JennM_RN

Nursing needs to learn to value ALL nursing positions for their experience. I graduated in 2012 with my ASN, and the only job I could find was as a case manager through a Medicaid managed long term care company. I assure you, I am just as much a "real" nurse as anyone in the hospital. And if you think some of the things you do in a hospital can make you squeamish, try sitting in someone's home for a 2 hour assessment, with no PPE, while they spill their bed pan **** across your lap, cockroaches are running around, the place looks like an episode of hoarders, you can visually see the bed bugs, and you're trying to maintain the patients integrity. I may not be acquiring the same skills as you do, but my assessment skills, and patient education skills are on point, and I have a way better idea of what care after discharge takes, and how to get what is needed in place. This will allow me to help improve read mission rates, and lower health care costs.

I have never heard of the LTCCC! You just provided me an invaluable resource for my paper and my job! Thank you so ver much!!!

Actually, this is one of the problems I'm having. That article is on nursing homes. The point of MLTC and home care is to provided the same services in the home to prevent the need for a nursing home. Employees of nursing homes do have direct supervision. In my opinion, the reason for poorer quality in those types of facilities is a direct result of the patient load the nurses are expected to care for. Either way, you pointed to look at the DOH. Thank you!!!

OMG! That's great! Thank you!!! I will also look around the DOH website more!

I would never pay, I have tried my library's data base, and I actually requested 2 articles, but I haven't heard anything back yet. I also appreciate that others agree that this is an issue. Sometimes at work I feel like I'm standing out on the ledge alone. And in school there are very few students who are out in the field, even most of the teachers don't understand most of what I'm taking about. It's like I can hear the eye-rolling when I speak. That's probably why I was second guessing myself. Thanks for the advice, I will try try to identify some sub-problems and work from there! I really appreciate the tip!

I agree!

As far as nurses for MLTC, we are like case managers, but with no direct authority over the companies we contract to provide services. We were told we could be subject to a surprise visit from a supervisor during an appointment in the field, but that has never happened to me. As far as when I notice poor care or something alarming coming from an employee of another organization, the first few times I reported it to compliance in my company, the way we were taught to respect the chain of command, nothing was ever done. Even one time I had to report something to APS, I was told not to use the company's name, to let them figure it out. I am no longer in the field, but when I was I started just calling the companies directly and filing complaints on behalf of Hospitals I didn't really work for, and non existence family members with threats of calling social services. It's really messed up out there, and most of these patients aren't educated enough to understand they are not getting what they need/are entitled to.

Trust me, I'm with you. I have had my license for 2 years, but haven't been able to get into a hospital. I'm so disappointed in my expectations, but I'm going to keep working hard until I get where I want. And so will you! Any experience is better than nothing! Good luck!

Can you take it until something better comes along? That way you can start working on your skills and get some experience until you have something that pays.

This is not the case in NY. Most facilities here will only hire BS RNs. There are few LPN positions left. In my borough there are 2 hospitals, neither have LPN or MA positions, they are hired into nursing homes, adult care facilities, and offices. I have noticed that the scrub nurse has been replaced with a surgical tech, but they haven't done that in NJ.

I'm from NYC and the only shortage here is in available jobs for new grads! I was in Texas late year and I was told that I could walk into any hospital and they would pay me not to get back on the plane... I didn't test it out.

Been there,done that, I see you have 30 years experience in case management. I would love to pick your brain. I posted a topic earlier, https://allnurses.com/general-nursing...-i-910767.html I know it's a little on the long side, but if you could spare some time, I would be FOREVER grateful! If not no worries, thank you any way!

Been there,done that, I see you have 30 years experience in case management. I would love to pick your brain. I posted a topic earlier, https://allnurses.com/general-nursing-discussion/nursing-yoda-i-910767.html I know it's a little on the long side, but if you could spare some time, I would be FOREVER grateful! If not no worries, thank you any way!

Awww, keep your head up! I'm a fairly new nurse too! In NYC there's no shot at starting in a hospital and when all I had was my ASN I couldn't get into anything clinical based. I took a job doing community assessment for a medicaid managed long term care. I am so far away from what my expectations were, most days I feel so sad and lost! We just need to keep working hard and get our experience. I have to believe the doors will start to open. Don't let others discourage you, you worked hard to get where you are! Good luck!

Thanks for the suggestion! I would have to ask the teacher if I could conduct my own study, but I can't see her saying no.