HBRNBSN

I was 21.

In LTC, the Medicaid patients are the ones that demand all my attention and complain about everything. Nothing is ever right at the facility I work at but they wont leave either. So I agree that they single themselves out.

Also should have told you-I did not work for an agency but I was employed by NCH. So pretty much the same as being a regular employee but only worked 6-9 months out of the year.

I was a seasonal at NCH several years ago. I don't know that one hospital is better than the other in the area. I do miss living there. Loved living within walking distance of the beach. I would go back in a second but my husband likes his job at the VA in SD (he's a nurse too) and doesn't want to leave family. I'm not much help but I would probably go back to NCH if I could move down there again. Good Luck!

Do we work at the same place?!?

Sounds like that physician needs to be reported.

I work in a 70 bed LTC unit and we had 1 med nurse to pass all meds on 70 patients. What a nightmare! We now have all of our CNA's med certified and now they pass 90% of the meds.

Sounds like the mds cert through AANAC. You have 10 courses/test to take to get certified through them.

My husband and I met at a LTC facility we were working at.:heartbeat Worked well together but we both left around the same time. He went to ICU and I went travel nursing.

What floor did you work at NCH? was there as a traveler on 4NE in 2002. I thought the facility was clean and Dr.'s were respectful but the work was backbreaking. Wouldn't commit to another season there.

Regarding nurse to resident ratio's in LTC, there is just not the money available to provide more staff. Lots of medicaid patients and the reimbursement sometimes doesn't cover the cost of care. For example, in the facility that I work in we have one particular patient that costs us over $6000/month. Our reimbursement from medicaid is $4500. We eat the rest of the cost.