IowaKaren

Yep, going through something like this myself but on a small scale.

Actually, I would say it is a typical age after starting a family and all. Or just having that feeling that you should be doing something different with your life. I was in my 40's and had pre-requisites before getting into ADN school. I always ha...

Give me 10 fairly heavy care residents WITHOUT major physical issues (eg. tube feeding aspiration precautions; unhealable open fractures that will get infected and the resident will eventually pass from it) and Less impaired cognition with 2 hardwork...

Hope you wore that mask.

That seems to be the norm for overnights. Find a good sized, dark purple bruise that you have to figure out how they got it, when they got it, what they were doing, etc. at 2300 (an hour into shift). And you HAVE to get it figured out. Period. I ...

The point is, in Assisted Living you do not need to be a CNA or CMA or have worked in healthcare before. You can come in off the street, get that bit of under training and call it good, your ready to go. Then you are the be everything to everyone a...

That seems to be a typical analogy if trying to reduce hours d/t census. As long as a nurse is in the building and narc's are counted with that said nurse along with reporting off, that is okay. Not ideal for you since you depend on those hours gen...

Yes, and I do not believe it will get any better in the future. Such a sad state in many cases.

Also, some with major pain issues from surgeries come without prn pain med's, not even APAP. No pain all day but when trying to sleep at night, frustrating when a block decides to wear off. Lately I've been lucky with good repositioning to get me t...

I also thought in my state we couldn't add in Supervisor nurses either but the place I work at now does. Sure makes the 'numbers' look good.

I'm always told, "I remember those days too," like it's a right of passage or something, LOL. Just depends if it falls on my night off or my first night on.

Welcome to the USA. Everything is money driven and we are suppose to care even though the time allowed isn't enough in some cases, depending on the nursing home you are working in. Unfortuately, things are getting worse than better and if you are l...

Wages will vary from place to place, even amongst corporate NH's. BSN means nothing where I work and your not given a higher wage because of it.

I heard that my place of employment will not hire Agency anymore (agency nurses or CNA's) because it about broke them at one time (that's the rumor anyway). Only in very rare cases would a supervisor work a cart. If a nurse is not available, a CMA ...

Late entry your next shift may be the only option.

Another crucial thought is repeating the addage old, "the family wants them checked out in the ER," or "level of consciuos change," works well BUT, it had better be the truth also and documented as such.

Try working in an SNF/LTC, same thing there only twice to four times the amount of patients and what you don't document, didn't happen. Team work is absolutely necessary but the shear number of staffing to Resident ration is ridiculous in most cases...

I always loved the thought of keeping people to their highest level of functioning but where I work, they are so embedded with 'resident rights' that if they ask, we HAVE to do for them even though they could easily do for themselves. No questions a...

Oh, it's amazing what is accepted into the ALF and how long they will be there and we all know it's not the right place for them but as long as nothing bad bad happens, it will be this way. Hopefully, before something very bad happens, the powers th...

Yes, I do understand your plight since it is the same for me (in a way). I specifically work a certain shift that I can handle part time but am called constantly for more shifts or to work, mostly as a CNA due to not having enough help for the acuit...

They are doing that to our 3rd shift since not able to get CNA's hired so "let's just have 2 nurses and 1 CNA". I hate it since most the work falls on the CNA. Then, the next night you may the nurse only and continuity was a problem since you have ...

This is not the way ALL LTC homes run. Sounds like for your health and welfare you should leave this place ASAP. Just breaking up a fight and the supervisors not handling the situation would be enough for me to say 'bye bye'.

If living in a NH, these are pretty much Resident rights but we are still responsible for the falls, even after the Resident signs the negociated risk forms continually and the family is okay with it all, we are still responsible and have to come up ...

Isn't it an OSHA law?

I noticed that too. I have slow internet since living in a rural area. The loading speed is continually changing so looking at U-tube or something that needs to load takes awhile before being able to watch. Anything over 10 minutes I just give up ...