for a different place. While you explore other options, you need to prioritize. The 500 tasks for nurses- the majority of them probably aren’t critical for patient care. Focus on what is critical for patients and what absolutely has to be documented, like @Davey Do has done in the past. Why are you having to be a floor nurse and a manager? Is this all of the time or only when you are short staffed?

I’m curious- what were the reasons admin gave for why they can’t hire more help or transfer patients? Are these the same people that are allowing a nurse manager to constantly be absent from her job?

There may be a class at a community college that would help you in preparing for the TEAS, so I would look into that. I would also look into the conditions of tuition assistance- is it certain programs only?