BmoreOrioles

I remember my first year being a GNA. It was tough, but I did it for 8 years before becoming a nurse. DO NOT BE AFRAID TO ASK QUESTIONS OR HELP. (All caps to emphasize my point.) Also, don't worry too much about those old people with routines...if they get angry, just say nicely "I'm sorry Mrs. H, I'm here to help you. Can you tell me what you need done so I be helpful?" Also, make lists at the beginning of your shift, make a list of your assigned residents and what they will need during your shift. I hope this helps...don't give up! The first year is the hardest but you can do it. :)

I worked as a GNA/CNA for 9 years before I started work as a RN. I've been on both sides and I think working as a CNA with the responsibility of my RN license would be way too difficult. If someone becomes critical, I am ultimately responsible. I can no longer just pass it off to another nurse just because I'm working as an "aide". I will help the aides if they are short by helping with T&P; getting someone on a bed pan;getting vitals and even cover them for half an hour while they get something to eat. However, I am a RN with greater responsibility than CNAs. IMO, it just doesn't make sense in the setting I work in.

1. The phone 2. Crazy family members that mess with the medical equipment even after they've been told several times by the DON, ADON, administrator, and the Unit manager not to. When rounding on their family member you find a full IV bag of antibiotics full when it was supposed to be finished, tube feeding formula all over the bed, and o2 turned up to 10 L when the patient is on 2 L NC and the patient also has a bloody nose as a result. (End rant) 3.Chart checks. They must be done but they are a hassle. 4. Spending 20 minutes trying to find things I need.

I am almost done my 2nd week of orientation/training on a LTAC unit and I love it. I have learned so much from the other nurses and the patients. I was working in a SNF with high nurse to resident ratios so I'm loving the 1:10 ratio in LTAC. We always have a RT on staff so the change trachs/suction/give nebs. My advice is to ask questions. The other nurses may have less nursing experience but they know all about the LTAC. Before I started I dug out my old nursing school text books and read up on ventilator care, wounds, feeding tubes, etc. Good luck.

That's what I figured that it was unsanitary. I was hopeful because it lasts longer but not going to risk it. I start a job this week in LTAC and I guess I'll start it with naked nails. :) thanks every one for replies.

Not sure if this is the right place for this question...but is gel polish ( not gel tips) sanitary ?