CharleeFoxtrot

Welcome to the real world, patients in the SNF/LTC are sicker than ever before due to how our health care system works.

Good advice above. OP if you are posting under your real name you may consider asking our lovely admins to help you change to a pseudonym. The internet is forever, just my 2 cents worth.

Perfect advice. I would also add if the OP has not had a good physical workup, blood work etc in a while it might might be a good idea to do that just to make sure nothing is out of whack. I had similar blow ups and found out I had quietly slide into DM II, having blood sugars in the 400s does not make for "think before you speak".

I once worked in a SNF, and had LPNs as supervisors on occasion. I never said it out loud but, as an RN I decided should their judgement ever conflict with mine I would politely go with my own thoughts on the matter and chart the heck out of it. I reasoned I would rather err on the side of good patient care than worry about discipline by a facility. On the occasions when it did arise I calmly discussed my reasons with the LPN and they always agreed with me.

I've not been on here lately as well. It went great, I did turn the position down though as there was no guarantee the job would stay remote. If the job went back into the office it would have been 3 hours a da spent on the commute.

This, absolutely. The rest is just bullpucky smoke and mirrors.

Bump to the top, I am interviewing with BCBS today for a remote position and any input would be welcomed.

(Mic drop enough said)

I don't have the words. ((hugs to the OP))

We see everything from stage 4 cancer to hand foot and mouth in family care. Literally we take care of patients from cradle to grave. As far as common complaints, Covid-19 or Covid-19 like symptoms, diabetes issues, mental health problems, substance abuse, dementia, CHF, COPD, vague complaints of abdominal pain... you name it I have probably dealt with it in the past month. If your practice is primary care or internal medicine you may not see as many pediatric patients and have more geriatric cases.

Absolutely. I've also called off to go on a last minute job interview. (waits for the flaming to start over that one LOL)

Decades ago one of my mentors told me this gem, "If it feels really good to say something to (patient, family, boss, civilian), then 100% chance it was the wrong thing to say."

Develop healthy coping mechanisms and USE them.

Yup, I did. Took a 11% cut for a shorter commute and a "step down" in responsibility. I've not regretted the choice.

At the time I was in law enforcement. Was off that day, had the TV on for noise and watched the whole thing. Cell service was down, couldn't get through to my department. Got kitted up and went into work. So did most everyone else who was off that day. We doubled up and patrolled, stopping at the fire hall for coffee and watching their big screen TV. All of us brave-facing the horror we were seeing. I still cry like a hurt and lost child when I watch footage from that day.