caregiver31

I have a clerk at my job that has been there for thirty years. She's bitter, negative, and makes comments that are offensive at times as well. Sometimes people act this way because they are jeolous. In your case, you are an 18 year old nurse who is now in a better position than she is even though she has probably been there for a lot longer. This doesn't mean that you have to allow her to continue talking to you like that:nono:. Just remember that you are a professional so try to keep your cool!!

I have worked in a nursing home for 3 1/2 years as an LPN. The ratio at my job is 1:30 and I have a treatment nurse once a week if I'm lucky. When I worked the 3-11 shift and we were short the ratio was 1:40; 30 in one unit and 10 at another unit that I went to when I was finished with the first 30. In a nursing home the residents are not as functional as they are in the assisted living, therefore you have more treatments to do, such as pressure sores (yes it does happen). Giving them their medications is harder because most are cognitively impaired and fight when taking medication. When they refuse, it is more work for the nurse because now you have to document. I have never worked in an assisted living, but from what I hear, your role is a bit different. Most assisted living facilities by where I live have med techs pass out medications. As an LPN you would be doing more of the assessments, paper work, and contacting the doctors. Your ratio may be higher in an assisted living, but their needs are not as much. However, I would think that in that population you would have more demanding residents. My overall opinion is that where ever you go nursing is challenging and hard work and even though nursing homes seem more hands on, I don't think I would be able to do the paper work required at the assisted living facility without the clinical experience I have gained in the nursing home.