lilede15
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Egglady I agree with you! I have been in LTC for 12 years. Love "babysitting". I have assessments daily, med, pass, and tx. I still feel like a nurse and quite capable of my nursing abilities. I must say tho I have not come across a facility where I got kicked on a daily basis. Egg you are 100% correct in your statement. This is someones mom , grandfather and at some point WILL be the relative of the writer! Thanks to all who do long term. And if it's not for you please move on.
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It happens to the best of us! Especially when you work hard to make your cart up to standard and someone careless messes it up! Try not to worry so much. Most surveyors recognize that they make us nervous and we make mistakes because of it. Good luck on your survey!
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PPD is based on several factors and stands for patient per day. So the standard for ppd comes from a budget set by the company and what is acceptable by state to take of the residents that you have depending upon acuity. It is not unreasoanable for a nurse to take care of 20 stable residents. Or 18 stable and 2 unstable. There is not a law that states how many pts a nurse can care for. It is what duz she feel safe accepting and the area which they work. PPD per insurance companies says "oh we will pay you this much per day for your staff" based on the information that the facility has sent in. Sad as it is budget comes in to play. After all the company has to make money plus pay us and feed out residents
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Im sorry you are having a bad experience w LTC. I have been an RN in geriatrics for 12 years. I start iv's often, deaw blood daily, assess daily, pull picc lines, give meds via picc or iv, g-tubes, etc. You name it we do it. I feel very much like a nurse with what I do daily. I have worked in PICCU also and what I do as a geriatric nurse is more rewarding. I feel more independent. I have to make a complete head to assessment before calling a doc and use my nursing judgement alot more than in hosp where a nurse has a doc at their fingertips. I hope you find a LTC facility that fits w you