Working at LTC- What is your daily routine?

[firlom44, LPN]

Hello everyone!

About me: I am a new graduate RPN (Registered Practical Nurse) here in Ontario. I was lucky enough to get a job at the long term care home (I worked here as a Personal Support Worker before I transitioned to the RPN role). I just finished my 1/3 shift, and to my summarize my day, I was quite overwhelmed! I did my final placement of my RPN program at a hospital so doing longterm care for me is a total 360 (different rules, protocols, etc). I made sure to jot done notes on what my trainer said so I can look back to it once I go on my own.

For my next shift, which will be an evening (1500-2300pm) shift, what kind of questions should I ask my trainer?

Also, would you be able to share me your strategies/your daily routine?

Your help is much appreciated!

[joanna73, BSN, RN]

The routines vary according to the facility. Find out how and where you can access key policies and procedures, including your parenteral manual (usually online).

Your facility likely uses a daily communication book or sheet where staff can record pertinent information about the residents.

Also know the procedure for sending someone to acute care, and how your physicians expect to be notified.

You should also be familiar with your residents goals of care, especially those individuals who expect to be resuscitated.

Emergency procedures is another.

[toronto_nurse]

Since you worked as a PSW at the facility it should not be too difficult to transition into the RPN role. Find out more about resident/family preferences in regards to the plan of care since many families visit on evenings. Protocols and assignment distribution is important in case of staff shortages. Protocols for INR results is a common task that the evening nurses need to to follow-up on for a new order if the result is outside the therapeutic range. Ensure that the "change of direction" labels on the medication blister packs are in place where new orders were made. Follow-up on the tasks delegated to PSWs because as the nurse you are accountable for them. Ensure the POA are notified if a resident is to start any new medications/antibiotics along with being sent out to the hospital. Complete and ensure referrals are followed-up on. Effective communication is the main key and the most challenging part of LTC.