I'm a middle aged RPN who came back into nursing after a very long absence. Since then I've worked 6+ years in LTC in Ontario. Over those years the demands on Reg Staff have increased dramatically here. Esp with the intro of the RAI-MDS system. My last job was in a facility of 100 residents. The day RPN was responsible for the med passes and Tx for around 40 over an 8hr shift. The acuity wasn't too bad there, no trachs, only 1 g-tube.
I was just "terminated" from my new LTC job after 6 wks for "not fitting in" and being too slow. (!?) They had 12hr shifts and I found that 3 meals and 3 med passes w/Tx was just too much. Took way to long (for me anyway). I have always wondered how some nurses got to go home on time while I was always staying late. Apparently I have time management issues. Guess if I just shoved the crushed meds into mouths without given a drink like some, then I could have cut 30min from my pass! I'm a good nurse, but that takes time. Time that we aren't afforded, esp in LTC. Impossible to be compliant and wears on the self esteem. No room anymore for someone who wants to do it right. Think I'll get out of nursing alltogether.