Not new new

I am a LTC nurse and wondering if there is a difference between LTC and Hospitals when it comes to this.It seems that in maintaining a "home like" environment it is a bit less strict? I am still trying to figure out why it would be less strict than the hospital setting I guess. I mean, I get that if a pt is continent, and has MRSA UTI, how the staff cares for them would be the same no matter what, but I just don't feel completely settled with that. Any other LTC nurses that can weigh in?

Thank you! this is both confusing, and helpful at the same time :) It seems there is some gray area, depending on if it is contained or not? Still pondering...

Once upon a time, in a job long ago, we put EVERYONE with a mrsa dx on contact precautions. It seems there are now varying ideas as to who needs to be on them vs who doesn't. Wondering what other facilities to in regards to Mrsa, say in nares, or Mrsa in urine for a continent Pt?

I appreciate this comment more than you know!(Thank you) It makes sense, and I think this may be what I am seeing/picking up on after a few more days of same. I was really taking it to heart that she didn't want me to learn or didn't feel I could handle it.I am seeing things in a much different light now and that helps a ton!

You do have a good point. it is hard not to take personally though..Your thought is better than mine though, so thank you!

My first topic . I am starting a new position in a facility I have already been working in (but in a much different role).I accepted the position thinking I would work well with the manager of the unit. Unfortunately, the manager seems to distinctly be giving me the cold shoulder, and does not appear to want to "teach" me anything, instead, just sends me to do whatever it is she asks on my own. I have previous experience as a manager in a LTC setting, and did quite well at it.HOWEVER, it was a few years ago and in a different facility with a somewhat different way of doing the basic same things. Any thoughts?I was told I would have to follow this Manager around and ask HER to show me things/ask what she is doing? Why would a manager who needs help..not want to train someone who wants to help them? Thank you!!

Maybe there is new administration.Sometimes when an administrator leaves, the staff follow. This type of mass exodus is much more common than the "cleaning house" theory(no disrespect). Generally DON's don't like to be down that many staff. New adminstration is not always a bad thing either.

Was he told that RN stands for "Real Nurse"? It is possible :)

They are everywhere! Do your best to ignore them. For whatever reason, nurses like to eat their young.Stand strong and let them know you will not be run off. I know nurses who like to think "they" are the only ones who can get it done. Not so! Hang in there!