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Career Story: Nurse Manager At A Long-Term Care Facility

Nurse Manager At A Long-Term Care Facility

Job Title: Registered Nurse Manager

Type of Company: My company owns several long term and rehab. facilities, home care agencies, and nursing agencies.

Education: AS, Registered Nursing, Quincy College (Quincy, MA)

Previous Experience: I started my career, while still in school, working as a nurse's aide, but since becoming an RN I have worked for a drug and alcohol withdrawal unit (3 years), an oncology unit at a hospital (8 1/2 years) and a nursing home (10 years, as a supervisor). I also worked as a hospice home care nurse for another 2 1/2 years before assuming my current position.

Job Tasks: I am currently responsible for running a 40-bed unit filled with surgical and rehabilitation patients who have come from other facilities for more care before they're allowed to go home. My floor has two units, staffed with nurses, certified nurses aides, physical therapists and a social worker. I oversee the everyday care of all the patients and keep track of the care that my staff provides.

A typical day for me starts with a meeting to review any falls and safety issues on my unit, a meeting which is followed, once a week, by a meeting to discuss the care and insurance coverage for every patient. I also discuss each patient's discharge plan with my staff, therapists and social worker to make sure the patients are at their maximum level and can function when they go home.

We provide physical therapy, take care of surgical wounds, do intravenous fluids and medications, and also take care of a lot of end-of-life patients and their families. I am responsible for formulating every patient's care plan when the patient is admitted, reviewing charts for completeness and providing weekly patient reports which describe their medications, the level of care they need, and any other services they require: therapy, oxygen, special blood thinners, dialysis or any other special services.

Best and Worst Parts of the Job: The best part of my job is encouraging my staff to work as a team and seeing them work so well together. The worst part of my job is the amount of paperwork I have to review and not being able to be out on the unit as much as I would like.

Job Tips: If you are considering a career in nursing, you should make sure at the start that your heart is truly in it. It can be a very good paying and rewarding job, but you have to be a very compassionate, caring and understanding person to do it well, and anything less is unfair to your patients and their families. If you are that type of person, however, no matter how bad of a day you may have, you will still rewarded at the end of the day.

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