Skip to 05:00 for video start! Had some audio issues and needed to restart. It is worked out at that point :)
@erinnorwood6124
2 жыл бұрын
Thanks
@erinnorwood6124
2 жыл бұрын
Seen assessment documentation falsified. It seems encouraged.
@elleboziuh562
2 жыл бұрын
@@erinnorwood6124 yýý
@valeriecarre8967
2 жыл бұрын
Actually 4 rails is considered restraint patients eill try and go over the rail so only 3 bed rails are allowed vat most in the hospital
@junehiggins5571
2 жыл бұрын
I'm 70 yr old RN. I have called pt families to come in and watch their family member. When families complained to me I have given out administrators names and phone numbers Given out phone numbers to state and accreditation agencies. Get the families to help. I also put in writing the problems I had. Last line of memo "I await direction and intervention from you" By puting it in writing back to your boss you have given your boss/facility responsibility for the problem.
@nursenicole222
Жыл бұрын
Brilliant!
@dianafleming5042
Жыл бұрын
Perfect! Thank you!
@JW-zd5ry
Жыл бұрын
🙌
@maximilian333
10 ай бұрын
I wish I had thought of that back then instead of leaving the job / floor nursing.
@hanskung3278
7 ай бұрын
Brilliant!
@hanskung3278
2 жыл бұрын
I'm retired after 36 years in nursing, I just made it out alive.....it would be hard to recommend nursing as a career for a young person.
@nursegaines3519
2 жыл бұрын
Correct
@amakachukwurah5801
2 жыл бұрын
This was my secret
@hanskung3278
2 жыл бұрын
@@amakachukwurah5801 What secret?
@amakachukwurah5801
2 жыл бұрын
@@hanskung3278 recommending nursing career
@hanskung3278
2 жыл бұрын
There are probably some nursing jobs that aren't a nightmare, if my daughter wanted to be a nurse we'd look at the options.
@nicoleokonkwo8683
2 жыл бұрын
I was “investigated “ by corporate because I sent more patients to the hospital than any other nurse. Every patient I sent to the hospital was admitted not just observed because they did have a real problem that warranted a higher level of care. I once had a situation where I sent someone to the hospital for a suspected stroke. The doctor on call was notified after I called 911 but didn’t call back for over an hour and then proceeded to cuss me out for sending a patient to the hospital without a doctors order. The patient did have a stroke and survived
@NurseLiz
2 жыл бұрын
That's crazy! Getting investigated for doing your job and protecting patients is just wild! I'm so sorry you experienced that
@lilamontoya5609
2 жыл бұрын
You're a good practioner I'm sorry this happened
@MS-yu5cl
2 жыл бұрын
Where I work, we sometimes have to ship out patients before we can call the providers. They empower us nurses to use our judgement since there is not always a doc to eyeball the patient. The current medical director is extremely supportive and she would rather you send someone out for nothing than be in doubt. It has saved many of our patients lives.
@sonjalivingston8241
2 жыл бұрын
That’s exactly how it is in nursing. It has GOT to be one of the MOST UNHEALTHY jobs EVER!!! And these jerk doctors who took the oath, but don’t really care about patients because they’re too narcissistic. Plus, the same people who do the hiring blame nurses for EVERYTHING and are quick to throw them under the bus.
@starjestis8293
2 жыл бұрын
You rock! Standing in the gap is exactly what you should have done.
@sweetpea4967
2 жыл бұрын
This is crazy. If nurses are going to be criminally charged now for care that cannot be provided due to volume of assignments or due to faulty processes creating risks for errors, we must have federal guidelines for caps on nurse to pt ratios in all care areas. And nurses have to stop "making it work" by accepting impossible assignments and never falsifying records! By pretending to do work one cannot possibly do due to workloads, it only allows the owners and leaders to collect money for care that they are not staffing to provide.
@annfuller9044
2 жыл бұрын
We are in the middle. If and that is a big IF we would ALL stick together then we would be so much more powerful. But nurses do NOT stick together.
@sonjalivingston8241
2 жыл бұрын
The only problem with federal guidelines is that greedy insurance companies and FOR PROFIT health care facilities and their lobbyists have the feds all sewed up to keep that from happening, cuz it’s ALL ABOUT THE MONEY🤬
@mothertwinkles4198
2 жыл бұрын
@@annfuller9044 Amen. The flu & jab mandates are perfect examples .
@CTB143
2 жыл бұрын
You're so right speak up .... lots of these facilities don't even care about helping giving 1 on1 care to help out the nurse ... it is so bad how nurses are treated
@BlkOnyx0508
2 жыл бұрын
Anyone in the USA with a nursing license knows once they take an assignment they are responsible. If you don't accept assignment you are not responsible. Worst case scenario you would be fired and even then you still can be hired by someone else without the board being involved. Read your nurse practice act and employee handbook.
@elliasbog5602
2 жыл бұрын
15 years ago, I was working as LPN at an LTC facility. The facility had 4 separate units and 1 licensed nurse and 1 CNA per unit at night. I went to work and was told that I had 2 units one night. I had no choice in the matter. I would be doing tube feedings on one side of the building and get called to the other end because of a problem. This happened 3 times. I checked with the BON in my state and was told there were no statutes that were available to help with staffing issues like this. I informed my DON that I would not take 2 units in the future. I went in one night and found that I was assigned to 2 units. I refused to accept the keys to the unit. They finally got another nurse to come in to take the unit. Then, it happened one last time so I simply put in my resignation. There is no help for LTC nurses, no real guidance. There is no one to call and get help with dealing with situations. These are elderly, frail human beings and no one really cares. So much is expected yet there is no one standing with you when trouble comes. I was terrified working in the field so I changed. I don't know how anyone does it.
@cookiefuentes6873
2 жыл бұрын
Facts, they want us to work miracles but when something happens they throw us to the wolves.
@jennifercanapp2315
2 жыл бұрын
As an administrator in LTC I had to leave the job because I could not continue to put nurses in such precarious situations. There are sooooooo many stories I could tell you. The public has no idea because the highlight is not on these facilities it is on hospitals ~ HOWEVER over 60% of our adult gero population are living in places like this ~ nurses and care aides in LTC are working in unsafe conditions EVERY SINGLE DAY and are gaslit if they speak up. It is absolutely horrible. There has got to be change.
@jeffsjill
2 жыл бұрын
Respect to you Jennifer for having a morale backbone. Most administrators don't. They just let the corporate people push more admits and less staff (ie. More profits). Good for you.
@jtzoltan
Жыл бұрын
I've heard about gaslighting from my in-law who worked in government provided child daycare services in low-income areas where they're expected to turn a blind eye to child abuse and neglect and not report it, like when the child comes in every day looking like they haven't had their diaper changed at home in the time since the daycare changed it before they went home the day prior. Or there will be burn marks and bruises on them from "discipline"
@Seremonii
8 ай бұрын
😢😢😢Oh... my... goodness ! Where ??
@johnberry2877
2 жыл бұрын
As an RN in Michigan, I was in a management position. The issue with staffing levels is due to the owners of these companies using political action committees to donate $$$ to politicians so, the staffing levels remain dangerously short staffed! I was approached by an administrator to donate $ towards this. As a floor nurse I never was aware of this blatant Mafia payola mentality. When I refused and spoke my mind regarding this, I was told by other managers it could result in my being targeted for termination. After I looked it up on my office computer I was shocked to learn this political action committee was headed by multiple nursing home owners in the mid Michigan area. This is a fact!!! These owners are corrupt and work for their own interest only !!
@biancafigueroa9401
2 жыл бұрын
So your basically saying that their short staff to basically pocket the money for other purposes?
@AA-cp8ry
2 жыл бұрын
What County, city/township in Michigan may I ask? Was it Oakland County by chance?
@johnberry2877
2 жыл бұрын
@@AA-cp8ry Genessee County
@johnberry2877
2 жыл бұрын
@@biancafigueroa9401 Bingo !!! It’s $$$$ profit at ANY cost !! Greed Baby 👹👹
@robertsmith1865
2 жыл бұрын
These nursing home corporations are doing this all across the USA
@amandachambersingram1708
2 жыл бұрын
This was great! Thanks so much. When I was full-time in ICU, I went to pick up a PRN job at a local nursing home. They wanted me to be the only licensed nurse in the entire facility on a Sunday night with only two CNA’s to help. They described it as “laid back”. I ran!
@GiddyUp1776
Жыл бұрын
Amen! Some of the very best deals you do are the-ones you don’t!
@annetteallen6521
2 жыл бұрын
I had 6 ventilator patients by myself in a long term facility. They had told me I would always have another nurse. I had 14 other patients as well. I sent 3 of those people with vents to the hospital that night. The ventilators stopped working. No respiratory person on duty or on call. No help from anywhere. My one aid bagged one of the patients I documented the hell out each persons chart. They wanted to nail me for something but couldn't. I worked 3 hrs overtime. I quit the next day. The writing was on the wall. Dangerous place to work!
@PreppyPrincess777
2 жыл бұрын
Good for you!
@mpauli12
2 жыл бұрын
👏🏾👏🏾👏🏾👏🏾👏🏾
@felisaricketts2466
2 жыл бұрын
I salute you
@nikisawyers7559
11 ай бұрын
You sounds badass. You’d make an excellent midwife ✨
@Seremonii
8 ай бұрын
Wow ! Superior nursing ! They lost a great one.
@ashnichole8060
2 жыл бұрын
I've been in long term care for 12 years. Thank you for this video. I have 38 patients by myself. Alot of them are confused & I've had the same person fall multiple times on my shift. It's scary to know a LTC nurse was crimally charged. LTC is definitely a heavy workload & I wish they would have more staff to care for the people.
@BlkOnyx0508
2 жыл бұрын
It will stop when nurses refuse the assignments. Until then the beat goes on
@runninggreywolf8313
2 жыл бұрын
Why on earth would you agree to take responsibility for 38 patients??? 38 patients and only one nurse is a disaster waiting to happen. If you lose your license, nobody is going to come to your defense.
@rebajeanforever3700
2 жыл бұрын
LTC and all nurse should be able to be charged. I worked in LTC and the things I have seen I would go as far and DON's etc also be written up or charged depending the circumstances. I worked as a CNA/TMA for 40 years. It is getting worst with verbal and physical abuse. No respect for residents etc to much neglect etc. The LTC is going down hill a lot since I started in 1978.
@runninggreywolf8313
2 жыл бұрын
@@rebajeanforever3700 Thank you for your invaluable service to the residents. God will gain His Vengeance upon them when it's time. They paralyzed her in the emergency room not in LTC Center.
@rebajeanforever3700
2 жыл бұрын
@@runninggreywolf8313 A lot needs to be changed but people need fight their state for change.
@teresamadison2928
2 жыл бұрын
Tip to new nurses... Never enforce a boundry by leaving in the middle of a shift without a replacement, it's patient abandonment. If you find yourself in a bad situation, finish your shift, complete report, and never return.
@AA-td1yw
2 жыл бұрын
What if I pass out.....
@rtom675
2 жыл бұрын
Too true! One time I accepted a temp job, had 2 days of training (in the documentation basically) and the first shift I was given 8 patients (to include accepting from the ER and discharging, etc- things I had never been trained on in this facility). I cried in the locker room in the middle of the day, finished my shift and Quit that evening.
@evaeve2152
2 жыл бұрын
Or pretend your passing out and call a family member to take you to the "ER". They can't say your neglectful if your sick during shift. Problem solved 😌 👌🏾
@overworkedful
2 жыл бұрын
Or don’t accept the assignment from the outset! Not taking report is not abandonment. The responsibility is still on the outgoing nurse so she can hand over report to the DON.
@kellyname5733
2 жыл бұрын
@@evaeve2152 Problem solved?? For who?? The nurse, yes but not the patient.
@mikellegaston
2 жыл бұрын
I remember when I used to LOVE being a nurse! But who wants to be a nurse in this day and time?? Its not worth it!
@thenurseceo
7 ай бұрын
I ageee. I’m definitely leaving the field.
@nilijahmoore6467
2 жыл бұрын
This is awful and a big reason for why I left bed-side nursing after one year of working. The horrible patient ratios, toxic work environments, management not caring, and the competitive nature in general that you feel working in a hospital drove me away. I work as a public health nurse now and I am 100 times happier and truly feel like I'm making a difference on a larger scale. The environment is positive, management truly cares about my success, and I love going to my clients in the comfort of their home to educate and provide clinical services. I definitely recommend public health.
@mothertwinkles4198
2 жыл бұрын
How do you think the CNAs feel? We don't have voice at all.
@juanitalatonio965
2 жыл бұрын
What you have said about bedside nursing is absolutely true.
@BlkOnyx0508
2 жыл бұрын
Public health is is only better due to the hours and the patients are usually continent and go home after the appointment. Public health can also be depressing because the already under served are Still being under served.
@eileenwatt8283
2 жыл бұрын
@@BlkOnyx0508 plus the pay is low but there is peace of mind which is priceless.
@ryaniam22
2 жыл бұрын
@@eileenwatt8283 In Canada Public Health Nurses make way more money which is a joke because they work 9-5 and for the most part all they do is administer vaccines (even before covid). All our community IV antiobiotic programs are run by other teams so public health was just this niche some entitled brats carved put and gatekeep so that they don't have to do any real work. There is as many nurses as 'managers' in some areas of Canada as actual medicine nurses. If they made these old boomer women actually perform real nursing jobs we wouldn't be short staffed, it would costs less, and everyone (except them) would be less burnt out.
@fuzzyspirals
2 жыл бұрын
Nurses be safe and always do what’s best for the patient. That’s the only thing that will save you. Even if your fired because mgmt doesn’t approve at least you are not criminally charged and can always get another job.
@stephenszucs8439
2 жыл бұрын
Exactly. You can get another job. Getting a license back is harder.
@fuzzyspirals
2 жыл бұрын
@@stephenszucs8439 literally I left a job within 6 months because the environment was so bad. I told HR it’s imperative I leave now, I don’t feel safe and I proofed bullying by mgmt. I got the heck outta there and it’s a blessing to be free from that kind of mgmt.
@stephenszucs8439
2 жыл бұрын
@@fuzzyspirals I am glad you got out. I get so frustrated when nurses cave in to management and abusive doctors. We are the first and last line of defense for some of our patients. Especially in a nursing home. If my doctor ignores my symptoms I can get a new doctor. The people in the nursing homes are often unable to make such a choice. It's up to us. I was so proud of another LPN I used to work with. She was on the MN shift and there was no staff but 1 NLP and her. So, she called the next of kin for every patient and informed them that there was nobody there to care for the patients and that Everyone called off and no agency help was brought in. The families came in. Irate. The nurse organized them, made sure the patients were cared for, and advised the families to wait at the administrator's office door to confront her in the morning. The nurse then wrote out her resignation and included the fact that she had recorded the names and numbers of every family member who had shown up and all would testify if the nurse faced any repercussions.
@science7713
2 жыл бұрын
As an RN Supervisor in a LTC facility, the administrator screamed at me and humiliated me because I sent a patient with signs of ACS to the ER instead of clearing it with management. The DON and doctors were unavailable. Turns out, the patient was diagnosed with an MI in the ER and admitted. Whatever the case, the state holds me responsible for the safety and care of the patient, not ensuring that the facility gets reimbursed for the bed. So, I had to choose between doing right by the patient and pleasing those who work over me. I choose patient safety and in the process of protecting my license, I was humiliated by the administrator who berated me for transferring the patient to the ER. I tell y'all, I was ready to go to jail that day. Not for patient abuse, but violence toward staff, lol. Instead, I walked away, maintained my integrity, held on to my job a little while longer. Eventually, we were all booted out when new management took over, but my decision was one I can live with. 53:00 Administration doesn't care about a safer system or staffing, just profits. So truly, at the end of the day, I as the RN am ultimately responsible for the patient, thus have no damns left to give about facility reimbursement or what the facility wants. It's all about that patient from the time I walk in, until the time I leave, love me or hate me.
@NicPeey
2 жыл бұрын
When I first graduated from nursing school. I worked at a SNF for 3 months. I went home crying EVERY NIGHT! I cried because of the stress and unbelievable amount for work, MORE so for fearing for patients safety and the responsibility I had caring for them. It was in Northern California, supposed to be a better state to practice nursing in. I couldn’t find a job and needed real life experience. I had anywhere from 25 to 30 patients as a new nurse every shift. If I tell you I was doing everything I supposed to do I’d be lying. I wasn’t a nurse. I was more like a med tech. Plain and simple, I DID NOT have time to assess my patients. I’m glad I fought hard and got out of it and I’m in a very good situation. I love what I do to be able to “nurse” me patient IN A SAFE WAY. I’d NOT recommend anyone I know to go into nursing right now. It is that bad!
@dandelionc69
2 жыл бұрын
My coworker told me once she worked in a nursing home , she had to pass 48 patients’ medications. I can’t imagine how she can pass all the medications without error ! That just too much !
@dandelionc69
2 жыл бұрын
As a Nurse, even when I was in nursing school, the first clinical site was a nursing home, I saw them line up all the residents in wheelchairs to wait for haircut. Elderlies sitting there doing nothing just waiting, as if they are waiting to die….. I felt tremendous sadness, I won’t able to work in a nursing home …..
@judithlinfor1120
2 жыл бұрын
As nurses we have been conditioned to believe that we must maintain the Florence Nightingale image. We must tolerate any amount of work place abuse and never never complain.Florence Nightingale had to scrub the floors. This case really disturbs me. Will anyone want to become a nurse??? Oh, I forgot. The robots will be replacing us anyway.!
@astoldbymuriel103
2 жыл бұрын
We are discouraged in LTC from sending patients to the hospital but I DO NOT CARE. I make the situation sound dire when I give SBAR to the MD or NP when I call. There is only so much you can do in LTC. Edit... I'm speaking as a nurse who works both acute and LTC.
@bethannsmith4969
2 жыл бұрын
True and I've had transport try to question if they needed to go! Had a patient fall OOB and break his femur. By the time they got there to transport he was basically in shock and could not feel the pain. I had to get really pushy. Crazy times!
@cookiefuentes6873
2 жыл бұрын
Facts. as a unit manager in LTC the DON would have a fit when we sent patients to the hospital. I recall I sent one out and she eventually died. They only care about money and it pisses me off.
@iluvutube4886
2 жыл бұрын
Prime example of bad policies!
@judithlinfor1120
2 жыл бұрын
Finally, honest reporting regarding the sad situation that nurses are placed in. I hope this video will help to bring about change. Thank you.
@poodledaddles1091
2 жыл бұрын
This case is eerily familiar. I work 10-6 with 2 aides usually 42 residents. I’ve worked through the pandemic, and now I totally despise even doing a temp check before clocking in and wearing a mask in 80 degree rooms. I’m done, I just resigned with 4 more nights to go!
@Jcluis16
2 жыл бұрын
I work in ltc too… I’m a new nurse so that’s just where I could get the most hours as I’m casual at the hospital.. you spend 2+ hours handing out meds per pass, frequent falls, and how the hell do you do a neuro check or pain scale on someone who is pretty much non verbal.. really messed up. How the heck can you be a good nurse with that kind of load.
@Nan-59
2 жыл бұрын
I'm glad you're able to get out! Best of everything to you!
@Dana-pq7ke
Жыл бұрын
RN of 22 years and so PROUDLY ripped up my nursing license. I love working as a server in fine dining and actually laugh and have fun at work. I make the same amount of money but had to make less for a year. A year for my life back is nothing. Society refuses to care for their elderly in America, and they are hiring foreign nurses now to take the blame when they predictably die. I'm not going to prison for the sins of a sinful, sick society.
@amberice7383
2 жыл бұрын
He needed a sitter. THE FACILITY SHOULD HAVE PUT HIM ON A "ONE TO ONE". How could the nurse take care or constantly watch him or care for him while caring for other patients at the same time? This is the facility's fault. The Facility knew that he was a fall risk. Having 37 patients does not allow her to do every 15 min neuro checks on that patient. What if she missed a med or failed to care for another patient then "the powers at be" would be blaming her for that too. No matter what, she was set up to fail. There was no way physically she could have realistically done every 15 min neuro checks on that patient or every hour with having that many patients and tasks that he was required to do. This is why people don't want to be nurses anymore. He should have gone to the hospital, it was obvious that this was a traumatic fall by him hitting the table and wall. He must have had a head bleed because of the fall. She needs to sue the facility. That patient needed help many days ago, who is to say that he could have had a slow head bleed from one of the many other falls that he had, causing him to fall even more. She is getting blamed only because she is a travel nurse and that he actually died. By the way, most Long term care facilities the patients are DNR. What if he was a DNR then she did CPR then they would be blaming her for that. SMH
@unique32journalist
2 жыл бұрын
THIS ^^^^ All of this!
@NurseLiz
2 жыл бұрын
YES!!
@cheryljackson3912
2 жыл бұрын
There were so many issues that occurred during this overnight shift. My greatest concern was how systemic failures including staffing ratios (nurses and CNAs), access to the eMAR++resulted in an unnecessary death AND the SUPER extreme punishment for this nurse. It is never ok to falsify documentation. However, the nurse:resident staffing ratio in PA was 1 nurse to 20 residents. The staffing pattern should have been two nurses.
@eulaeemcfarlane3530
2 жыл бұрын
I just walked away from a hospital where I end up having 18 patients, out of 36, 14 total 2vms, and I have the same group three nights straight and I find it overwhelmed and I left… this is 36 pts on the unit, two technicians and four nurses… and I left.
@angeliquerider-mitchell2538
2 жыл бұрын
It's all about the money and the lowest man on the totem pole is always going to be the last one standing when the music stops. I don't know if it's me or the world around me but it seems that the corrupt used to at least have the bare minimum of decency to hide what they were doing. Almost as if they held a modicum of respect for the rest of us. But now it's like it's a race to the bottom as far as corruption is concerned. Which conversely means the lower you go, the richer you get and everyone else watching be damned. They've been able to make so much money as to become untouchable so why waste time humoring us decent people, with the stars in our eyes, still believing in the brainwashing that the "American Dream" is available to all if you just work hard enough. It's BULLSHIT! Just look at our nurse with 37 pts. I'd argue that not many people worked harder then her. Her "American Dream" quickly became just praying she wouldn't go to jail and loading her ability to practice in her profession and provide for herself and her family. Sorry, I'm rambling and mixing metaphors. I am just so Goddamned angry at it all! It's all about the overwhelming greed of our corporate culture. People are dying, others are pushed beyond their limits and consent anyway bc they can't lose not one paycheck, and yet others lives and hard fought for dreams are destroyed in a moment. I saw once a quote that sums it up, not sure who said it and I'm paraphrasing, "...Poverty isn't due to a lack of resources. It's due to our inability to satisfy the greed of the one percent..." It applies here as well.
@aishaw132
2 жыл бұрын
I'm glad you did this review because it brings to light lesser known situations. Going through nursing school and been a cna for 4 yrs. I am all about those ratios being important factors in patient safety and Nursing retention.
@CatherineGoodrich
2 жыл бұрын
Unfortunately, I think that these cases have proven a very (purposefully) extortionate relationship. Facilities know better, but present staffing with dangerous, unethical situations and assignments. Now, of course staff knows that this isn't ok and is a problem and unsafe. As a nurse, you get your assignment and you either have to accept the assignment for what it is, OR you refuse the assignment because it's unsafe. If you do that, you know you're taxing your coworkers, abandoning patients, and that administration is going to be less than impressed. You may well lose your job, if not in that moment, then eventually, after you've been harassed and tormented. The hospital knows this, and they plan on nurses taking the assignment. They roll the dice that things will work out, because if it doesn't, they'll just throw the nurse under the bus and they're off the hook. So as a nurse, do you lose your license? Risk getting fired? Risk going to jail? Why would anybody do this to themselves?
@syriah91
2 жыл бұрын
When I was a LPN I had half the floor. So it was about 30 patients for 12 hours. I had so much work to do. I remember I got written up for not doing a dressing change on patient who was actively dying. Instead of doing a dressing change I was calling hospice, the doctor and family. While I was still trying to pass medication and give treatment at 3 am. The faculty charge nurse wouldn’t come over and help. I was in tears because I had much work to do and no help. What really pissed me off is I was ask the patient family or hospice to come and sit with patient as he passed. He passed alone with no one with him because I was busy with other patient. I felt like crap and when I call the family they said okay. It was several time working in nursing home where it felt unsafe because of the amount work your response for. However, no one care until it something fatal or cause harm. It about money not people or lives. What this nurse did was wrong by falsifying document. But, honestly I can see my self in her shoes and feel she should not be criminal charge. The faculty is the one who should take sole responsibility. But, that will never happen.
@ColtraneAndRain
2 жыл бұрын
That's like 3 minutes per pt each hour! If you don't sit down or chart. Or pee.
@dandelionc69
2 жыл бұрын
The workload is horrible! Why the ratio is so bad over long term care facilities ?
@avagordon1597
2 жыл бұрын
Pre charting could end up as falsifying documents should something happen after the fact
@KandyGTV
2 жыл бұрын
I was going to go to LPN school, but I changed my mind thanks to videos like this. I appreciate the truth I find on KZitem because it aids my decision making while on my journey. I graduate with my BSN next May and I know what jobs I will and will not be taking when I graduate!
@1982vicks
2 жыл бұрын
What scares me In long term care facilities, administration has the power to add or remove notes and information to their convenience. Me working at a ltcf have seen that.
@starjestis8293
2 жыл бұрын
They have the power or they take liberties?
@twinsweare2
2 жыл бұрын
This happened to me, and the facility also made some false claims against my license.
@starjestis8293
2 жыл бұрын
Do you think if cameras had been present in the facility that outcome would have been different?
@twinsweare2
2 жыл бұрын
@@starjestis8293 Possibly
@starjestis8293
2 жыл бұрын
I’m so sorry that happened to you. In Illinois as of January 1, 2016 family members are allowed to install video surveillance equipment in a loved ones room in a long term care facility; I see this has benefits for the patient as well as staff members.
@Godschild9108
2 жыл бұрын
The sad situation is LTC facilities in my state only usually have 1 nurse on nights. That’s 30-40 pts with only 1 nurse to tend to them. ( that’s even in memory care facilities) Even with the assistance of CNAs and med techs that’s not enough supervision. It’s very frustrating that nurses are truly in danger…. One patient fall away from prison. This is absolutely crazy!!!
@dnw75
2 жыл бұрын
That's the very reason I stopped working night shifts. When I noticed they started making it the norm to have 1 nurse on nights, I just do evening shifts now.
@cookiefuentes6873
2 жыл бұрын
So right, one nurse at nights for an entire unit is the morn for LTC. That means it may be up to 60 patients per one nurse.
@denisebarfield9136
2 жыл бұрын
@Godschild9108, if all nurses refuse USA wide, to work any nightshift at all nursing homes, this would send a gigantic message to all corporates everywhere. This will also say to them, we don't care about how much money they dangle in front of nurses to work for unsafe ratios. And if they want someone to work these unsafe ratios, corporate should come and do their own night shifts with unsafe ratios and see how the like their own booby traps.
@privateprivate5302
2 жыл бұрын
This information is invaluable. I am a tele-medicine RN and was toying with going back to bedside PRN at an LTAC...this makes me say...um...hell no
@JR-oe6dw
2 жыл бұрын
That is absolutely insane. I am an ICU nurse and having even 2-3 patients can be overwhelming, depending on the admitting diagnosis, tests and acute changes that come up. I cannot imagine taking care of 37 patients and feeling like I was protected at all. What happened to the patient is sad and should not have happened, but we are in such a hard spot in trying to do all we can with so little help and resources that things MUST change if the general public is hoping to see different outcomes. Otherwise, like it said, this is all insanity. Doing the same thing and hoping for different results. Please. Help us help you, literally.
@lisagardner903
2 жыл бұрын
I used to be an ICU nurse and I retired completely from nursing a few years ago. The straw that broke my back was when I was given 4 critically stable ICU patients during my shift at one time. As you know in ICU the patient's health can turn in an instance so I felt very overwhelmed that shift. I ended up giving my notice a few days later and I knew if I stayed in nursing something bad would evetually happen to one of my patients. No human can possibly do the work load they expect in a safe manner.
@myKRZYname
2 жыл бұрын
I’ve “agencied” to lots of long term care facilities and they’re truly terrible. I can’t even fathom what it would be like to put a loved one in there. Nurses really need to make a lot of noise and spread awareness regarding what’s going on. FYI, if anyone is reading this, don’t bother wasting your money on nursing homes thinking that your loved ones can get better care there. The one hour of time that you can provide at your own home is more than what overworked staff is able to provide. Hire private help for a couple of hours a day. Much better. Trust me. It’s so bad that I’m choosing to skip working while I get my RN, but second guessing if nursing is even the right move. The way the staff and therefore the patients get treated should make everyone’s blood boil
@sweetpea4967
2 жыл бұрын
Yes, great advice!
@RaethePhoenix
2 жыл бұрын
I am receptionist at a Nursing home, and as sucky as it sounds, working a Nursing home is like career suicide. This is my second position in a nursing home, and the things that I have heard and seen, I wholeheartedly agree. A nursing home should absolutely be the very last option when taking care of your loved ones.
@cdiaz537
2 жыл бұрын
I am doing my prerequisites for nursing at the moment. I feel that in getting into something i might regret eventually.
@denisebarfield9136
2 жыл бұрын
Don't waste your time or money getting into a field that will soon no longer be in existence. The whole medical field is coming to a dead end. Stop! Don't look back. U will be praising God that you took heed to these words.
@sweetpea4967
2 жыл бұрын
@@cdiaz537, nursing is a big field with lots of job security and tons of opportunities to do all kinds of work. It is important that you work hard and learn as much as you can. It is important that nurses go into nursing for the right reasons and never allow themselves to lose sight of that. It is also important that nurses be very careful where they work and Never allow themselves to work tired and/or distracted or accept an assignment that they cannot possibly do safely. And never ever falsify documentation. Nursing is a great field. I am concerned about these criminal charges and I think it will motivate nurses to speak up and not go along to get along. There are good places to work and good leaders that serve their teams. There are good organizations that are trying to create safe processes and examine errors to learn and improve, not blame. And in the end, if you are too nervous to work bedside pt facing, you can get a non-pt facing nursing job. They exist, lots of them. Best of luck to you!
@oliviayu6990
2 жыл бұрын
After watching this and hearing all the recent news. I’m already just so distraught that this has gotten to this point. I completely agree with you and I learned so much about long-term care. I work on acute rehab and I really got burnt out with working on the floor. Now I’m a liaison and I heard some crazy stuff. Everything is wrong with the healthcare system including CMS and insurance. I swear I can go on and on in regards to multiple topics regarding healthcare. This is where I go, I hope those who want to convict a nurse criminally go into the hospital. Where there is mass exodus of nurses leaving, only able to hire agency for temporary, then rushing to get new people and probably not able to educate policies well enough because they prefer to pay actual staff then agency because it’s cheaper. See… I can go on! Thanks for the info and will do the same with emailing Joshie!!
@Capricorn2024
Жыл бұрын
It a sad day when a nurse is charged for the how she was tried to do a job! Look at who is the administrator DON, DSD etc. that is it charge of hiring and training of staff! She was the scapegoat! Sad 😞
@gracelotz8525
2 жыл бұрын
These politicians do not understand. They can afford care for their loved one. But picture having your dad in a care facility where everyone is sick and you have 1 person that really can only give dad 10 minutes out of 12 hours. Are you mad at the nurse trying despite? It makes no sense.
@robertsmith1865
2 жыл бұрын
The family members and public don't know this. They don't know how many patients a nurse has in a nursing home. If the public knew changes would be made
@gracelotz8525
2 жыл бұрын
@@robertsmith1865 I think that's the sad part. And we're not exactly allowed to speak up about it due to risk of retaliation. I'm a nurse and I know we are all feeling the lack of support from everyone, public, our leaders our administrators. It's awful and demoralizing.
@robertsmith1865
2 жыл бұрын
@@gracelotz8525 Ha! That is the point we are afraid. Then really think about it, exactly what are we afraid of? Losing jobs? Nursing homes have a high turn over of staff weekly and monthly, pay is lousy, benefits practically none existence. High patient load. We as nurses need lobbyists to represent us at state and federal level These nursing organizations should be representing us We should be Marching, Protesting in Washington DC to bring awareness of this problem. It should have been done years ago. The night I had 84 patients, that was it for me. After 35 years of nursing that was it
@lilamontoya5609
2 жыл бұрын
And if they can do better let me take them home, get a home health aide, take care of your own loved one vs. 1:38 ratio Smh
@CTB143
2 жыл бұрын
I guess nurses need to stand up for themselves...report dangerous staffing ratios or work places that are unsafe for nurses and patients. This is why I left my job at a nursing home because I felt I was unable to give safe care for 19 patients all by myself! I was very anxious. The amount of documentation etc we have to do is ridiculous for one human being
@astoldbymuriel103
2 жыл бұрын
I've had patients who consistently fall in one shift. I've even gone to the extent of putting mattresses and fall mats on the floor and letting the patient remain on the floor. You CAN NOT restrain a patient in LTC like acute care. So letting the resident remain on the floor with floor mats mattresses blankets and a pillow was the only alternative.
@happycook6737
2 жыл бұрын
Correct. 20 years ago we could restrain. At least it kept the patient safe. If the patient's brain isn't intact, it is incredibly difficult to keep them safe.
@MultiAnne36
2 жыл бұрын
We did that several years ago for a couple of residents that would fall daily but then we were told we can't do that. CMS and regulatory agencies want to mandate guidelines but will not mandate staffing levels. If CMS can mandate Vaccines, they can mandate staffing levels that are double what we have now.
@astoldbymuriel103
2 жыл бұрын
@@MultiAnne36 residents can be care planned for it. I forgot the exact terminology.
@susansauceda9879
2 жыл бұрын
There are also beds manufactured now that can go almost to the floor, so if they do fall, there is minimal risk of injury. But the facilities have to buy them first.
@Advocates4nurses
2 жыл бұрын
YES! WE NEED MORE NURSES IN POLICY!
@itsonlyyouandme566
2 жыл бұрын
How can I get involved with this as a new FNP?
@BlkOnyx0508
2 жыл бұрын
They stopped this years ago. Nurses know the dangers therefore they will not go for the unrealistic staffing etc. Staffing costs money and these owners are skimming left and right.
@charlenelayhew4811
2 жыл бұрын
Nurse Liz I am s retired BSN and are really enjoying your channel. I feel you really understand these issues. And present them to us in an easy to understand format. I could listen to you for hours. Thank you so much.
@iclarke11
11 ай бұрын
What if we kept a black list and approved list of facilities online to check before applying for a job? Have rating factors, such as ratios and availability of resources.
@katethegreat4918
2 жыл бұрын
I worked as a CNA in an LTCF for eight months. The working conditions are impossible. I used to speed-walk down the hallways (they said I couldn’t run) and keep everything I possibly could in my pockets so that I could keep up. Lunch breaks? Ha! Forget it-I never even got bathroom breaks. I never even had time to do showers, so I just ended up staying late and doing them after shift-change. There was almost never anyone to help me, so I’d be lifting patients all on my own. Charting was guesswork. I always had at least one patient who I was required to spoon feed and all of the plates would be taken up before I could even see them. I don’t know what percentage of their meal everyone has. Are you kidding? The LVNs over me were nice, but often a bit out of touch-barging into rooms without knocking, leaving doors open during brief changes, yelling at me for not being in two or three places at once (I’m not exaggerating), and telling me that I really should take a lunch break. The RN over them was worse. She would make stuff up about me and follow me looking for mistakes. She never caught any, but she still acted like I was always making them. She yelled at me literally for obeying her. I eventually left because when one of the residents sexually harassed me, they wouldn’t listen to me and made me keep going in there. I’m never doing that again.
@Salem-yy5wn
2 жыл бұрын
Sorry you went through that. I’m an RN and I told my supervisors “give me a CNA or tech any day of the week instead of another RN.” Y’all are gold
@katethegreat4918
2 жыл бұрын
@@Salem-yy5wn Thank you!
@ColtraneAndRain
2 жыл бұрын
That's awful! As an RN, I am sorry for the way you were treated. One CNA is worth 2 lazy RNs any day.
@PreppyPrincess777
2 жыл бұрын
@@ColtraneAndRain FACTS
@katethegreat4918
2 жыл бұрын
@@ColtraneAndRain Thank you! I appreciate that.
@TheCoca84
2 жыл бұрын
I remember when I worked in a LTC facility we would start with just enough staff on the floor to be legal. Mid day almost everyday the D.O.N and staffing manager would come out onto the floor and send most the staff home. We would end up with 18 patients each as CNAs and the patients on the the entire wing would be split between 3 nurses. So each nurse had over 25 patients or more depending. I remember when many of us started to voice our concerns and complaints, the Administrator had an all staff meeting letting us know she could give us 40 patients if she wanted to🙄. People called state all the time on this facility but, somehow they never came when we were under staffed.
@Blessed7doc
2 жыл бұрын
Most of the times the same people coming to investigate know the Don's or administrators....for some reason our DON has the timeframes when state will visit. Then they vamp up training and prepping the staff before hand... corrupt system.
@robertsmith1865
2 жыл бұрын
@@amandaforrester7636 Yes. Someone at state has to be getting paid under the table to let nursing homes know when state is on the way
@Magical_Thinking
2 жыл бұрын
And the administrators and managers wonder why we want unions! I don’t really care for unions because I’ve found that they work much harder to protect employees who NEED to be given the boot, rather than fighting for what’s right with good nurses that are getting targeted. However, unions are invaluable when it comes to getting fair pay, overtime compensation, workers comp, etc.
@Magical_Thinking
2 жыл бұрын
@@robertsmith1865 I would LOVE to be one if the nurses that does surprise visits on health care facilities. When I worked at the VA Hospital in San Diego the Joint Commission came for a survey. I was convinced that the hospital would get at least a below average rating. Nope, they were given a great review and praised for being one of their most impressive surveys of that year. It was shocking and beyond belief. Of course, the administrators took all the credit! 🤦🏽♀️🤦🏽♀️🤦🏽♀️
@lissyperez4299
2 жыл бұрын
Omg
@justbecause951
2 жыл бұрын
There's no way with that many patients that frequent neuro checks could be done! Any nurse in her position would have falsified their documentation as well and if they say otherwise they are lying. Didnt they have aides or other staff there? They said he fell multiple times, not even all on her shift. Sorry but this case is pure bull crap
@CC-E.O.Inquirer
2 жыл бұрын
I am a Critical Care Tech that is currently working my way through a LPN to RN program with 8 years in the field, when I started I first worked in “Assisted Living”. At this facility I was trained as a med tech, a cna that can pass meds. The amount of things I saw at this place it’s amazing they are still open, I often had 30 patients also and unfortunately it was impossible to provide proper care. I went on to work at a hospital as a float CCT, when I started I had often been at 8 patients but that gradually increased to 12 then 16 and then 32 some nights with RNs at 6, and some nights at 3 but just unwilling to help with care. I was more understanding in the Covid unit however this is till happening on the rest of the floors when I go to them. Today was my last day at that hospital, I’m leaving behind great coworkers, however it’s just to much. I’m moving on to a hospital that just implemented a policy that techs will not go past 12 patients and that the 12th spot is to be left open for a heavy admit. I hope it’s better because if not I’m prepared to walk away. I understand some nights you just gotta get by, but when every night your just happy nobody fell or coded that’s a concern to me.
@maxalberts2003
2 жыл бұрын
American hospitals in the 1980s: get the patients in and out ASAP. American hospitals in the 2000s: fill the beds!
@levans3447
2 жыл бұрын
I left bedside nursing several years ago. During pandemic they wanted to pull me to the floor ( just as a helping hand) . I tried it a couple times but was not much help since things have changed so much since I was at bedside and so many other factors . I refused after that feeling horrible for the poor nurses working so hard under such difficult conditions. I could never go back to those work conditions.
@fuzzyspirals
2 жыл бұрын
I quit a job that had poor management support and I knew that if anything happened I was on my own. I was paranoid and leaving work late because I was super focused on charting everything. There was no grace so at 6 months I quit!!! I mean that day. I called HR, described management’s behavior and work load and demanded to be let out without a 2 week notice. I never returned. My PTO was paid out and I will never again grace that place with my presence.
@kriswarden2103
2 жыл бұрын
I've worked in situations like this! I've had a patient that fell and eventually passed as a side effect from the fall. As an agency nurse, it was my first time in this building. No orientation at all... no policies gone over and 40 patients. How can you even say that things should be taken to a civil level. I hope ipoh man against the facility, not the nurse. She should not have falsified her charting. But she should not have had anything more serious than the facility. In fact, she should sue the facility for putting her in that situation!
@maggieakpa7870
2 жыл бұрын
The Ratio of patient to a Nursessis the key to patients safety. Pass a law to protect the public and nurses as well
@actualwakandangirl7121
2 жыл бұрын
At my very first job, I got 2 and a half days of training then got on the floor right away with 42 patients! Almost 6 years now, many settings later and extra education I’m switching from bedside. Unfortunately, covid has made it so competitive and hard to get into office settings even with experience and higher education but I’m still hopeful.
@blahblah162005
2 жыл бұрын
😲 omg 42 patients after two days of training. Wow
@actualwakandangirl7121
2 жыл бұрын
@@blahblah162005 Ikr it was ridiculous, I left after 9 months!
@maizeni7817
2 жыл бұрын
@3:35 As someone who works in heath insurance, I find your honestly about the US healthcare system refreshing. Subscribed! 😁
@dametrataylor1610
2 жыл бұрын
As a fellow nurse practitioner, this is very sad for several reasons. First off prayers for the patient who passed away and for his family. Second, the LPN had a choice upon entering the facility whether to accept such a huge patient assignment! She should have contacted the agency she worked for as well as the DON at the facility. Patient safety was an issue as soon as she clocked in. Lastly, the nursing home and anyone involved that night should be a part of this lawsuit as well! Healthcare is not getting better as time goes on! Nurses are overworked, overlooked and overwhelmed! We have to be the change in these instances and do not accept things like this! And fellow nurses, there’s no amount of money in the world that is worth accepting an assignment like this! Your license is at risk and so are the patients lives! SMH
@BeautifulDisaster205
2 жыл бұрын
37 patients in long term care isn’t considered a huge case, unfortunately. And depending on the shift worked you could be responsible for more.
@dametrataylor1610
2 жыл бұрын
@@BeautifulDisaster205 I was also an LPN for 10 years in long term facilities contracted through agencies. In ordinary circumstances it wouldn’t be, but the types of patients on the hall was the issue. Multiple falls from one stroke patient is a big problem. Plus other patients being pretty much ignored to monitor that one. We don’t know the whole story but I’m sure it goes a lot deeper and I hope this unfortunate situation brings forth change there and opens the eyes of those in administration who were all asleep while all of this happened.
@hedykarim3614
Жыл бұрын
Do you know if she needed to feed her family so she came to work . She should have done the neuro checks but it was too patients to begin with so she is to blame but you don’t know why she had to work
@ashleygaerke3371
9 ай бұрын
This is crazy. As a Level III NICU RN I never had more than 4 patients and I have worked both day and night shifts. If we are going to staff the start of life appropriately, why don’t we staff end of life care equally appropriately? I don’t know what the typical ratio for hospice nurses are but many of them are making home visits and yet I don’t think they have nearly the work load that long-term care facility nurses have. I know my own grandmother who we did not want to put in a long-term care facility but we didn’t have a choice. I couldn’t care for her 24/7 she lived 10 hours away, and I had my own small children and hubby to take care of. In fact, I had just given birth to my third child when she passed away, my mother was still working. And the nurses were amazing and she wanted to stay in her hometown. Many of them were related to us somehow because it was a small town but I know she fell multiple times it was no one’s fault that’s what people don’t understand is the workload is way too much and you can’t be with the patient 24/7. But it’s very sad that we staff other areas of medicine very well, or at least we attempt to, and yet the workload at the end of life when dignity and care should be as good as the beginning of life, we are overloading nurses, which causes the ones that love this field and the patients to burn out and quit or for mistakes to happen. That’s the other problem with medicine is people want us to be superheroes and we are not we are humans and humans make mistakes. And sometimes the mistakes are because we can’t get the support or staffing etc. that we need and we’re spread too thin. 😢
@AEB72112
2 жыл бұрын
In LTC, what people dont understand is this: you've got 1 nurse for probably 30-40 residents, 1 cna for 8 residents.... you CANNOT have eyes on everybody at all times!!! As a nurse for 30+ years, I've had state surveyors tell me to my face that the residents have the RIGHT to fall. And families wonder why WE LET them fall!! We don't let them fall... We do everything possible to keep them safe. Nurses have so much going against them, it's insane. Whether it's the doctor you had to call at 2am who curses you out for 10 minutes because you called him about a fall... or the family member you also had to call & notify, who's cursing you out because 1... their loved one fell, and 2... it's 2am & you woke them up. And there's also the administrator of the facility who should be notified, who ALSO cusses you out for those same reasons. Nurses today are expected to literally do the IMPOSSIBLE....all while being understaffed, under paid, over worked. No lunch and no breaks? That's a fact. I'm so happy I'm done with that job, and made it out alive.
@jessica36245
2 жыл бұрын
8 residents? We have 1:30 and 1:35 where I work.
@hedykarim3614
Жыл бұрын
So right they think you are a donkey and a punching bag
@mylifeinschrampbells9604
Жыл бұрын
I’m an LPN, and in the area I’m from, there are so many LTC SNF and ALF. Another problem with “just leave” is that with so many places, they are still mostly bought and owned by the same few companies. So if you burn a bridge by walking away and not accepting the assignment, you risk being put on the DNR list (do not return/rehire)
@sarawood8987
2 жыл бұрын
Gosh love your videos Liz! Your personality and delivery is beautiful. Thanks for you for sharing and keeping us nurses informed!
@charlenelayhew4811
2 жыл бұрын
Liz thank you for your informative posts. Sticking up for nurses. Plus your voice is so soothing. Very easy to listen to. You are wonderful!!!
@helenwebb2154
2 жыл бұрын
I just retired after 45 years as an LPN. I was so busy and stressed while working that I really didn't have time to think about much. I have seen everything you have mentioned an worse. Now that I have time to think about it, I look back and wonder how did I survive ?
@isauramartinez5806
2 жыл бұрын
SNFs are such a liability for a nurse. I’m an LVN. I got my License in 2015, a SNF was my first job. I was a night shift nurse in a 62 bed facility. I was the only licensed person at night with 4-5 CNA’s. No RN on the site. She was on-call and a call away… this is why I left because I was afraid of something like this. One night I had a code on an 87 y/o with ESRD. She was a full code. It set me back so much with med pass because I was the only one there and my CNA weren’t allowed to do cpr. So, yes, some SNFs set you up for failure.
@concernedgreatly5291
2 жыл бұрын
That's the reason I left bedside. As a lpn working along side of RNs that had tons of med errors, I knew that if I ever did get a med error as a lpn they would charge me. Thank God I got out before I had any issues. I now work from home for the last 5 years as a Case Manager. No patient contact just paperwork. Also I make more than most RNs
@robertarowland728
2 жыл бұрын
Hi can you please give info for work at nome for lpn. Thank You ☺️
@melissahood2960
2 жыл бұрын
There's never time to do all those Neuro checks. You'd have to neglect other patients to do the Neuro checks. Most nurses do a few and falsifies the rest. Nursing homes give completely unrealistic expectations and then blame the nurses when they cut corners.
@ms.mtruth6169
Жыл бұрын
And this is why I’m picky
@mtuck8870
2 жыл бұрын
I met a physician assistant that said she charted that her patient pulses were palpated in left and right extrementies and that there was no edema noted. Guess what , the patient had only one leg . as nurses we all have cut corners but nurses that has been nurses for a while know to at least do an assessment on new patients before you chart on them.
@miss_whipps
2 жыл бұрын
😳🤦♀️
@rnupnorthbrrrsm6123
2 жыл бұрын
Welcome to healthcare !!! It’s horrific and unsafe for patients and staff !!!
@skyangelthefan
2 жыл бұрын
At the 8 year mark as a LPN, I became fed up with Nursing Home Management and I went PRN as a Nurse and did a full-time complete career change. 31 patient’s is a lot, but not unusual for a Nursing Home environment. A place that I worked at, which a Nurse was brought in by the DON had not reported, documented nor did neuro-checks for a fall. I typed up a report about the post fall because the husband had witnessed the fall and a CNA had witnessed the fall, but I didn’t see any documentation from the Nurse. The DON tried covering up for her “nurse” in not documenting nor reporting the fall. I type up a verbatim notice that it was reported to me that a fall had occurred with a particular Nurse, gave it to the DON, and HR and the Administrator supported the DON by trying to cover up the fall by not reporting it, but I covered my license by reporting it. Falls can not be “prevented” and restraints can no longer be used nor can bed or wheel chair alarms be used because yup it is a restraint. Bed/Wheel chair alarms were helpful because at least, when we heard the alarm start we would at least, be able to run towards the resident. I was a “Fall Prevention” Nurse for a year and did investigations when falls occurred. When I have trained new Nurses, I drill into their soul...Cover your a@@ and document!!! I don’t care what management tells you...document because management will throw a Nurse under the semi-truck first, before they take responsibility for shortage of staff and cover their money maker before they take responsibility. Every Nurse is taught in Nursing 101...Document. If, you don’t document, it did not happen!!! Protect your license by documentation. A Nurse can do a quick fall note, call MD, call family, do a quick note, start neuro-checks and if, they just do that they can finish a fall report within 24 hours. I have been an Agency Nurse for 3 year’s and I still do the regular routine for a fall incident, which is a body assessment, call MD, report any concerns, call family, take vitals and document that is routine. If, a fall incident runs me to stay an hour after my shift finishes...Oh Well!!! I am staying to document and cover my a@@. Plus, I bring my own tools to do my job ex...pulse ox, blood pressure machine, thermometer, scissors, tape, pens, markers, measuring tape, stethoscope 🩺. I REFUSED to take on too many patient’s when a DON tried to push it upon me. I have no problem speaking up against management...I can not be a good Nurse while, trying to be over worked. If, code status is not known Oxygen should at least, be started. This incident is completely different from the Nashville Nurse case because she reported it...this case, the Nurse documented after the resident died, which is totally different. Document, Document and Document!
@allenpayne3484
2 жыл бұрын
I am a LVN of 31 yrs. I have work med surg. VA hospital, Parkland county hospital. Nursing home s are the worse. They truly traps for nurses. Stay away from them. Administration is not concerned about quality care. They're only concerned about money and that's real. Peace.
@catherinenyoro3953
2 жыл бұрын
Wonderful advice. You should be a DON? 😁
@thrivingonabudget8833
2 жыл бұрын
Long term care is scary. The work load is unsafe for everyone. I was a CNA at the “best nursing home in town” and it was still terrible. You were often expected to lift patients that were 100+ lbs heavier than yourself by yourself. On a good night we’d have two aids per hall but often it was only one aid per hall with 50ish patients in the facility. We had hoyer lifts but never enough for the amount of severe patients we had. If we had patients that were fall risks we would lower their beds to the floor, set a bed alarm, and place a bonus mattress on the floor. We had several patients that were deeply confused and had habits of being violent but the office rarely cared. They didn’t mind if nurses or aids were chocked , bitten, or clawed, they would just scream at us that we were to never use mittens to prevent clawing because that would be considered “ a restraint”.
@aliceschram1043
2 жыл бұрын
Take a look at the paper work that nurses are now faced with. An incident report is 8 pages long in the nsg home. The med passes are heavy and the pt load is terrible. This makes us want to run away from nsg homes, we are scared of being placed in jepordy and losing our licenses.
@pointofgrace3002
2 жыл бұрын
Nurse Liz - So many more people (nurses) like you are needed in this world., especially now. God’s Grace be with you. As a RN for 45years,now retired; I have seen it all.
@ernestinesmith3637
2 жыл бұрын
I understand what the nurses or up against. Bottom line the system is set up for profit. Nurses can not possibly give patients the care they need with that ratio. I work as a CNA. Did an internship in a facility as part of training. I immediately saw patient to staff ratio and knew it was insane. I decided then that I could not properly give the patients the care that they needed and deserved. I refused to work in facilities so I work one on one as a private CNA because I knew I would not be able to stomach the improper care of these patients. And it's not the nurses that the blame should be placed on they are setup from the beginning. If we as a society don't address this problem and put blame where it should go and look at the system and not use these nurses as a scapegoat we are all in trouble. I see it all, I only go in a facility as a private CNA one on one. Mostly work in private homes. Very happy because I can properly take care of the patient. As a CNA if you cut the agencies out and work for yourself you can make good money. You can gain your reputation through an agency but please drop the agency. After all you are the one during all the work. You don't need them. Once you gain your reputation clients will seek you out, word of mouth we are valuable. People will pay for their love ones. We really need to stand up for these nurses. We all will get old. You could be their next victim. Hold these facilities accountable before we lose these valuable nurses. Nurses think outside the box you are valuable. Don't settle for this crap.
@desireesandovalwilliams8371
9 ай бұрын
This is called company negligence. The company should pay a huge fine and get dingged
@kates6371
2 жыл бұрын
If it’s illegal to use physical restraints such as a lap belt or alarms like bed alarm, how is it legal for one nurse to be assigned 37 patients! I’m beyond 😞
@NurseLiz
2 жыл бұрын
For real. What they choose to allow is insane
@kates6371
2 жыл бұрын
And she didn’t have access to the computer as well as the dynamap was broken ?? And he had been falling all week ? Omg 😳 I feel so awful for this nurse. This is such a system fail 😢😢😢😢
@dubuis69
2 жыл бұрын
It's legal in a nursing home.. would ever happen in a hospital. JACHO would punish them.
@dubuis69
2 жыл бұрын
@@kates6371 nursing homes aren't regulated.
@quelquun2018
2 жыл бұрын
As a new grad, I will never step foot in a nursing home. I did clinicals there and I was terrified. I refuse to work in any nursing homes. If they are having shortages in the hospitals even with travel nurses, the nursing homes are the bottom of the barrel when it comes to staffing. Let’s all be honest here, we get our degree to make a decent living. We had to sacrifice finances while in nursing school because it takes up so much of our time. When it comes to travel nursing, the money is there but these facilities are not up to par so y’all have to be careful. Not only did she lose her license but she also lost her livelihood.
@alexbella99
Жыл бұрын
I think it depend on which State you are in . Because when i was lpn school in a SNF they did have bed alarms but you can not have all four side rails up. If a patient has a history of falling they will place bed mat cushion to catch the fall or they will get sitter to be in a room
@gettingluckyinkentucky
2 жыл бұрын
I’m a LTC nurse currently working in the nursing home I have had as many as 45 patients at one time. It’s so sad
@NurseLiz
2 жыл бұрын
That's so impossible to handle :(
@persiffony
11 ай бұрын
The all-knowing regulators are great about "fixing" problems by going too far in another direction - usually to a counterproductive degree.
@kimberlykay1495
2 жыл бұрын
Often times when you would send a patient back to the hospital they wouldn’t even keep them they would be there maybe two hours before shipping them right back to the care facility so it tends to be more traumatic for the patient, especially if they have confusion.
@Advocates4nurses
2 жыл бұрын
Yes as an LPN's have their own license and have rules and regulations under the board of nursing. She was delegating tasks to the Tech and was responsible. SAFE HARBOR should have been filed. She should have refused to do Neuro Checks as she probably doesn't even have NIH certification. I do not believe and know that this is NOT within the scope of practice of an LPN. The DON who allowed this policy and Medical Director should be reported. This is an assessment in the ICU where there is 2/1 staffing I grew up there NOT long term care. Yes, she should have called 911, used the chain of command ect. She was clearly scape goated!
@patriciagiles5833
2 жыл бұрын
I do neuro checks every shift as an LPN. I comp on that skill annually with my supervisor.
@nakiahowe368
2 жыл бұрын
An LPN can not assess a patient. After any fall it is up to the RN to assess the patient. You can do vital signs, but always make the RN come to the floor. I would quit if I work in a facility in which my supervisor (RN) will not come to check on a resident that fell.
@patriciagiles5833
2 жыл бұрын
@strongbad666 I don't know where some of these LPN'S practice. I've been an LPN for 36 years in PA, MD and VA. Now I'm in skilled homecare and I pretty much do everything. Our RN supervisors aren't there in the home with us. The agency makes sure we demonstrate competency for each acuity level. I've taken care of patients in comas, on ventilators, with central lines etc. The only skills I wasn't allowed to do in facility were IV push meds, certain IV drugs & hang blood products. I was charge nurse on nights of a skilled wing in a LTC facility with no RN in house (on call) I absolutely performed neuro assessments. We had obtunded patients and terminally ill whose status could change on a dime. I was also allowed to pronounce death under certain circumstances. Back in the day, we didn't have "right to fall" so I think there was only one patient under my charge who fell. Fortunately it was a minor injury.
@heidih3048
2 жыл бұрын
I'm an LPN. We are taught how to do neurochecks as a basic skill. Neurochecks are a form of monitoring, which LPNs certainly can do. If the patient shows signs of instability, then the doctor is called; if the doctor is unreachable, we call 911 and send the patient to ER.
@maggieortiz1546
2 жыл бұрын
@@patriciagiles5833 what does the board of nursing say? I used to teach LVN’s in Tx. An LVN has a limited scope of practice. Did you take NIH certification? I would look at the board of nursing in your state as well.
@amakachukwurah5801
2 жыл бұрын
I have to say this again, know your limitations and extent you can take as a nurse, find other income streams, am resign after 3months of working, I have seen a lot that nurses endure and work under conditions and environment that so much unsafe because nobody is monitoring or something else, but the truth is that I called the administration and told them am resigning because I fell unsafe with my license, this is what I learned, will not work anywhere that will compromise my license. Most facilities don’t care about us Nurses, so let’s care for ourselves.
@rachelrogerson6520
9 ай бұрын
Hi Liz, im a newgrad EN, just beginning my first nursing job and i would just like to say that i have been watching some of your videos for new nurses and have found them extremely helpful. Instead of feeling anxious about my shifts and silly for asking 101 questions, i can do so woth confidence and enjoy the new grad experince a little more. 😊
@glendagrant9042
2 жыл бұрын
Just leave please. Nursing is no longer safe for patients or Nurses.
@jessicagregg804
2 жыл бұрын
Then what happens to us (the Nurses) when WE need a Nurse or become a patient? Leaving doesn’t help the situation in the long run
@catherinenyoro3953
2 жыл бұрын
Many of us can't leave. As an immigrant with young kids, I feel like quitting is not an option. Even old people should get topnotch care. The education bar for nursing home staff might need to be raised...as a starting point. We don't need rocket scientists but a BSN might help...
@BLINKGreenTeaAddict
2 жыл бұрын
I work in a LTC as well. I have 38-40 residents on day and evening shifts. For nights, I have 80 residents. So, I had almost the same scenario but did the right thing and the patient was safe in the end. So, it was night shift and during rounds, I saw one of my patients screaming "help!." He did not ring his call bell. He was by the door of his room, on the floor, supine position, covered with coagulated blood (because the air conditioning was on, it was so hot that night). He was responding and LOC was okay and seemed to not hurt his hips. He was transferred to his w/c. I kept him by the nursing stn and monitored his NV as per protocol for Q1H for the first 4hrs and Q4H for 24hrs. Also, applied drsg to the back of his head as he sustained approx 3 inches laceration and was still slightly bleeding. I had to apply a thick abdo pad and wrap kling gauze around his head. He's on a blood thinner, so I was concerned if he had a subdural hematoma. I mean, the NV were stable, BUT still, I was not sure. Then, I called an on-call physician and he ordered sending the patient to the hospital for a CT scan of the head and sutures. He came back to the facility after a few hours and remained fine after. I think we really just have to do the RIGHT thing and proper procedure and also stick with our intuition/critical thinking. Also, falsifying documents is a big NO.
@Simply.Homicide
2 жыл бұрын
This inspired me to do better in my charting and nursing care and to rest when i cant do my job with my full mind. Also!! Not to stick by or accept heavy horrible assignments. It just takes one bad night. 🤢
@ejioguozioma7735
2 жыл бұрын
One bad night, my dear Nurse!
@robinhensley6228
2 жыл бұрын
Mandate nurse patient ratios. Nursing unions are a must to protect our rights and rights of patients to safe care.
@barbaralane9146
10 ай бұрын
TIME TO BLAME THE FACILITY FOR NOT HAVING ENOUGH STAFF!!!!
@fatusankoh7588
2 жыл бұрын
I have work in long term care and hospital. in LTC the work laod was a lot. I have 30 pt. I quit because the work load was a lot and i feel like i was not giving quality care. I decided to do home care I have one pt, infusion case long hours and better pay. I am much happy with home care. The Healthcare system needs to change. I will never work again in nursing home or hospital setting.
@Mari-lv1rd
Жыл бұрын
The" right to fall " is a big heads up for family members. Hire a private babysitter to sit at the bedside. Costly yes, but then you know you have done everything possible to keep your loved one safe.
@leeclaire9898
2 жыл бұрын
I feel so much for this nurse. The expectations on her were unreasonable. She is an LPN in a facility that is new to her. The patient:nurse ratio is not do-able. I work in a level I trauma center and one patient with this frequency of care would be upgraded just based on frequency of vitals & neuro assessments. Complex Neuro checks are not something most RN's are very proficient in unless they are ICU nurses or Neuro nurses. Agree with what basic care/eval after the incidents should have been (CT scan etc). After decades of practice I have to fight and advocate for my patients on a daily basis. As a nurses aide in the late 80's I'd calculated my time with each patient while putting them to bed, as 13 minutes per patient. Some patients demanded more time so that left someone else short. I quit working in nursing homes because of the lack of care. I tell people never put your family in one of these facilities unless you plan to be there every day. Unfortunately, my father was sent to a rehab during the early Covid days and he became a hostage. We couldn't get answers, he re-fractured his hip (without falling???)and supposedly couldn't swallow or speak after admission. We had to fight to get him back to the hospital and eventually got him home. He never fully recovered and remained bedridden until he passed away.
@carrie893
2 жыл бұрын
I was a CNA at this one nursing home for about 3 weeks and had 14 patients of which 12 I had to get up for breakfast. I started at 7 AM and breakfast started at 7:40 AM. It was like 3 minutes per patient, so getting someone to help with hoyer transfers didn't happen, and there was no time to change their soiled brief. Pretty much toss them in their chair and push them to the dining room.
@chrishartsock2131
2 жыл бұрын
I worked in both hospital and nursing home settings. I reported abuse in a nursing home they were fined, and the facility lost a lot of money. I was blacklisted. unable to get a job for almost 2 years as a result. I have witnessed Nurses violating DNR orders and giving nurse doses to PT's to chemically sedate them. Unfortunately, Hospitals in Illinois are not governed by IDPH and when someone does something unsafe or illegal If I were to speak up, I would lose my licenses and may be sued to prevent the truth from coming out. Nurses being fired over narc thief's and when Nurses' have over 8 PTs as a result of hospitals greed over PT safety. My wife is a BSN of 17 years and here lately after unsafe shifts due to short staffing issues she is about to give up nursing all together. Anyone who tries to speak out is fired and threatened. I believe Hospitals and faculties should be easier to report abuses. PT do have the right to fall but it's also our responsibilities to make sure do our best to help prevent falls, by faster call light answers. Also, by working with PTs to minimize falls. I gave up nursing as a result of all the bad and not seeing any real options to prevent or stop it. I do miss helping people and working health care.
@Blaczeus31
2 жыл бұрын
Nursing 101: Resident falls hit head-send to ER, resident full code-CPR call 911 even if non responsive.
@takarasights
Жыл бұрын
Yes, my fiancé works in long term care and I was shocked to learn she brings her own blood pressure cuff and other monitoring equipment
@NurseLiz
Жыл бұрын
She has to bring her own stuff?? That’s so unacceptable 😫
@peacefreedom4930
2 жыл бұрын
This sounds absolutely bonkers. I don’t know how things work in a LTC facility. But I can’t even comprehend how 1 nurse could pass meds in a timely manner for 37 patients. When does she do assessments, charting, treatments? How could she possibly do routine neuro checks under these circumstances? It would seem to me a patient that requires that level of care is higher acuity and should result in another nurse on the floor. Let’s not forget she’s an LPN, not an RN, or FNP. That assignment was grossly inappropriate. The owners of the facility and administrators need to be charged. Are there nursing organizations that are pushing back on these practices? Why are nurses taking these positions? Something needs to change.
@cookiefuentes6873
Жыл бұрын
Because the states are allowing it, they do nothing. The states know this is not safe and come down on nurses for everything but never regulate or advocate for nurses. A bunch of BS!!!
@dfiant5846
2 жыл бұрын
“If you can leave”💯 Correction nurse or drug/and rehab, seems more safe for your license as LPN
@sunnystwin2422
2 жыл бұрын
And we are hiring.
@deihjah6644
2 жыл бұрын
This is absolutely horrible all the way around.....I think what most people dont realize is that the State often times has laws that say that one nurse is able to take care up to 50 residents in Long Term Care Facilities-Nursing Homes)....can you imagine that?.......(its sad but true)......and then there is a 2 hour window to start and end the passing of medication...its ridiculous!.....the break down:...that means 1 nurse may have to take vital signs...blood sugars....hang IV's....hang Tube Feeding solutions.....and then administer all of the correct medications and insulin injections, heparin injections etc..... to all 50 residents in 2 hrs.......even when there are 15 or 20 residents assigned to 1 nurse...2 hrs is not long enough.....some residents receive several eye drops and or Breathing treatments that have to be given 5 -10 -20 minutes apart for instance....and what about treatments?...changing bandages?....and God forbid the Lab or Pharmacy to call to speak to the Nurse and that takes time....and what about a incident in the middle of passing medication??....if a resident falls and is injured then they have to be sent to the hospital by that assigned nurse....so then the med pass is now extended way beyond the 2hr window...and cant be signed out on time.......this is why many Nurses are leaving Nursing....the demands are ridiculous...and they give very little thought to the Nurses in Long Term Care facilities....with those type of demands they are not treated as human beings
@gabrielakarl3859
2 жыл бұрын
Thank you for understanding our situation. Many times nurses are stuck between management, patients and doctors, with no one in our court. Now THIS. We were “HEROES” during covid, and now i can tell the management is trying to find ways not to give us a raise on our evals…it’s already happening to some of my co workers. We feel used and disposable, physically and emotionally burned out.
@copywritten8462
2 жыл бұрын
And this is why if I’m workin LTC and someone falls and hits their head I send them out to the hospital for evaluation. You can’t realistically do proper neurological checks in a nursing home when you are spread so thin trying to care for 20-40 people.
@emeldafrederick5929
Жыл бұрын
This is such a informative video and it sheds light on the the health care industry
@cynthiaparr-nyberg9093
2 жыл бұрын
If you assign a patient load to one nurse that should be devided by maybe ten then you cannot have a good outcome. I have had 9 patients at night as my max. ( BSN, Retired R.N). Nursing has legal, physical, and emotional risks). I am so sorry for her situation.
@merkinidgit
2 жыл бұрын
Go right now and check if your state has a form called something like “Assignment with Concern” or “Concern for Assignment”. In my state its on the BON site. Have a few copies in your work bag or locker. If you have a concern for the acuity or numbers in your assignment, you fill out the form, make a copy for your records, and forward the original to your supervisor or manager. The onus is then on the manager to respond within 24 hours. Although, my last acute care setting manager didn’t ever respond to the three or hour I completed. Doesn’t matter; I have a record of documenting my concern while accepting my assignment. And I believe the idea is that you escalate after your immediate supervisor hasn’t responded.
@Lin-id9qc
2 жыл бұрын
Omg 1st I'm glad I found you..second I was a night nurse where I had 40 patients on nights, on Days it happened I had the same and the house supervisor who I have to mention was a nursing instructor decided she would sit and chart on all the patients never looking at any of them. Vs. Behavior everthing...I was trained to "write whatever the last person wrote"
@fuzzyspirals
2 жыл бұрын
😳😳😳
@erinjoy377
2 жыл бұрын
Thanks for making this video. I know a lot of time is put into researching, filming & editing. I like you’re approach, (you can tell you’re being completely authentic), which is refreshing, though, (if you don’t mind me saying): I do agree with others that’ve expressed that you jump around, (a lot), speak really fast & that it takes a loooong time for you to express your point/position b/c your flow is frequently interrupted by “going off on “tangents” as you’ve said. I find that it makes the video very hard to follow and have found myself fwd’ing ahead to find the point when you’re finally getting to the point, (hope this makes sense). And, I feel badly doing b/c I respect the work, (the time & effort), that people put into creating videos. But again, I truly appreciate your authenticity & love your honesty & self awareness❣️
@NurseLiz
2 жыл бұрын
I really appreciate the feedback! Will keep working on a clearer presentation
@nunyabizanyway4370
2 жыл бұрын
Stroke patient with residual weakness unilateral is usually why we see patients readmiited with repeated falls.
@orblette24
2 жыл бұрын
I started in LTC as and LPN then bridged to RN and worked step down for years then icu for years, even though COVID. During that COVID process nurses were put in situations that where unmentionable. Patients care... well we did our best. We worked 24 hour shifts because there was just no nurses to give hand off to. We were told we could not be prosecuted for that, that those situations and that period was protected because the situation was unprecedented. I would like to say I just went to court over a case During that time. I realize now watching all these cases if criminal prosecutions for nurses is NOT worth my life because I'm doing the best I can. I'm leaving ICU in a few weeks solely based on this. Nurses we need to figure this out!!!! I'm avtive in the ONA and the general feeling there is....we know there a problem and we don't know what to do. For the first time ever I am telling college students, stay away from nursing!!!!!
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