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Nursing (Care Home)

5 replies

RadioGagga · 03/01/2019 09:31

Anyone a nurse in a care home?
Would like to find out more about this role. Do you find it rewarding?

OP posts:
Allnightlong2016 · 03/01/2019 10:18

I’m a nurse manager of a nursing home and I have to say I wouldn’t want to nurse any where else. In the nursing home you have more autonomy and need to use your clinical judgment as there are no immediate medics around. I know it doesn’t suit everyone and I liken it to marathon and sprint, sprint being nhs!
Some homes have EOL focus and some have high dependency units, it’s like everything some are better than others but you can make a big difference to people’s lives.
I’m probably a bit biased as I love what I do but I would say go for it but choose which home carefully. Hope this helps

RadioGagga · 03/01/2019 17:45

Thank you for the insight!

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ggirl · 03/01/2019 17:59

I visit nursing homes as part of my job (am also a nurse)and am always impressed with the nurses (not all but most)
They are very ,very busy and it's like running a ward with only GP as medical cover. Loads of paperwork much like the rest of nursing.
I think the continuity is what would make it a rewarding role and the fact you can really get to know the residents.
They're not appreciated by the rest of the nursing profession as they should be.
Some homes provide better professional development than others though , which makes a lot of difference.

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knittedmouse · 03/01/2019 18:55

I've been a nurse for 20 years in care homes and they vary. They're always very busy and you're often working short staffed. Professional development opportunities vary from employer to employer.

Elderly service users can be a challenge to care for due to dementia or not being very nice to the staff. I prefer a younger demographic now which also includes people with LD which I enjoy. Palliative care is also very rewarding too and doesn't have to be depressing, but some people would prefer not to work in a hospice.

Look at hospice or younger disabled services along with elderly care homes. Perhaps sign up for bank work in one or two before taking a permanent job as the bad ones can be a nightmare to work in and also put your PIN at risk. Some managers are incompetent, lazy or downright psychopathic, so do your research. A high staff turnover and frequent sickness are warning signs. Look for a manager who is engaged, intelligent and positive.

Pay is improving due to nurse shortages, but there's no enhanced hours for nights or weekends or even bank holidays. You often get pressurised to cover shifts at short notice, but mainly in the poorer performing homes.

These days, the care home clientele are far frailer with complex disability and care needs than they were even ten years ago. As a nurse you have to be very on the ball for signs of deterioration or difficulty and there's not always medical backup, particularly at weekends/nights/bank holidays. Some of the relatives can also have unrealistic expectations and some will try and cause problems for the home, so document everything, cover your back and report anything untoward.

I love my job and I have a great manager and colleagues. I love making a positive difference to the service user's lives and seeing them smile and do things they enjoy doing.

RadioGagga · 03/01/2019 19:23

Thank you very much for the input

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