TIPS FOR NEW NURSES IN LTC 😷 MED PASS TIPS | LPN / LVN IN SKILLED NURSING | FULL TIME WORKING MOM
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- เผยแพร่เมื่อ 9 พ.ย. 2020
- Hey 👋🏽 Guys!
I have some great nursing tips to make your med pass easier whether you are a LPN/LVN or RN in a skilled nursing home or in long term care. These are some things I wish I would have know as a new nurse!
#MedNurse #LongTermCare #LPN/LVNTips #TimeManagementforNurses #TipsForEasyMedPass #CartNurse #NurseInLTC #GeriatricNursing
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Probably the most comprehensive but helpful "nurse experience" video I have ever watched! Great job Justine!
I’ve been working night shift for 3 months now as a new grad in a LTC facility. Managing 25-31 residents a shift is hard work & I’ve learned so much about time management and my “nursing gut.” LTC nurses don’t get enough credit.
Take care of your license fellow nurse, LTC is great but too many patients is a liability
I’ve been a CNA for almost 4 years and got just accepted for LPN school, so I appreciate what you said about CNA’s. It’s definitely not easy especially in these times, and not every nurse is like you an appreciates us. 😊
Congrats!!! that's awesome! I encouraged the girls I worked with to go for their license. You all do so much and deserve much more. CNA's don't get treated as well as they should.
Amen sis!! I'm a hospice aid at that!!
@@heyjustine8199 That’s amazing! Also thank you for being a nurse especially now. 💕
@@reignruyolty8108 Yes girl! Thank you for your service! Hospice is really hard. 😕
I agree in re: CNA’s! They work their hineys off and I appreciate them greatly!
Girl I had 40 patients, my first year as a LPN. I worked overnights,and if you get the patients who,receive pain meds out the way first. It usually helps, your shift run a little smoother. I would then, pass any other medications that were scheduled. Treatments would be done last, since they usually took some time. Having a routine that works for you,is the only thing that will help. Asking questions during report ,will help. Also working with the CNA'S,who's on your shift will help.
I’m currently a CNA and have been for the past 9 years and thank you so much for what u said about us!!❤️I’m going back to school to become an LVN in April ‘21 thank you so much for these great tips.. 😊
If you’ve been a CNA for the past 9 years you might be able to challenge the National Council Licensure Examination- NCLEX (in California)!!! (-:
I hope she took this advice… please update!!!!
Completely agree. Been a CNA the last 3 years, lots of chronic pain from it and had to be out of work and get physical therapy a few months ago. I graduate as a RN next May and plan on continuing to work in long term care.
That's awesome! CNA's are such a great help to us, thank you for what you do!
Before I went to nursing school, I worked as a medtech for 2 years at an AL. Depending on how short the staff is, Id have 25-45 patients and experienced the worst already. After nursing school, I got a job at a SNF and I’m telling you that I was confident right away with med passing. If you’re a caregiver, I encourage you to become a medtech first, if you don’t feel like you aren’t ready for nursing school yet
Same here being a medtech helped
Great tips! Especially the time management ones. Thanks for sharing!
Excellent video. Very thorough!
I start this week as a unit charge nurse in LTC. So glad I found your video thank you for this !
I love your videos! Thank you ❤️
Will def keep tips in mind if I ever make up my mind to go to Lpn skool! Thanks!
Thank you soo much Justine. Soo helpful!
I was a treatment nurse LVN in Calif in a LTC facility. I loved it.
I just started working at a SNF and am so thankful for this. Thank you for doing this :)
Great video and recommendations!
Thank you for sharing.
You are so welcome! Thank you for watching.
I’ve been a CNA in long term care for 7 years and I just completed a certified medication aide class. I appreciate your tips about being nice to your CNA’s.
Thank you for the tips!!
If i can give 20 million likes i would. This is the information I was looking for.. Exactly explaining in detail all the tips abd explaining what to do from beggining of shift to end !!! 3 eeeks from graduation ... Im subscribing. Thanks!!!
Im about to finish my first semester of LPN school and I’m so glad I came across your page. Thank you so much for this video! You’ve just earned a new subscriber 💙
Good luck!! and thank you for your support!
I am a new RN on a subacute unit. Thank you so much for posting 🙏🏾
Thanks for watching!
Justine
Love ur videos, you would be an amazing LVN instructor, so calmly and detail how u explain heat job girl 👏💓 I would want to be in ur class for sure
Thank you, this helps a lot.
I’m starting my first job as a charge nurse. Hella nervous but they’re definitely taking the time to train. Thank so much for these tips :)
Congratulations 🎉 so exciting! Take all the time they give and ask for help! It will get overwhelming but if you have the right team you’ll do great!
7 real reasons why nurses quit their job
1. Staffing
2. Staffing
3. Staffing
4. Staffing
5. Staffing
6. Staffing
7. Staffing
@Chink Positive What? I heard since the pandemic they are making mad money.
This is true
@@belmy0836 yes mate
This video was so informative, I really found it helpful. I am in LPN school and these tips will help me when I start working. Thank you! new subbie!!
Glad it was helpful! Thanks for the support and good luck on your journey!
This is one of the best videos for lpn tips I've seen. I've worked in a nursing home as a newgrad on overnight having 58 pts by myself. I did that for 5 months maybe would've done it longer. I hope new grads are taking notes!
Hey Justine! I’m Nurse Love! I have been an RN for 17 years and do not have plans to ever stop nursing!!! I enjoyed listening to your message.😊😊
Hey Pia Love . Could I talk to you about RN ? I'm From Brazil. I'm studying for the NCLEX EXAM. I apreciatte you love nursing s2
Great tips, thank you
Thanks for the honest video!
Thanks for watching!
Who has time to sit down and review their charts?
I like this video.
During my Lvn clinicals, we follow a nurse and a med aide to get familiar with med pass since its a big part of the morning
The cert med aide would take all the BPs in the morning so that helped.
Im glad we are learning time mgmt.
Thank you so much for these videos, It really motivates me to go back to school and get my CNA and eventually LVN Certification. I am also a mom, and I have 2 kids. My sister is an RN and I don't get help and feedback from her because she lives in So Cal and I live in Northern California but I'm grateful I was able to find your videos. You inspire me, that anything is possible for working moms. I currently work full-time so it's tough but not impossible hopefully. Your videos are so helpful and I appreciate all the tips that you give from nursing.❤💕😊
Thank you so much for your kind words! You can definitely do it, it will be tough and you may want to give up but the time is going to pass anyway and it feels like it flies by once you're at the finish line. I am so glad I can motivate you!
@@heyjustine8199 ❤❤❤❤
Thank you for your videos. I am a retired LPN ( dec 2019) after 31 years. I sure enjoy watching. I miss it sometimes. You are a very great Nurse! Watching you kind of updates me on new things in nursing. Again Thankyou!!!
Thank you for your service ☺️ and thanks for watching!
I am in this situation now. I just got my RN license in the 26th of Jan and I got promoted in my agency job from CNA to RN and they work with a lot of LTC facilities and basically I was thrown in and I’m drowning. I actually went on TH-cam to find tips and I’m glad you posted. Also with the CNA with just transitioning and being a CNA a month ago I respect my aides and try to understand where they come from because I was there.
That’s why they recommend having a year nursing experience before doing agency . Hope things are better for you now
@@arlenedennis9446 oh yeah I finally figured out how to maneuver and organize.
@@arlenedennis9446 times are changing due to shortage so new grads doing agency is okay but you need proper preceptorship if possible
If you got RN license get out of LTC.In hospital you will have a max of 8 patjents in med surg floor.Why you get 20 + patients.
@@Lovebk98 because the 20+ depending on the LTC have moderate to low acuity and low turnover. med surge has high acuity and high turnover, 8 patients end up being more work.
*New Subbie* I just found your channel. As a CNA, I appreciate you as a nurse acknowledging how much the CNA does! :) Great tips!!
Thank you for this video.❤️
Thank you for watching 😊
Love these❤
In the state of California you can’t use a wrist cuff regardless of what the facility says. They’re inaccurate it has to be a state approved arm band
I just started in LTC as a new LPN grad with no experience. I’m terrified. I’m glad I found your channel this is extremely informative.
It's really overwhelming at first, but you will get it. Don't be afraid to ask lots of questions and ask for help. You can do it!
@@heyjustine8199 Thanks for the encouragement I really appreciate it.
Thanks for sharing! I’m a new grad RN. I’ll be starting my new position the end of this month at a Transitional Care Unit. It’s categorized within the nursing home umbrella. I currently work there as a Unit Secretary. Now I’ll be working as a RN. It’s through the new grad residency program but I’m still nervous.
Hey sorry I’m just getting to your comment. First off, congratulations 🎉 and it’s great you already work there so you should get the hang of nursing quickly.
I’m one year in and now agency-I have 40pts and I to in the first 9 months was miserable!! After going agency and getting out of my crappy facility I’m so much happier-but I’m always looking for new tips and tricks!❤❤
Great tips. I’d like to add to know your patients status if they are DNR or full code and keep that handy on report or in your notes. Also keep an eye on allergies there have been times I got an order and failed to see that said patient was allergic to said antibiotic, hung up the phone only having to call back wasting precious time. Other than that also know that these facilities are so extremely hard to work at but you gain so much experience and it’s worth getting that experience.
Great job 👏
Another tip, for patients that have alot of meds, pre pour them. You're not supposed to but on days that we are short and I have to help with care, pre pouring my 8pms does help.
Please dont do this stupid shit. You wont have a license
@@loujon191 I thought if you labeled the cup, it's okay?
Yes, yes and yes
OMG I was so glad I found your video right on time for me. I just completed my LPN program here in Michigan 10/20/21. I’m look for a grad nurse position here but this video is good because during my program we couldn’t do clinicals do to Covid-19. This was very helpful to me thank you again.
Glad it was helpful! And to be honest you don't really get a feel for working as a nurse until you get your first position and grow from there. It's definitely not like clinical so don't think you missed out on much. It is helpful but not the same. Congrats on completing your program! That's awesome!
Good luck. I too, am recent grad nurse looking for grad position.
I agree be nice to your CNAs, been there before my LVN, and in my experience i've been treated absolutely Awful by the very LVN I had to help. Trust me, LVNs like that got stuck with NO CNA.
Hey Justine! I’m a new grad LPN since May. I’m starting my new role as a LTC nurse Monday! Will be training for 10 days. Excited and nervous. I’ve worked in assisted living since I passed my NCLEX in May. I’m just hoping that I did not forget everything I’ve learned from school including some clinical skills. At the assisted living all nurses are able to do there is med pass and no treatments. Wish me luck! And I will take all your tips with me!!
Did you get the 10 days promised? Because a lot of time you get only a few days because they are short staffed!
@@katrinastevenson352 yes I did! So fast forward 2 weeks after that, they tried putting me on the unit 2nd shift with 38 patients to only one nurse: me. I went right to the DNS and told her hell no. She immediately put another nurse on with me. Isn’t that crazy?! Even she said that’s too much for one nurse let alone a new grad nurse.
@@lanalloyd8376 I'm glad you spoke up because if not they would have continued to give you that much responsibility especially if you handled it and not said anything. That many patients is too much for even a seasoned nurse!
In school you learn ideal,. When you start working reality sets in
I'm a new Grad LVN and am torn about accepting an offer at a Subacute and Rehab or just waiting for a position at a Urgent care clinic. I remember going through Clinical's thinking, "I don't ever want to work at a SNF", due to the high stress environment from learning the computer systems, policy and procedures at the facility, learning patients and their needs, supervising, ensure meds are given within the time frame, etc!. But I feel like there is so much I can learn From a SNF/Subacute. I seriously Admire those Nurses at SNF, LTC, Subacute!
SNF/LTC is not my favorite but I did learn so much and who knows how long you may wait to find a position in an urgent care. Personally, I would rather work in a SNF vs. urgent care especially during a pandemic but I am a mama of 3 and feel that you are more at risk for illness at urgent care. Everyone is different and you will learn so much in both settings. Good luck to you on whatever you choose and congratulations 🎉🍾
Thanks a lot for your reply Justine! I guess we have to start somewhere right? I applied to a lot of clinics but they want experience so looks like I’ll be accepting the offer. Thanks for you video on tips Justine I’m sure it’ll help me a lot!
If you don’t mind me asking, did you take the SNF offer? And how do you like it?
I’ve been a CNA for 6 years, what pushed me to finally over step my fear and go into LVN? My daughter that is now 9 months old. Working during this pandemic has been so heavy. I truly appreciate your videos cause it’s tough being a mother and a full time worker. I’ve been having a hard time balancing life as a full time mother + worker, but your videos has seriously helped my confidence and emotional health. Thanks for the motivation & information 🙏🏼💖
Are you in California? You chellenge the boards in Cali. if you have 5 years bedside experience
@@bossanovalvr9069 I heard but I feel like I won’t be able to pass.. it sounds scary
Perfect timing. Just graduated. Seeking employment opportunities.TY so much.
Congrats! That's so exciting! Have you taken the NCLEX yet?
@@heyjustine8199 Ty for response. I am overseas. We don't have Test.
I start my first job as a LVN in a facility and i am 😬 nervous but also excited
Congratulations! that's awesome. It's definitely an adjustment/learning curve at first. You feel very overwhelmed once you are on your own but it's normal and you will get the hang of it!
Thx for this
I’m a new nurse working in LTC and I’ve been so overwhelmed by my normal duties and then our skilled nurse quit and now I’m having to do med pass, skilled assessments, weekly assessments, dr appointments, dialysis, admissions, discharges, etc.. all in the same shift and I’m so overwhelmed and stressed
That's too much, have things improved? How do you manage all that?
just started working at a facility and all this is our responsibility on the daily. sometimes we have a treatment nurse but not always
Sounds like long term care/rehab. Smh... Work you hard!
Yes all of you do a lot
I started at a rehab center yesterday. And on my first day they took me around asking someone to train me and everyone said no to us. Like literally said no to my face. I noticed that just like you said, they may just throw you on by yourself, which now I have to think if it’s the right place for me, because giving out meds without help I feel would risk the patients. Idk def scary though. Thanks for the tips!
Ughhhh...that’s such a bad first impression. I’m sorry and yes it’s really hard to learn in your own when you are new to the field. If they don’t want to help you learn right off the bay you know if you need help they won’t be there either. I would be very uncomfortable working with people like that! I hope you find a coworker who will train you well and be there for you if you have questions or concerns because you can lose that license!
Thats hard.My trainer is so nice willing to train me for weeks.I advise you to look for another place.This is an idication of bad work enviroment.
Hello im new subscriber i'll be assign to snf as my first job. Thank you for this video
Good to know💕 Will be transitioning to night shift SNF
I start classes at west coast ultrasound institute here in California I’m excited!!! Love this video
So cool! Thanks for watching
I go to that school! Ontario or LA? How do you like it so far
I start in the spring in LA . Everything is online right now we are waiting on books and orientation for other stuff so far the staff has been really amazing I’m super excited for this journey
@@sheriehammonds387 that’s great! I’m in term 5 and for the first 2 month he had clinical shut due to covid we don’t do anything anymore except on sundays but even then we can’t go tot the skills lab. You’ll do great!
*but
Hi, I’m a CNA and I just quit my job because I’m planning to proceed LVN and CNa is not an easy job. It’s exhausting and appreciate that you appreciate CNA’s and you don’t mind helping them coz not all Nurses are like you.
Thank you for these tips, I am a new Lpn and will be starting my career in LTC.
Best of luck! It's a great stepping stone and a great career!
I work at LTC facility and God Bless, seriously! You have to be a very special person to deal with that
I feel you sis
Ty❤
Love your video. So what would you say is the hardest thing about working in LTC as a LPN? I’ve been a LPN for one year and have only done assisted living. I passed meds for 50 patients but didn’t have to worry about any other skills like wound care, vents, etc. I’d like to work in LTC for some experience because I eventually want to go back to school for my BSN.
Hey thanks for watching! OMG, 50 residents!? That's insane! There are a lot of hard parts with working in LTC, but I'd have to say the amount of work I was required to get done in such a short time. I am going to make a whole video on this because I can name a lot of struggles! Don't give up on that BSN!
Oww thats unsafe for you.No matter you work hard dont do 50 patients.The nursing home doesnt care for you if something happen .Your license is a priority.You can work as prn in skilled facility/rehab.So ,you will have wound care experiance.The wound care is not hard like we did in nursing school demonstration.
Look at the 24 hr report before you take report. Lay out your insulins and iv fluids.
I had 40 residents on the night shift that 6am med pass was tough.
I hear ya tho, The CNAs are the Heart and Soul of the Nursing Homes. They should be paid the most cause they do the most.
I think it’s awesome you’re giving advice for nurses. Awesome, truly.
You talk too much and are wasting time. Get to the advice please. 90% of what you’re saying is unnecessary. Stick with the med pass, please. I am not being unkind. I think you’re doing a good thing.😀
Ty
@heyjustine I’m starting a charge shift nurse position at assisted living as a new grad. Any tips on differences in shifts ? I haven’t decided whether to do 6am shift or 2pm…..Btw thanks for your videos they are helpful! 😭
Hey Cindy! I did 6am because I’m a morning person and enjoyed getting out by 3:30 to enjoy my day and my kids would be out of school at 2:45 so I didn’t miss much. If you don’t have kids the 2pm shift may be more appealing because you can sleep in and get things done early in the day. You also will get a differential in pay.
Hi! I’m a somewhat new nurse .. been working for 3 months in a ltc facility and when I was floated .. I felt horrible and sooooo behind
I’m even questioning if this is for me. I’m always so stressed due to the fact that I’m so behind always ...
I understand completely, the feeling of not getting things done really gets to you. Have things gotten better?
Hey justine, can i have your opinion- do you think its a good idea apply for an LVN program during this pandemic? I want to get actual hands on experience instead of online everything and not being able to do clinicals at a hospital or other healthcare setting- thank you!
I am doing it and its not as bad as you think it is
@@chickwholuvsmusic thanks for the reply! Do you mind telling me how your program is working out?
I think you should go for it! Honestly it may be easier which helps with stress. You won’t get the experience in nursing school; it all comes when you start your first job. I’d rather NOT be in the facilities right now but if you end up going for clinical just be safe! Good luck!
At the facility I was at the LVN said he had 2 days of training for longterm :0
Yeah, sounds about right! They are so under staffed and over worked. Most will throw you out to the wolves so to speak 😐
Ugh, I only had 1 full day of training. Today I was supposed to orient, but they threw me on the floors. Horrible
These are questions you ask during interviews. How many days of training do you offer, and can I request more days if necessary.
I'm so scared to start
When one is running 16.5 hours non stop, that is a symptom of having poor boundaries.
Omg this was so overwhelming 😢
Lvn’s work hard and don’t get paid fairly and the appreciation they deserve.
Wouldn’t make it without our techs/CNA
Can you work in a private doctor office?
Yes. I was an LVN for 9 years in a clinic with other RN and MDs. Ended getting stuck doing same work as RN with much lower pay then them.
How to be fast at med pass?
1) Don’t do your med pass😂
2) memorize patient’s meds and just start popping 😂💀
I’m kidding, please do them
And def be nice to your cna! I always thank them for everything!
I’m an RN FYI, and think the med passes in LTC of rehab facilities are HORRIFIC and unsafe. Sucks!
I advise LTC for experiance only.The nurses in LTC overworked and underpaid.A lot of paper work than direct patient care.
I’m working on my CNA right now. I plan to get my CMA right after. I think I will get my RN at some point. I’m already 38 years old. I feel like I’m going to be pretty old (by job standards).
A lot of places prefer nurses out age because we are known to be more loyal (stagnant) when it comes to working at a facility. So you should have no problem getting a job. I don't promote loyalty to any facility though
38 is young! There were many older LVN students in my program and they did the best in terms of grades and punctuation! The older we get we realize we don’t have time to waste!
@@heyjustine8199 I’m early to everything. Case in point: I drove up the day before a training so I would know for facts I would get there on time. Dedicated or stupid.
How long was your orientation?
It’s was only 2 weeks I think.
@@heyjustine8199 two weeks is a lot. I am a new nurse and will start to work in a LTC. They say they only give 3 days training.
What can you learn in 3 days?
@@deborahlouis9517 OMG, I am so sorry...that is definitely not enough! Good luck!
3 days?? I had a week...my advice is do as much as you can do on your shift. Try not to leave dressing changes, or pharmacy refills that need to ve faxed, and don't wait to chart. Whatever you don't get to remember there are 2 other shifts as my DON would tell me. You just can't do it all.
I had 3 days also
You're beautiful 😍
3:45
All the blab stops at 3:45
i like your teeth
No disrespect ,but I highly doubt the Nurses need advice for being "nice" to the CNA's ,its more like they should be nice to the Nurses. Its always a few with very NASTY attitudes ,no matter how nice,kind ,courteous and respectful you may appear. It can be stressful and sickening at the same time .
Nurses need lessons on not being lazy and basic etiquette.
I agree, it goes both ways but from my personal experience I’ve watched my nursing coworkers be straight up lazy and make their CNAs do extra work that the nurse could have or should have at least helped with. CNAs do a lot and us nurses would NOT want their job! But you give to get respect and yes some are just rude no matter what but that’s all positions.
I’ve watched nurses refuse to help change patients just because they didn’t want to. There’s a lot of laziness in the nursing home and it’s sad because the patients are the ones who suffer.
Go ahead, be rude to your cnas. I guarantee it will make your job harder. They are the ones who know your patients best.
Get to the point already!