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That actually sounds like great staffing for a long term care facility.

Me!!! Graduated in 1996. I wish diploma programs were still around. We received such better training and you left nursing school ready for a position as a nurse. I absolutely loved my nursing school. We learned so much and spent so many hours in...

Being in a middle management nurse manager position is one of the toughest positions there is as a nurse. Try spending a week in their shoes before you judge them so harshly. I'm sure there are "jerks" in every position in every career but not all ...

OP I could not agree with your post more!! Middle management is the most difficult position I have ever had. You hear complaints from administration/CEO and also from floor staff. Impossible to make everyone happy and nobody understands what you ...

Not all SFNs are equal in care. There are good SNFs and bad SNFs just as there are good hospitals and bad hospitals. I get really frustrated when the assumption is made that all SNFs are bad. I have been with the same company for 20 years and DON fo...

Really??? Because you are sending them back to a SNF they are automatically going to be neglected?? Patients develop pressure ulcers with the best care regardless of where they are - SNF, hospital or home. I have gotten many patients from hospital...

I have worked in long term care for 20 years. I am fortunate that I work for a very good company and our facilities are run very well. The only nurses I have ever seen that lost their license was for drug diversion. I'm not sure why many new nurs...

I think it is different for different companies. At my company BSN is paid the same as ADN.

I like tattoos and actually have one. I chose to get it on my back where it is only seen by people I want to see it. I wouldn't be completely comfortable having one where it could be seen by anyone. I work with great nurses that have tattoos and ...

This!!! At least once an hour!

Wait!!! We can afford luxury items?!?! Seriously though the only thing I do differently is I could afford to buy a house and did so and I take one really nice vacation every year. I couldn't have done that on my pre nursing salary.

That doesn't sound possible to me. When I worked night shift I sometimes would go without sleeping before my first night shift but then would come home and crash for pretty much the whole next day before going in again. My husband and I rarely saw ...

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Try being a nurse for a few years and then come back and tell us the "truth".

This happened to a co-worker at my first nursing job and she was reported to the BON She did receive a discipline although I'm not sure what it was since I didn't keep in contact with her.

I guess I have a different view point on this topic. As someone who has been on call there have been many times that I have gone in to cover a shift without having had any sleep. If I work day shift and the night shift calls off because she doesn't...

Going from coworker to manager is a difficult transition. I was friends with many of my coworkers before I became their manager and I had a hard time. Eventually you drift away from the friendship role and assume the manager role. It was very lone...

I am not where I thought I would be while I was in school. I wanted a hospital job but when I graduated was a tough job market and I ended up in LTC. Since then I am exactly where I wanted to be - the DON of a very good SNF. I'm very lucky to be o...

I agree with Elkpark. I didn't see any "venom" in any responses. I volunteered to work as a CNA many times when we were overstated with nurses and short on CNAs. Always made for a much more relaxing shifts. I also spent a lot of years being on ca...

Doesn't sound like delegation to me. It sounds like team work.

I have 2 questions. First why would you watch a staff member "physically assault" patients and not stop them? Second question. Why would you lose your job for reporting it. As a supervisor I would think you would be more likely to be terminated f...

This is an easy one. Unrealistic family members!!

I've been an RN for 20 years and LOVE long term care. I have never worked in the hospital so I can't really compare the two but I could not be happier with the specialty I chose. Some people like it and some people hate it. Follow your heart.

Exactly what I was thinking. I feel like anything that you can do with nursing would strongly benefit from getting bedside experience.

I started in a LTC facility on night shift 20 years ago. It was not what I wanted at the time but nursing positions were not very abundant and I needed a job. I LOVED it. I have never left LTC and am currently a DON in a very busy SNF and continue...