MsTosh, RN

I just started at a LTC facility as a new graduate and i go home every nite thinking about what i forgot to tell in report or what i forgot to do. Im so stressed out its unbelievable. I feel like im clueless sometimes. I hope a hospital calls me soon. I just feel at a LTC facility you really dont learn that much. All I do is pass meds and do dsg changes to over 30 patients.

6mths in pittsburgh,pa for me

Im a new grad and i work at a LTC facility. I am thankful for my 22.00 a hr and my full paid benefits. nothing comes out of my check for health care benefits so thats wonderful to me.

I would not speak about the pregnancy. If you are showing then he/she can assume you are pregnant. Your not their to discuss your personal life. I would maintain professional and presence my credentials.

Its a shame but you have to check behind some of them to make sure things are done. I am on my 2nd wk orientation at a LTC facility and i will be by myself soon. thier is alot of things i be seeing that i dont like. At the place i work RN have to do thier own vital signs. I think that is BS and it really slows you down during your med pass. you have 25- 30 pts. thier is know reason why they cant do vitals 1st thing in the morning. it is within their scope of practice. also some of them will leave ace wraps on residents legs all night. When you go to wrap the legs you notice the ace wraps were never taken off . some will sit around like theirs nothing to do. when all the resident are in bed and safety measures are in place i think it a good time to make sure gloves are stock in each room, unnecessary clutter is off the floors, garabage bags are replace, h2o is at the bed side etc... I needed to vent as well

I just started in LTC 2 wks ago and things are going well. I am learning alot. The only thing i dislike is the large patient load. you have over 30 pt to care for where i work.

This same situation just happen to me. I was offer the job on May 28. my last day at my job of 10yrs was june 13 and i just started working my new job july 12. Just be patient and dont make it seem like your to despaired. I know its better said then done, esp when you have bills coming in.

If a pt. is worsening you 1st call for help and then being assessing he/she and report your findings to the rapid response team. If your unable to anwser a question you let the pt know that you are unsure, but you will try to find out the anwser.

I have to agree with the above post. It was a very bad choice of words. Everyone deserves respect reguardless of skin color. You made it seem like her position was way beneath you and she was jealous. I feel everyone is their to do a job and if someone is not doing their job it needs to be documented. If i feel tension in the work place i will confront the individual and ask is their something that you and I can do to settle this tension cause we have to work together. If that does not solve the problem, then i will have to involve management.

My friend was hired 3weeks ago at a nursing home and she is having a difficult time managing her time. Do any of you have some advise i can give her on a routine?

A friend of mines just started as a RN at a long term care facility. She said when she 1st arrives she gets a report, count the nacrotics,check the crash cart, briefly do rounds to make sure the patients are breathing and then begin her glucose checks. After glucose checks, she pass meds and do wound assessment, dressing changes and then documentation. As a LPN im sure you will be doing something similair to that.

the book I have is "Charting Made incerdibly Easy" 3rd edition Lippinocott Williams and Wilkins. I love this book it really helps with nurses notes and it also display some of the forms you may encounter.

Im a new graduate as well and im trying to get a handle on my documentation. Heres, an example of a discharge note out my charting book. 68y.o. black male admitted 5/2/10 with chest pain, HTN; BP 190/100, and SOB. MI ruled out. Chest pain relieved with sublingual Nitroglycerin and O2. Persantine thallium performed 11/30. Tolerated procedure well. Has been OOB ambulating in the hallway without chest pain or SOB since 11/30. BP remains stable (144/86 at 12:30noon). Drug regimen includes daily aspirin 325mg, and captopril 25mg b.i.d verbalized understanding of medication times, dosages, and adverse effects. Will call Dr T Harris for 10 day post discharge appointment. Discharge instruction sheet given. Pt escorted via wheel chair all belonging sent with patient. Im gathering a discharge note is the care and diagnostic test the patient recieved from the begininng of he/she arrival to discharge. This gives a detail picture of the patients prognosis is he or she getting better or worst. Thats just my guess, im a new graduate as well. lol

I think 1.C check iv patent and 2. D it is very important to know the correct rate to push a bolus dose of medication.