LTCRN4LIFE

How are your facilities addressing this? Especially with the aides as they can now go out of healthcare and get compatible wages. We have tried the generous bonuses, stipends etc. Even the dreaded mandating which only makes it worse. Now Administrator wants LN’s to work as aides??? I fear the LN’s will leave and this facility is on the path to closing. Such a shame. Very good facility. Good care. People are becoming burnt.

Anyone practicing or looking to get into this specialty?

Excellent career for someone looking for slower pace and the ability to be able to spend time with your residents. Have 2 FT positions with excellent benefits.

LOVE NADONA!

You can see how they created their own demise. Yes, I bet they have no idea how much Prevnar 13 is or you wouldn't be doing it! No consents for flu shots! OMG! Enjoy your interim position...I was going to do that for a while for the very same reason you are doing it....however I have decided that though I love SNF nursing...it may be time to get out.... I am taking a DNS position in another specialty.

Abuse is "willful intent". I suspect the Nurse didn't have enough education to rationalize he/she was performing an intervention that could result in the wound becoming worse and getting infected. If you asked the Nurse this I am sure he/she would say they did not intend for the outcome to be a wound that progressed and became infected. Also that wound did not get worse because of one Nurses actions. That was lack of pressure relief, lack of assessment and proper treatment 24/7.

Are you still at that job that you took around October? The one that smelled and you were trying to decide whether to give them 4 weeks notice?

Actually going through the same thing myself. I love doing DNS, love seeing a team change and build together, happy residents and great QM's, but I have to admit sometimes I think its time to go into consulting or working for the state.

Some of us live 2 miles from work and some of us live more than 50 miles from work. I just took a job that is 60 miles from my house because everything else about the job was perfect. How far do you travel?

Exactly ponymom.....maybe I just live in an area where there isn't enough Nurses....all of our facilities in my area use staffing agencies to stay staffed, compensation and benefits is pretty equal....moral...well you hear the stories of each place but sometimes the source is or isn't credible...so that is hard to judge.

Well said Mean Mary Jane...that is the goal (or should be) of every facility!

Don't document what she does. Tell her you cannot ethically do her documentation for her. Write down the date, time and incident and give a copy to your DNS. The next time she does this write down the date, time and incident and give a copy to the DNS. Ask to meet with her. Tell her you feel you are 1.) Being singled out and treated differently than the other Nurses 2.) being harassed on the job and that it is creating you a hostile work environment and you want it stopped. If it happens again or you are being treated differently then the next move would be to go to the Administrator and ask for a meeting. Present him/her with copies that you gave the DNS & with the dates. Tell him/her you feel like this is a hostile work environment for you and you want it to stop. At this point......it will. If it doesn't you have a legal case for hostile work environment. Of course, I would say if you haven't been there long...start looking for another job. I have been in nursing homes across the states for34 years. They are not all like this. Go to Nursing Home Compare and find a 4 or 5 star facility in your area and go apply.

As we are all so aware how very difficult if can be to recruit staff let's start a thread of ideas used. I sure could use some new ones! Thank you everyone

Curious which position you chose?

I wear business casual most days unless I know there is a special meeting, QA&A or a presentation that I should dress more "polished" for. I wear a lab coat sometimes....usually when its hot and I want to wear sleeveless and cover my arms although I have always noticed a Nurse gets more respect when he/she wears a white uniform....it's like the old cliché....."The Doctor knows everything. He is God" I like the look of white.....I was around when Nurses wore white hose and white shoes and were just beginning to ditch their white caps. I also join my staff at Holiday time and wear holiday scrub tops when we have jean Friday each week. We also wear red with our jeans on Friday a lot to support womens cardiac health. I hear ya about the home like environment.....trust me.........Culture Change and all...they know they are not home.