What's It All About, ALFie?--Help and Support for Assisted Living Nurses

Specialties Geriatric

Published

It's not independent living........and it's not a nursing home. It's not a secured Alzheimer's facility.........yet it does house some Alzheimer's patients. It's definitely NOT a 'retirement community'..........but some tenants who still drive, live active lives, and manage their own affairs come here for the meals and housekeeping service.

What is it? Why, assisted living, of course! ;)

And as anyone who works in this relatively new field knows, ALF nursing has its own unique challenges. We care for residents with a wide range of conditions and abilities, from the independent 65-year-old retiree who does his or her own thing to the blind 95-year-old diabetic who needs daily glucose monitoring insulin injections. We serve as supervisors, administrators, confessors, staff developers, mentors, companions, receptionists, marketers, counselors, even chief cooks and bottle washers from time to time. And we are guided in our practices by a set of regulations that vary by state, are often muddled and contradictory, and WIDE open to interpretation by state and federal surveyors.

This thread, then, is for us---the bold, the brave, the confused---who go to our "cushy 9-5 desk jobs" every day (any of you fill in as NOC shift med aide lately? I have;) ) and put our careers on the line to assure quality care for each and every resident in our communities. Please feel free to ask for or offer support; share ideas that have (or have NOT) worked in your community; or even just vent!

Welcome!!

Specializes in Geriatrics, Med-Surg..

I agree with you Lady MonteCarlo, I don't think that ALF work for new grads. We have lots of them crying for LPN's in our area but new grads like me are afraid of losing their licence because most only give a few days of orientation and I guess more experienced nurses can make more money in LTC's in Canada because they are govt funded. Here in Canada retirment homes get no gov't $, so they pay less for LPNs'. RN's, I don't know how much they are paid.

Specializes in LTC, assisted living, med-surg, psych.

I would never recommend starting a nursing career in ALF. At bare minimum, you need excellent time-management and assessment skills as well as a talent for managing other people, and these come only with time and practice. I've heard too many stories about new grads coming into the field and floundering badly because of their lack of experience.........and if truth be told, you don't use a lot of clinical skills in ALF, so this is definitely not the place for a brand-new nurse fresh out of school.

A new grad needs to work somewhere they can use those skills for at least a year or two, to get the procedures down and learn how to manage their time efficiently, so that they always have the option of returning to bedside nursing if they so choose. Many nurses, including myself, drift in and out of administrative positions as they become bored or restless; it's good to know that I've established strong clinical nursing skills so that if I ever again get the urge to go back to the bedside, I'll be able to call on those abilities.

hello there!

im new in this forum. im a filipina, new grad and just passed nclex-rn. I have always wanted to work in one of the US' finest hospitals but looks like im bound to be working in a nursing home (is this the same as ALF? Btw, what's SNF?) because i already have a job offer by an employer. I see that this is the easiest and fastest route for me and my family to get to the US, hoping that retrogression problem wont stay for long. To look for a hospital who can sponsor me is a tedious and long process, i might resort to entrusting my fate to agencies, which i try to avoid as much as possible.

But i have been advised by some credible people to stay away from nursing homes, have told me the cons, like staffing ratio, et.al. that might put my license on the line. All i have heard so far are negative (sigh!). To any RN working in a nursing home, can you tell me the pro's? Can u give me some encouragements? Or can anyone offer me other options? Thanks a lot!

Specializes in Gerontology, Med surg, Home Health.

Maze-

An ALF is not the same as a SNF (don't we love our initials in this business!?!)

An assisted living facility usually doesn't provide anything but basic nursing care....medication management,bathing, dressing...very basic.

A SNF...skilled Nursing facility is a whole different world. Most SNFs have different units these days:a long term unit for people who are stable medically but need 24 hour care of some type, a dementia unit for (duh) demented residents, and a subacute/rehab floor where the patients are just out of the hospital for a new knee or hip or raging CHF or post op CABG. These patients are NOT stable and you need excellent clinical assessment skills. Each has its own 'flavor' and some people love the subacute but hate dementia. Some nurses would never work on a subacute floor but really like the long term care floor....best part about nursing...there is something for everyone. True, staffing is a major issue for nursing homes...you have anywhere from 20 to 40 patients to give meds to and treatments and charting.

Check out many options before deciding on one.

Good luck to you.

Hi ya'll,,yet another new face! I an 52 years young adn graduated LPN school March 06. I was my Father's primary caregiver for 3 years until his death in early March 06. My working background was in the health insurance industry with heavy emphasis on medical records review, screening medical information for eligibility, group rep(we only insured doctors and their office staff)and other responsibilities. I went to LPN rather than RN becuase at the time, the waiting list was so long. After graduating, I traveled abroad, remodled my Dad's home, disposed of his estate and Jan 29, 07, had lap band surgery. I interviewed, was hired and start tomorrow as the 3p-11p LPN at an ALF. At this time in my life,,I believe ASL will be a good fit for me. This facility is the best in the state, doesnt accept any form of government aid and everyone I checked with who currently works there has given me only positive feedback. They give 2 weeks orientation and the starting salary is more than I could have made at any SNF in the state(other than the one attached to this ASF, which is the same). Maybe they thought with my maturity, my past business work history and excellent references that I would function well in this enviornment. I"m looking forward to starting this new job and furthering my credentials in ASF. I also have only G&D and Micro to take before bridging over to RN,,if i choose.

Thanks for everyones posts,,this site is a great plae to get honest, first-hand experiences and opinions as well as support.

BTW,,can anyone give me any info about any type of extra credentials that I can earn to enhance my position in ASL? Is there a national organization for ASL nurses? If I"m going to stick with ASL, I want to subscribe to any magazines, join any organizations and take any classes that help me in my journey.

Thanks!

Hello everyone. I just took a position as Director of Nursing or whatever they call it at an assisted living facility. It's owned by a small company outside of Pittsburg called IntegraCare. Anybody ever heard of them? I had to interview with 8 different people before the job was offered to me.

Specializes in Med/Surg, Geriatrics.

This month marks one year in an ALF. I came from SNF's and Med/Surg. I must say I love my job and my schedule. Just wanted to put my 2 cents in. :)

Hi, everyone!

Specializes in LTC, assisted living, med-surg, psych.

WELCOME!!!

I love my job as Health Services Director/Assistant Administrator in a 42-bed ALF as well. I've been there just over eighteen months, and while there are days (and in this case, weekends) when I wish I could just not worry about the facility when I'm 'off duty', I wouldn't trade it for anything.

Well, maybe I would if I won the lottery, but.............;)

Specializes in geriatrics.

Hi everyone!

HAve not been onsite for quite a while but thats because I took a job as a clinical health services coordinator in a ALF!!! As you know, it can be very busy in these types of positions but I wouldn't trade it for the world. I manage 2 facilities, one is 16 beds and the other is >120. I would love to be able to talk with nurses in my situation. Most of my friends who are nurses just don't understand what I go thru. Regulation for ALF is SOOOOO murky. Well, hope to talk to some more of ya soon!

Specializes in Geriatrics.

]Hi there all. First of all, I am new to this website and thankful to have "come into your world!" I am a new nurse, graduated LPN school last June and took a position a month ago in a retirement community in the ALF. (Just now do I realize the "alf-ie" acronym!) :yeah: Anyway, I am new in a lot of areas involving all of this and will be on this site frequently for as much advice I can find.

As far as I can see, I am going to love my position -- Charge LPN - evening shift - I absolutely enjoy taking care of people and those at my facility seem to "embrace my caring nature" saying I remind them of the nurses from days back. I will take that as a compliment. The "charge" part will be the challenge for me but, I will do my best -- the residents deserve that.

I just want to let you all know I am so thankful for this website and always get caught up in an hour or two when I am here. Thanks to whomever got this started! Education and communication are key to survival!

All take care...Terry :loveya:

Specializes in LTC, assisted living, med-surg, psych.
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