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So, made it for four months, now on suspension for some charting issue and also a CNA called a resident's family as she was confused and always is. Then CNA handed me the phone. It was resident's son, upset because wanted doc to take resident of certain med he said made her confused. Said he had talked to physician before. I stated I would talk to MD again and sorry about situation, etc. I did chart in the chart and even mentioned to RCM what happened. I felt it wasn't appropriate for CNA to take it upon herself to call family without consulting with someone (me) first. Anyway, RCM stated CNA had the right to do this. Well, I am the one in trouble for this phone call. I charted it and discussed it with RCM, but didn't call the MD personally. So, sad to say, looking for another job .

I, too, am a new LPN in long-term care for only one month! In my wing, if I see my CNA's acting inappropriately, I let them know. It is NOT okay to treat our residents poorly! Some of my CNA's are wonderful. I had one last week who took many cigarette breaks and handled the residents like nameless, faceless, cattle. I have had a couple of days off and go back to work tomorrow. You can bet I will be talking to the DON about this subject. It is our duty to act as advocates for our residents. Maybe you were uncomfortable speaking up? If that is the case, don't be. If you have an issue with a CNA, take them aside privately if possible and let them know what they did wrong and how they need to handle it next time. You are their boss. I wish you all the luck in the world!

Help. . . I am a new LPN. I was lucky and got a job at a long-term nursing and rehab facility right away. My problem is I have been there for a month now, and I am very frustrated. My body aches continually. I never get out on time, sometimes as late as three hours past shift. I work evening shift so there is no one to help with questions. This being my first job I have many questions. My wing has about 25 patients which might not sound like a lot, but I do everything including ordering new meds, physician faxes, phones, charting, treatments, med passes, admissions. I am trying my best. I have never had a break, except for dinner time. I try to take my 30 minutes, but it is hard to do when there is so much work. I love love love my residents (there are few exceptions). How am I ever to get out in eight hours? I am running to get everything done. How is this achievable? I know I'm a hard worker, but I am getting very discouraged. I want to do a good job. If anyone has any suggestions, please help me. My orientation was a joke. The nurse training me said, "you will figure it out". Ugh. . . I am so very tired and sore. I am told it will get better. One of the nurses sits at the nurses station half of his shift. I am wondering if he is doing all of his work. Seriously, I am scrambling as fast as possible just to get the meds passed and treatments done. Suggestions? Thanks for listening.