QI/QM

I'm going to have to agree with you. I have been a nurse for 20 years and over the last few I have noticed a increase in call ins and a decrease in over all work ethic. Even when the nurses that call-in frequently do come to work they dont do much

You are absolutely right! I see more and more RN's with advanced degrees providing hands on patient care; and they HATE it! In our area this is due to the hospitals phasing out LPNs and replacing them with RNs. Now they have highly educated nurses, which is what they wanted, that dont care anything about patient care. Best of luck I hope you can find what you are looking for.

Each facility is different. If the facility is actually run by a hosptial you will receive a more structured orientation. It also depends on the position you will be taking. Many facilities do not give an Administrative Nurse the same orientation a floor nurse receives. I do not necessarily agree with that approach as all nurses should learn the facility policies and practices. Although it is the facilities responsiblity to provide an appropriate orientation for all staff, I find that so many nurses fail to take any responsibility for their education and want the facility to spoon feed them everything. I have seen so many nurses that feel that because they did not sit in a classroom while someone spoon fed them every policy and practice that they did not receive an appropriate orientation. There are just somethings you cannot learn until you do them. So I encourage you to take charge of your orientation process. Openly communicate with the Staff Development Coordinator, your preceptior and Nursing Supervisors, give them feed back on your orientation so that they can provide you with a better experiance. And never, NEVER sit back and pass up an opportunity to learn how to do things in your facility. Best of Luck

Furthermore, I have found that, many new nurses have a tendency to feel bullied or picked on when a more seasoned nurse instructs them on problem areas that have been identified.

I have been a nurse for 20years and I see an over all "high school" mentality in nurses. Not necessarily "high school drop-out". Most of the nurses that I have seen being bullies are the ones that feel they are superior because they did attend a highly accredited high school and or college and have a higher degree.

We have about 30 residents/1nurse-LTC has really changed over the years those ratios may have been acceptable 10years ago but the acuity of residents in LTC has really increased over the years. Usually acceptable nurse/resident ratios are set by the state you practice in and it is actually based on nursing hours per resident. They really need to rethink this, esp, since most LTC owners will not staff over this "acceptable" ratio. And not just the acuity of residents has increased the amount of required documentation is just insane and is only getting worse.