hecete

hey, there's nothing wrong with us ltc nurses. i haven't eaten or dismembered anyone lately!!!! i've worked the skilled unit for over 2 yrs. this facility will take a brand new grad. and stick her on the skilled unit,just to make sure the hall has a nurse. most are under the impression they just have to pass meds. we do not have a m.d. in the facility. you have to try to get in touch with them, so you better have some damn good assessment skills, cause you're on your own. we take everything, trachs, pegs, piccs, central lines of any kind. you better have a clue of what you're doing. i don't think it's fair to put a new grad. on a skilled floor without some kind of training. i had a newbie on the other hall, she was over her head from day 1. we have some pretty unstable folks here, you need to know what to look for or they're a code. she lasted about a week before being trans. to the long term unit. i told staffing they didn't do her any favors, and thought it was wrong. she just laughed!!!!!!!:angryfire

i work in ltc. we never refuse anyone. we have trachs, pegs, piccs, various drains, ij's. there are several ltc's in the area that are very selective in the type of resident they take. pegs are very basic. good luck.

state surveys are a "hoot". you see people on the floor you never knew existed. everyone running around like chickens with their heads cut off. we have alot of new grads., when the surveyors see them they latch on to them the entire time they're here. some manage to make it thru without being reemed a new one, some leave in tears. state surveys are not for whimps!!!!!!!!!!!!!!

i work in ltc, and i can tell you, everyone has had customer service cramed down our throat to the point of gagging. we have had inservice after inservice on the subject. every time someone complains it's another repetaive inservice. try as hard as you can there are some people you just can't please.

i have one of those. 82 yr.old fmale, 350 lbs. been catered to all her life. won't even move her leg by herself. the family comes in everyday, all 6 of them, and wants to know why she isn't making any progress. they created this monster, and expect us to fix her!!!!!!!!!!!!:angryfire

Come To Virginia. My Ltc Facility Will Hire You In A New York Minute. Good Luck!!!!!!!!!!!!!!!!

i'm an r.n., in fact, the only r.n. on a skilled floor in a ltc facility. we have a large influx of newly licensed l.p.n.'s on the floor. there are 2 halls 30 residents each hall. a new grad was put on the 7-3 shift, not because of what she knows, but because of who she knows, the staffing coordinator. another lpn that has worked there for 14 yrs. wanted the 7-3 position, but it was given to her . he has gone elsewhere. so, we lost a good seasoned nurse. the floor is very high acuity, trachs, pegs, piccs, and various drains. this grad doesn't have a clue, can't even read a lab report, has no assessment skills, and thinks nursing is just passing meds. we all have tried to help her, but nothing seems to sink in. i don't blame her, i blame the staffing cor., she put her in a postion she wasn't ready for. friday, she was told she could go to the long term care unit or leave. she left in tears. i really feel sorry for her, having her bubble burst so soon after graduating:angryfire .

Over 3/4 Of The Residents Have A Poa Or Rp. None Are Legally Incompetent, It's Merely Their Choice.

YES, THIS IS OUR POLICY. IF ANY RX, MED .ETC. IS REFUSED, THE POA OR RP IS CONTACTED. THIS IS THE POLICY IF MY FACILITY:rolleyes:

i don't work in a e.r. but do work in ltc. i have had customer service crammed down my throat to the point of vomiting. some people you can't please no matter what you do. i'm responsible for 30 residents, usually with 4 cnas. my cnas a excellent and i rely on them, since i can't be everywhere. sometimes we are so busy, residents and family have to wait. i actually had a family member walk in on a code blue and demand a pillow now!! i wanted to rip her face off.:angryfire

i work in a snf rehab center. for the most part they are maintained on "narcs" thru the first week or two after therapy begins. then they are weaned off to a non-narcotic. my biggest problem is other staff members. i work 12 shifts 5 days/wk and know my patients pain levels. the weekend staff, and they only work wekends, are great for putting pts. back on "narcs". i have a pt. that sits in bed and paints pictures all day, no signs of pai, but every monday she is on sched. vicodin. i've asked the nurse not to put her on vicodin, but this has fallen on deaf ears. i finally had to get a order from the attending, not the on-call doc, not to call for a vicodin order. that took care of that problem. now she has moved on to 2 other pts. anything to shut them up so you don't have to deal with them.:flamesonb

i agree, bath time is a great assessment time. we have a bath cna, she gives showers 2x aweek. our wound care pts. have a whirlpool 2x a week. all pts. trach, pegs, piccs receive a shower at least once a week. if they refuse, we contact their poa, unless they are their own rp, usuallt that solves the bath dilemma.

i work in ltc, on the skilled floor. our census is 60, we are constantly filled. we have 3 nurses on 2 shifts, usually 4-5 cna's per shift. many of our residents are here for rehab. only so the turnover is quick. where things go terribly wrong is with corporate. they are more interested in lining their pockets than providing the equiptment, we have no computers, constantly running out of supplies, beds are broken, not enough overlays,not enough equiptment. i can go on forever. the staff on my floor are like family, we watch each others backs, and help each other if we get in a bind. you don't have to ask, you know they'll be there. adm sucks, if nothing is wrong, they'll invent something. the pay is also below standard. another floor has a show room, it's to show what you won't get. the residents rooms are old, broken scratched furniture, broken blinds, broken privacy curtains, but we had a $750.00 xmas tree in the front lobby. everything above the 1st. floor is crap. so to ans your question, is ltc that bad. it depends on how you look at it. i love the residents, and my co-workers, but the rest of it can"bite me":flamesonb

FRESH OUT OF HIGH SCHOOL, 17 GRAD AT 21.

I Work In Ltc, Everyone Is On Some Kind Of Bowel Prep. Tubing Is Changed Every Sunday On 11-7, We Only Have Picc Lines, Dressings Are Changed Once A Week If Opsite Is Used, Everyday If Insertion Site Covered By A 2x2. If These Are Not Done We Have The State Crawling Up Our Butts. We Use Oral Balance For Oral Care And It's Great. I Guess Trimming Fingernails And Toenails Is Our Downfall. We Just Started A Program Where The W.cn. Assistant Will Do Nails. Usually, The Np Will Do The Diabetics.