penny186

I started with my associates and obtained my BSN as well as wrote an in depth proficiency. My manager said there was no doubt I would get promoted. The response I got back Was lack of education. I rewrote it literally 6 times and my manager kept telling me the wrong way to carry out a rebuttal 6 times. Intentional or not, they don't want you to get a nurse 2. Although I function as charge nurse every night and go above and beyond while there are people who literally sleep for 6 or more hours per night and don't even do their proficiency and they get it.

Hello everyone, I am a nightshift med surg nurse. I am considering going for MSN in education. I always wanted to be a clinical instructor for RNs or CNAs. I'm wondering how hard the programs are? I'm nervous because I seriously need a lot of sleep working nightshift and get frequent migraines. I also realize that I can do clinical for ADN students without the MSN. I recently finished the BSN online. My perfect world would be part time med surg part time clinical instructor. Has anyone gone for this degree? Thank you

Why is it that in med surge tele I constantly get made fun of by other nurses for carrying a stethoscope, taking vitals, and doing an assessment. How am I supposed to complete the required documentation without doing so? They are already sitting 15 minutes into the shift and laugh about how they make up vitals and assessments. They say copy and paste. Well its my license and I actually care for my patients. And Im not talking about 7 patients. Im talking about 3 or 4. I ask them if they have pain. I wash them with soap and water. I reposition and educate them. I make sure they are voiding and having bowel movements. I chart thoroughly and accurately. If it takes me 5 minutes to make sure an order is in place I do it for the sake of the patient. I am nowhere near perfect and I learn daily! I am not there to watch videos all shift. Im rarely sitting down! Is there anyone left who actually still does these things? I became a nurse to help people!

I work in tele/ med surg. We have no aides ever. We have patients who require a lot of care. Some are q 4 vs. Some are on etoh protocol. Some are surgical. Some are very confused. And every single thing we do requires a specific note. Even calling the doctor. Being a former aide, I am happy to help my patients get washed or at least give the ones supplies who can do it on their own. Patients ring for drinks, pain meds, etc. And I do a head to toe assessment on all of my patients. We have tons of charting plus we have to chart for the lpns. I rarely have time to even go to the bathroom. And they keep adding more stuff for us to chart daily. They scrutinize every single thing we write. I feel like im constantly being made fun of for washing the patients and doing a head to toe assessment. And I do a really quick one. Our charting asks questions about head to toe so how else am I supposed to answer it? It makes me happy to help people get washed up and ready for bed so if they need it I do it. I never have patients complain about meds being late. My charting is always backtimed and the management would rather you chart then help the patient. The manager acts like theres something wrong with me because I dony leave on time daily but the one time you don't chart something they are on your ***. I am one to protect my license and provide adequate care and if that means staying 45 min extra I have no problem. I never ask to get paid so I don't understand what the issue. Im not staying and doing meds. Im literally sitting there charting. People say im crazy to do assessment. But I believe that thats what I was trained to do. Im.so frustrated.

So I started in a new area in the hospital in may. I came from another area of the hospital where I had my vacations approved in November of the previous year. I gave this to management when I started who I watched put it in the computer and said it was honored. I had covid last month and missed a class. They rescheduled it this month for the week im on the already approved vacation and have me working that week as well. When I said something they asked if I would switch my vacation. I tried and would loose out on basically thousands of pre-planned tickets etc. When I told them they said well you missed it last time and they won't do a class just for the one other person so they have to do it for both of you and it has to be this week or you won't get it until next year and acted all like im the devil. It's their mistake when they knew about the vacation. My friends are so upset r/t the money and planning but I don't feel like this is my mistake when they accepted my vacations in may and had since may to put me in this class. Advice? Thanks.

So I finally am getting out of LTC and into med surg in the same hospital. I have waited 2 years for this moment and am thrilled but I don't know how to tell my manager and coworkers. I am scared that they will say why didn't you inform us that you had plans or an interview? And I love a few of my coworkers. I even go out with them on the weekends and I don't want to hurt their feelings but I am a young nurse and not doing myself a favor by staying on LTC any longer. I have been dreaming of this moment and I appreciate every one of them and all the help they have given me. I am feeling sick over this but I have to move up in my career.

Hello I've been a nurse for 2 years. I started out as a charge/ supervisor in the LTC at which I was a CNA for 7 years prior. I left after 1 year due to company buyout, poor management, and poor work ethics. I thought I found the perfect opportunities when I applied to a hospital for a psych position. However they coaxed me into the dreaded LTC again. As my family member works there, I was told experience does not matter and I would surely be able to advance soon. Well one year later and 10 applications resulted in 1 interview basically to shut me up and another one that was for a job that was cancelled. I cant get anywhere due to lack of experience but they won't give me a chance. Yet they have LPNs in med surg. I hate my job in LTC. I learn nothing and the managers have no nursing abilities. Every time I make a suggestion for the residents im shot down by the people who are just there for the benefits. The managers and staff sit around and could not care less about the residents yet worry about stupid things. I am sick of being the only patient advocate and it goes nowhere. And I basically just do paperwork and have little patient contact for 8 hours. I feel like just leaving in a few months after my tuition is paid there and going somewhere where im valued. I feel like I've wasted so much time.

I've been in VA LTC since April 2020. Hands down worst job I've ever had. I was previously a supervisor And here I get no respect. I literally come home crying every morning from the mismanagement and the way its set up. Once youre in they won't consider you for another position . I will probably end up quitting . Everything is on paper and things get missed. It is very very different from other LTC.

Hello, Im 25 and have been in LTC since I was 17 starting as a CNA. Im in school for RN to BSN and desire to be a clinical instructor one day. I've done personal care and home health as well. After 7 years, I became a charge RN and supervisor at the facility at which I was a CNA for 7 years prior. I stayed almost a year and had to leave due to a company takeover, poor management, and horrible work ethic among the staff. I just could not watch it anymore and management never follows though with discipline, basically undermining me. I came to the VA but the only job was LTC. My mom has been there 45 years and convinced me that its better and I would be able to get another job soon. I've been there since April and suffering working yet again night shift. It's like a glorified personal care home and the people are just as lazy. I do far less then I did as a supervisor and do paperwork all night. I never even see the managers and they are not knowledgeable or supportive. Any time I make a suggestion for a residents benefit its met with opposition. Everything is on paper and things get missed. Theres very few patients and no workload yet they all complain. I use no skills other than helping the CNAs and LPNs and basic secretarial paperwork. I have horrible migraines and its difficult for me to get through the night no matter how much I sleep. My husband works as a NP and I never see him with his hours. I've put in for multiple med surg jobs since I started that go nowhere. I enjoy the benefits but I want to be a real nurse and use my skills and feel meaningful like the people I went to school with. It took a lot of paperwork to get into the VA but I don't know if I can make it past a year. Is it too soon to quit. I try my very best every day but its so hard when not even the cnas or lpns care to provide basic resident care.

So I am a RN in LTC, but work 3 hours a week as a cna in home health because I had the client before I graduated nursing school and I wanted to be nice and continue to do her, even though it was hard with working night shift. This client is young and had no physical limitations. I am more of a maid doing crazy tasks and do nothing home health related. I set up tables and lawn furniture and buy crazy items at the grocery store, never leaving on time just to get the right things. She also smokes cigarattes and medical marijuana heavily the whole time and it worsens my migraines and I leave stinking. Since I began I have been losing sleep accommodate her, even coming at strange hours when I worked days and never saying no and even asking her the day before when she wants me to come. I have chronic migraines and I have never called off but the last 2 weeks I asked if I come an hour later then I usually come. She said sure. She even told me the later the better because she sleeps all day and stays up all night. Mind you, I always bust my butt for this lady and it kind of felt like friend relationship even though she was picky. She said see you next week. Then the company calls days later and says we are cancelling you because she doesn't like the hours. She never said a word to me and I've been accommodating the hours for her all this time. We always handle stuff between us and not the company. I've never said no! She recently told me with Covid her other aides quit on her and I was the only one left. I was even doing 2 days a week and that now one might be coming Back in July. So basically she used me. I was only getting paid 33% of what I got paid at my RN job but I feel so used. So then she texts me and says she wants to call me. I never responded since Thursday. Should I respond? I am relieved that I can finally quit this job in a way because it was holding me back sleep wise and Im going back to school soon. Thanks

So ive been at my long term care facility for 8 years. 7 as a CNA and 1 as a RN charge nurse and RN house supervisor. I knew I didn't want to stay there long after I got my RN but I was trying to make it 2 years. My company was bought out and taken over by a corporation in october and has since continued to go downhill. All vacation time was taken away and everyone is a new employee. No cooperation among staff. scheduling mistakes constantly. Management does not discipline. Poor work ethic. Belligerence. Poor care to residents. The staff are a joke and the residents suffer big time. Im so sick of having to tell people do do their jobs and even physically helping them because if i dont initiate it it doesn't get done. Staffing is bare minimum along with 1 on 1. I applied and got a job at the VA which I accepted. Ive tried my hardest to make it but I just can't take the aggravation. I have told them this and got empty promises. I'm very anxious about giving my notice but ive given them every opportunity to change things and counsel people. I need to start my career and the VA has excellent benefits I will never get where i am. I will stay per diem. Has anyone else ever felt anxiety at giving a notice. I feel that they will say I should have given them a hint sooner. However i dont know how long the background checks take so I didn't want to sayanything.

Advice please! I've been working as an RN on the floor and supervisor at the long term care facility I was a CNA at for 7 years since this past July. I wanted to get some experience and im glad I did but I feel its time for me to move on. There is total lack of respect as well as laziness and incompetence from the CNAs. You can't get then to do their job. The Lpns can't do their job right either. No one cares. I work 11 to 7 and waste time fixing mistakes on paper and physically on the residents. The company was bought out in October but things such as staffing are getting worse not better. Management never disciplines anyone and doesn't take you seriously when you complain again and again. Its the same thing day after day in a nursing home. Ive been rotating with 3 to 11 recently but it's getting old. I want to apply to the VA since they pay for your education, extra $ from 6p to 6a and more holidays , get 5 weeks of vacation, 12 HR shifts , and a better working environment from what I've heard from my mother who works there. There's 2 jobs open in ICU and psych and I want to apply but am nervous to leave where ive been so long. I feel a strange sense of attachment and comfort since I know the job so well and enjoy it at times. However, Things will never change and I feel sorry for the residents who live an awful life not getting care. I get aggravated everyday and know as a new nurse I should move on. Im a team player and hard honest worker but no one is the same. Is it crazy to go from nursing home to ICU? All the people I graduated with went to hospitals and I feel its my time. Just nervous to make the necessary switch!

Hello, I've been an RN at the LTC facility I was an aide at for 7 years prior. There is an aide who started working there in my last year as an aide. Nice girl, but possible she has some type of mental problems. She became my close friend and she has no parents, no car, no clothes etc. I helped her by giving her rides, clothes, food etc. However she is totally not receptive to the point of coming to work smelling horrendous daily (I mean smelling like cat per, BO, and nasty feet), dressing immorality and strange for work, and just doing odd things. I put that all aside and accepted that shes not receptive to help . However since I became a nurse her laziness and bad behavior with the residents has really got me aggravated, since now I'm the nurse and its my problem. She constantly doesn't adhere to the care plans, leaves beds wet, people covered in dried up feces, garbage on the floor, messy rooms, never repositions, no heel float boots, geri sleeves etc. never cleans their bottoms, gets them up in the morning looking like homeless people, and recently I noticed double briefing. I have had to follow behind her since July since nicely telling her to fix her mistakes has no effect. She was approached the other night about double briefing and she did it again last night! I work as the supervisor as well as the floor nurse and in this case I went to the supervisor who wrote her up. I have no tolerance for this type of behavior. It's not below me to fix things with the residents but she is there to provide basic care and its consistently not done every night to the point where I have to check every resident. I don't have time for that. I am there for the residents who need aides to provide basic care that they don't get! Its hard since she was my close friend but I have a job to do and double briefing is just not acceptable! I've been an aide and know what needs to be done. If they need help they can always come to me but most of the time they are playing on their phones. I'm ready to just quit since management does absolutely nothing when you come to them. I don't want to hurt her but she's got to learn

The other night I was working 11 to 7. It was one of those crazy nights where no one will stay in bed. There were 2 aides and one nurse on the floor. One resident in particular was very restless and kept standing up every two minutes. While trying to do my charting and pass briefs I had to keep moving her in front of the nurses station because she kept trying to get into peoples beds. I started my changes and while was changing one of the residents, I heard an alarm. I lowered his bed and ran in the hallway to find the resident on the floor in thr opening to the dining room. She had opened the door and was sitting down by her wheelchair. I told the nurse who called tye supervisor. We picked her up and she said she was ok. She is very confused and has fallen at least 3 times in the past few months. I filled out an incident report. The aide who had her got mad because she had to fill out a report of when she last toileted her and checked her since she was on 15 min checks. I dont think she toileted her at all and this was 300 am. The supervisor was annoyed and told me I should have just picked her up like nothing happened because now she has to fill out all this paperwork. I would feel so terrible if I did this! What if she hurt herself seriously? I cant believe they were acting like this! Shes blaming me and she wasn't even my resident to be checking and initialing the paper. I always run when I hear alarms. Any nurse will say that about me. The supervisor jokingly told me to not cause any more trouble. I asked how it was my fault and told her I ran as soon as I heard the alarm. She said I should have run faster! Whats wrong with this picture? ! ..

I am a cna while in nursing school. I have worked all shifts, mainly dayshift at my ltc facility for quite some time. Since going back to school, I recently have been picking up 3 to 11s. During lunch one day one of my fellow aides informed me that the nurse the other night asked her if any of my work was getting done since I was being "too friendly" with another male aide (with whom I was working alongside helping transfer and change our residents). I take offense to this first of all because I was doing a double and already passed my linnen and fixed my beds and passed briefs hours before she even arrived. At 400 my charting and toileting was also done. I helped transport, pass trays, and feed. I even took a 5 minute lunch because lunches were running late, barely even stopping until I was 75 percent done with my assignment. I did all my work by myself only asking this aide for help to transfer. I showered a resident after he already put himself to bed because he was independent and only asked the male aide for help to shower a very difficult resident. My assignment was completed by 9 and I didnt take my 15 min break. I have worked with this nurse many times before and she likes to make snippy comments. However she is young and not one of the worst nurses ive worked with. Shes seen that I take my job very seriously and leave no stone unturned. I am offended that she thinks I am flirting with a man old enough to be my father. All she had to do was look and see that the residents were in fact in bed and changed at 10pm. In fact, the aide that usually has that assignment is quite lazy and wastes A LOT of time sitting in the nurses station every night. This nurse even knocked on the door before entering a residents room because "we probably wanted to be alone". I am beyond offended. This aide is a good friend and one of the only who is not fake and will help you. I go around helping everyone and occasionally ask this aide for help when I need it and this is how I am treated? Its not like I sat around with him all night and did nothing!