alisia1

I have worked in LTC for 7 years as a nurse, and have been through this so many times. First thing, i would strongly recommend that you NOT advise or recommend the family to another facility. If your supervisor or administator found out that you did, it could cause you trouble down the line, at the very least hard feelings from the higher-ups. Second thing- you have got to document. DOCUMENT, DOCUMENT, DOCUMENT!!! You need to create a paper trail of what is going on, that you and your cna's have offered care, and resident has refused. Also document the result of this refusal, i.e. any new skin break downs, weight loss, abnormal labs. But document them as facts, not saying "resident has an 8lb wieght loss becuase she always refuses her meals and meds". With good documentation from you and your cna's, your supervisor and the other parts of the clinical team will be "forced" to do something- if they don't they would be sorry. Becuase when they have the state surveyors come to your facility and see that nothing was put into place to address those problems the patient had, they could face huge fines and even loose thier medicare benefits. It may take a while to see change, but stay strong and patient, and good luck!!! :)

Wow! Thanks for the responses!!! I love the flexability of nursing, so it seems like it just gets better!

Hello to all CRNA's!!! I am a LPN, in a RN bridge program now, with aspirations of one day becoming a CRNA (since i became a LPN). I was just interested in your schedule, how many days a week do you work, and how many hours do you typically work in a day? Are you salary paid? I currently work saturday and sunday 12 hour shifts (a baylor program that pays me full time pay), and i have a prn job where i work 1-2 days per week at my discresion. Does bieng a CRNA offer flexible work hours? Thanks in advance for your thoughts and answers!!!

Wow! No job is perfect, and there are going to be some draw backs in healthcare, but it is good that you realized what you are not comfortable working with and sticking to your guns, thats a good way to prevent errors and mistakes from taking on too much of a job.

I agree totally but lets be real folks, when they lay your @#$% off, and you have no food to feed your family or pay your bills, what will you do? Lets all find a way to to this while maintaining our jobs

Hey Toney, hope you are doing well. Just try to feel these emotions for a while, let them run its course for a while, cry, scream, throw things. Then try to work your way up the ladder when you are ready to feel better. Keep talking to yourself to feel better. say things such as "in the end things will work out", "Bad things have happened before, and look at me, im still here". "i will find my way and im open to opportunities to help me in this". Use your community resources and don't go it alone, there are alot of people and orginizations that can help. My prayers are with you!

You can do it girl!!! Just stay positive and as calm and clear headed as possible, as this is one of the traits that you MUST have and hone when you become an rn, just as us have to be as an lpn. My RN friends always tell me that they triage thier life just as they do thier patients at work, so everything not important and irritaiting put on the back burner. I am in school too, so lets DO THIS!!!

I have two jobs. A prn job ive had for 3 years at an assisted living: $18.14 My full time baylor shift LTC job ive had for 5 years: $17.84, i work 12 hour shifts on the weekends they pay me 8 extra hours each week, and i have a $1.50 shift differential