Whats the 11 to 7 shift like in LTC?

kat7ap · Mar 20, 2009

Some facilities may also have you do the am blood glucoses. Night shift is also usually responsible for changing over any medicare charting for the next day and changing out O2 and nebulizer tubing once a week and new supplies for tube feeders once a night. You may also need to do tube feedings or breathing treatments scheduled during your shift.

LPN&momof3 · Mar 23, 2009

Depends on the type of residents you have to how busy you are. When I worked 11-7 I was always very busy with PRN meds, 12am meds, 6am meds, treatments, 6am blood sugars, getting paperwork ready for the next day work, checking glucose machine, getting new tube feeding syringes out, going over bowel care program, getting new medicare sheets ready, stocking med carts etc. It was a lot of little things but it all added up to take a lot of time and then if you had anything go wrong oh boy. At night is when you also have the sundowners up or the ones that just keep crawling out of bed and you have to keep them safe and keep getting interrupted. At least this is how it was the couple of places I worked on 11-7. I always got comments from the 1st nurses what did I do all night long, but until one of those nurses switched to 3rd shift and found out it it is actually busy and you don't sit around all night. At least this is my experinces with 11-7. If you have Medicare residents they tend you need more PRN meds which means more charting.

sasha2lady · Mar 26, 2009

sounds almost universal where i work 11-7 puts in the new medicare charting sheets in the chart, does so many chart checks that are assigned, a few skin sweeps, any tx which arent many at all, meds + prns, we have adl charting q s x 7 days on certain ones in their 7 day medicaid window, fill out the lab sheets for when the phlebotomist comes in to draw blood, get any urines if needed and send them with the lab girl, on wednesdays q s has to check the med carts for meds that are expired, changed, d/c'd etc, send meds back to pharmacy, check meds in when they come in from pharmacy and put them on the right carts, and then in the am starting at 530 a 6 am they start the big med pass and do the blood sugars, meds, and insulins. Then by 7..hopefully day shift is on time and report and count is done and the cycle starts all over again. The times Ive worked 3rd Ive always stayed busy busy busy. there is one nurse who never leaves til like 9 or 10 am.......probably b/c she is usually too busy doing her cna's work and their laundry vs doing her charting etc. just a guess :)

rotteluvr31, ADN, RN · Mar 26, 2009

I guess I will find out very soon as I start training on the NOC shift tonight. I will be working NOC's f/t and I think I will need to be doing pretty much the stuff you guys outlined.

Question - how many residents do you care for on NOC's and how many aides do you have to help you?

Thanks!

LPN&momof3 · Mar 27, 2009

I would have anywheres from 45 to 65 depending on what facility I worked at. It would also depended on what the census was running and if I would have the all long term resident or a hall of long term and then the medicare medical residents. We would would would 3-4 CENA's but where I am currently they will sometimes run with 2 CENA's and the nurse when the census is low. It makes in hard because they do still expect us to get everything done even if we have multiple people climbling out of bed all night long. It is even harder when it is the end of the month and the nurse is also trying to get the MAR and TAR change over done as well. They do not care why or will not help you they just expect it to be done at the end of the month. This is just where I am currently and lets just say staff moral as a whole is not good. I am working 2-10 shift right now so I don't have to worry about that at all.

I hope that helps and good luck.