Remind me why I do this

Specialties Geriatric

Published

I spend my life investigating bruises. I have almost nothing to do with anything except making all of our care plans and investigations State-proof.

The CNAs who are good are great. The ones who don't care are infuriating. When I go to write someone up I'm told not to because we can't replace them. We also have nurses who are just warm bodies with RN licenses. LPNs need to be decent -- we can find them. RNs here, not so much.

The families are in-freaking-sane. Why isn't your dad walking? Seriously? What part of end-stage Alzheimer's do you not understand?

We are owned by a corporation and my DON is always terrified that she's going to lose her job and she reacts rather than acts. She is not supportive. She cares, but she's too fired and nervous to be any help.

Someone tell me there's a reason I do this. And "for the residents" doesn't really work. I don't do anything for the residents. I do freaking paperwork.

Guess I can't really say anything helpful... I am about to give notice at the second job I have tried in LTC. I will NOT be applying at any more nursing homes.

I have decided that if LTC is the only place I can work as an LPN I guess I won't be working anymore.:crying2:

Hope you guys have a great evening!

What problems are you having, Pegasus?

There was an evaluation left for me this weekend when I went to work. It had some stuff in it I didn't agree with. The person who did the evaluation has never even worked with me, as she is the ADON and doesn't work weekends so how she could evaluate anything I did is beyond me. Frankly I thought it unprofessional to leave the evaluation in an envelope on a clipboard to begin with... She should have discussed this with me in person. I typed her back a letter stating I didn't agree with what she was saying, but my letter was tactful and respectful. Then to top that off.. a new DON is there.. from what I understand the 4th one in a year and a half. SHE has called me in for the last two Monday's with some BS excuse that I didn't chart something correctly. There has not been one complaint on my charting in the last three months..only since she got there...I don't live "right down the road" from these folks..it is quite a ride for me. Then she called me yet again today with something else she had "found"... expecting me once again to drop everything and come there. I went in today... and after I finished what she wanted put in the chart... she basically had a write up for me to sign... she said I had forgotten to read someone's PPD on a date about two weeks ago.

I just figure they didn't like it because I said what I did about the evaluation. I am about to let them have their job back. I have busted my A** every since I have been there and tried to learn and do everything I was supposed to. I worked the last two weekends with tendonitis in my freaking heel that had me almost in tears. Not to mention when we got 8 inches of snow here in February, which is a big deal in my neck of the woods... I didn't call in like everyone else.. I had my hubby drive me there and back. I have had it with LTC. I go in to pick up my paycheck on Thursday and I am going to give my notice.

Specializes in MDS/Office.
Oh, I have no hope. ;)

The work itself isn't bad. The environment isn't bad. I just feel ground down by perpetual attempts at perfect compliance.

Sue....There's no such thing as "perfect compliance"........

We live in the Real World.........

I'm not a "Polyanna" anymore; I now realize I can't save the world...........

We do the best we can & if isn't good enough, that's too bad!! :smokin:

Make sure you make time for yourself, vacation & sick time (mental health days).

Perhaps another position for awhile....MDS or something? :)

Sue....There's no such thing as "perfect compliance"........

We live in the Real World.........

I'm not a "Polyanna" anymore; I now realize I can't save the world...........

We do the best we can & if isn't good enough, that's too bad!! :smokin:

Make sure you make time for yourself, vacation & sick time (mental health days).

Perhaps another position for awhile....MDS or something? :)

I am MDS. That and care plans and incidents. WOund documentation. Cat herding.

Specializes in MDS/Office.
I am MDS. That and care plans and incidents. WOund documentation. Cat herding.

OMG!!!

Have you considered cutting your hours for awhile?

Do you have any help with MDS/Care Plans/Incidents/Wound Documentation?

If you are the "One & Only" doing all of this, I would be putting my Resume out.

Most people don't understand the amount of time these necessary job duties take!

:twocents:

It just on my unit, 44 residents, little Medicare.

The hours aren't bad. It becomes a problem because the floor nurses don't get it. They think I screw off all day.

Specializes in Gerontology, Med surg, Home Health.

Cat herding!! love it. I've spent the past 2 days mouse hunting...literally.

It's taken me a long time to get to where I am....no one is perfect. Not even me although I still try. Now if the resident's look like they are well taken care of and relatively happy I won't make myself crazy if not every piece of paper is done to perfection. Some things need to be right...PICC line documentation is there for a reason....we investigate bruises to make sure there is no abuse...but, really, at the end of the day, the people in our care are FAR better off than they would be if they tried to fend for themselves at home. Every day we still have the chance to make a difference in someone's life....how many other people can say that?

Thanks, CCM. I was hoping you'd weigh in.

Yesterday went well. I held a staff meeting and people have finally stopped hating me. Let's hope it continues.

:)

Oh, I have no hope. ;)

The work itself isn't bad. The environment isn't bad. I just feel ground down by perpetual attempts at perfect compliance.

*Snort* This one made me snort so hard I scared the cat. LOL!

Thanks, CCM. I was hoping you'd weigh in.

Yesterday went well. I held a staff meeting and people have finally stopped hating me. Let's hope it continues.

:)

Good luck!!! I hope your team supports you and you get your joie de vivre back. :clown:

Specializes in LTC,Hospice/palliative care,acute care.
I am MDS. That and care plans and incidents. WOund documentation. Cat herding.

Are you writing people up for failure to complete their documentation on the floors? We have this problem and it's the "same old,same old" Many nurses have no clue how important the MDS is and really don't want to know.Bottom line is they need to be inserviced thoroughly so they will undertand that the MDS is the BOTTOM LINE. Most floor nurses have limited experience with MDS -they really need to go beyond (or be dragged beyond) just filling out the ADL sheets-they need to be shown the MDS and taught what it means.I work with nurses whom have never opened a chart to that section for any reason.

Until each and every staff member is held accountable then nothing will change.Thats another problem in our facility.Unless you work days you can claim ignorance as your excuse for everything. No one really ever follows through and counsels or educates these people-the ones who consistently bytch about the paper work and such.We are going to be taken over by a third party management company soon and I think things will change for us.Everyone needs to be accountable and held to the same standards.The RN-LPN thing you talk about used to be common at our place too but with the poor economy and so many second career rn's looking for work we have had a plethora of incompetent rn's come and go in the past year-with more incompetents to head out the door soon. Which is really demoralizing to thoses of us who have stayed on for years and often get treated like crap and are held reposnsible for fulfilling the duties of a "charge nurses" in LTC but without the title

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