I work LTC...
1. My favorite residents. The ones who are always kind, happy to see me, and tell me they miss me when I am gone
2. The co-workers I trust. Working with my favorite nurses can really make a day 100% better
3. Plenty of overtime options, meaning I can make as much money as I need.
4. Managing ongoing care for my residents. I know their medical histories, what is "normal" for them, when to ignore the little stuff and when to freak out about the big stuff.
5. Working close to home. My work is a 5 minute drive from my house, and I love having a minimum commute.
1. Overwhelming?! Overextended?! Yes!!! omg, my entire 12 hour shift is packed full, and even when it is time for me to leave, I am never fully finished. Then management comes up with some new task for me (usually babysitting the CNA's), which will only take up more time and steal my time away from the important tasks like NURSING CARE! And if you try to voice your concerns, your DON goes into her "when I was a LTC nurse, I took care of 50 patients by myself, all the med passes, all the tx, all the everything". ..... Well, that sounds great, but since I dont have wings on my shoes or a magical teleportation wand, that seems unrealistic to me.
2. CNA's who do pi$$-poor work. Some are really fantastic, but the bad ones make me want to scream! Non-existent incontinent care, refusing to get residents up/lay them down, ignoring call bells.... ARRGGGGGHHHHH!!!!!!
3. Discipline is a joke. At least in my building. My DON/ADON will tell me "just write them up". But nothing ever comes of it. Seriously, it is pretty much impossible to get fired from my workplace..... which really sucks because we have some horrible staff members who need to go.
4. The mean/horny/hateful residents who abuse the call bell and grate on your nerves. Of course, the facility will never discharge them (why give up the money? we'll just suffer through instead!), so your only hope is that someday they will die or you will find a new job. Even after UA with C&S, psych consults, behavior intervention from the social worker, they still make your job miserable.
5. The nurses who make you crazy. Either they talk smack behind your back, are in constant "freak out" mode or just too lazy to do their work. Working with them increases your stress and makes you constantly worry about "CYA=Cover Your A$$"
Sorry for the vent, I really need to find a new job!