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Nursing Home v. NHS

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Posted about 1 year ago

 

I have been qualified as an adult nurse for 2years now, and while I love the people I work with I can't stand the stress of the job any longer.  I have been offered a job in a nursing home with a good reputation but have been told by various workmates that it would be a huge mistake to go down the nursing home route. Reasons being, I would lose my skills, its for crap nurses, and basically dead end work for below par nurses etc.  Surely this can't be right,  despite the many 'standards' being introduced in the NHS basic care is lacking, surely homes are more closely monitored and less stressful?  Are nurses really judged so harshly for turning their backs on the NHS?

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Rate This | Posted about 1 year ago

 

Without meaning to upset you, personally, in any way, your workmates sound like a right sorry bunch, making very sweeping (and offensive) statements regarding nurses who work in nursing homes.  There are good and bad nurses across the board, always has been that way, and will remain so. 


Sometimes nursing home employment is just more convenient for a nurse who happens to live some distance away from a large hospital, particularly if he/she has family commitments.  Doesn't mean that they are not a good nurse.


I suppose because the majority of nursing homes cater for the elderly, this is seen by some nurses as very unsexy, compared to, say, a high-paced environment like an ITU or A&E.  This is very sad. 


Nursing is a very stressful job, and nursing homes vary.  Perhaps you should give this new job a try, maybe for six months or a year and see how you feel then.

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Rate This | Posted about 1 year ago

 

I've worked elderly NHS and in nursing homes.  There are some great nurses in nursing homes (and NHS for that matter).  Take no notice of the CQC reports, they're a waste of time.  I've worked in 2 star homes where I wouldn't put my dog, and 1 star homes where the nursing and care is very high quality.  Understand that the CQC care about paperwork and if it's all fine and dandy, a good mark ensues. 


Check out the staff to patient ratios.  Look for a minimum of 1 member of caring staff  - not cooks or laundry staff but carers - to 4, higher is better.  Less than 1 to 4 means you're likely to be run off your feet and patients will get no more than very basic care.  Most homes are poor, some are really dreadful, very very few are good.  And sadly, that's a fact.  Not through lack of skills or caring, but lack of staff and funding.  Your NHS "friends" may look down on nursing home staff - though who cares - but there's loads of jobs, you'll never be out of work and if one home is bad, then just go to another.

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Rate This | Posted about 1 year ago

 

each to their own,for more hands on and time with patients i think nursing homes are great,i agree too stressful in nhs and not everyone thinks nursing is less valid if your not doing venepunctures blah de blah allday.it takes all sorts and if thats your bag then power to you but i dont feel the need to have an ever expanding skill set when what im good at is caring and theres ample opportunity for that in a nursing home,ideally a well run one.if its right for you then never mind what other people think.pros and cons in both environments

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Rated: +1 | Posted about 1 year ago

 

It's also worth noting that most nursing homes are criminally understaffed.  It would be a mistake to leave the NHS, which in comparison I can assure you, is overstaffed, and think life is easier.  If anything nursing homes are harder becaue of the lack of staff.  3 members of staff for 15-20 doubly incontinent dementing patients is a regular day in nursing homes.  I never got any one to one time in nursing homes, too busy, whereas in the NHS I get plenty because I've got enough staff to manage.

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Rate This | Posted about 1 year ago

 

i disagree with last comment,although in a nursing home the ratio might be less,other than personnal hygiene and continence issues theres not many other demands in a nursing home.i always have lots of time in a home to sit with residents,in hospitals ive never had the time to really sit and talk to a patient to many other competing demands.

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Rate This | Posted about 1 year ago

 

I'm glad for you and the residents in your home. 


However, I'm talking EMI/dementia with 16-20 doubly incontinent residents being looked after by 1 nurse and 2 care assistants.  Personal hygiene, feeding and continence issues, together with paperwork, falls - a fall means a trip to hospital, meaning you're left with 1 HCA only on a day shift - residents fighting with each other and staff, ensuring patients are given regular pressure relief and fluids every couple of hours, CPA and MDT meetings, families to deal with, ward rounds, medication etc etc etc.  I have to admit this means I'm kind of confused at your "not many other demands" comment.  Unless you're talking retirement/care home where residents are not dementing and are generally self-caring.


I've worked NHS and nursing homes (EMI), and I can assure you NHS was much easier for the simple reason there were enough staff to cope. 


 


 

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Rate This | Posted 11 months ago

 

 I am a newly qualified staff nurse (from January this year) and started in a nursing home in Edinburgh last week. I was surprised at how stressful I found it. I was given barely any support and was expected to just get on with drug rounds entirely by myself from day one. In this nursing home there is one staff nurse and 5 carers on at any one time to look after 30 residents who have varying degrees of dementia, most with moderate to severe dementia. I found it very frustrating that there wasn't enough staff, any means of preceptorship, awful paperwork- such as care plans and general documentation, if you could even find it- it was hellish trying to find a lot of policies and documentation! And in particular I was frustrated by the general lack of supplies. I needed to change leg dressings on a resident who was 100 years old and had NOTHING that was adequate to absorb the fluid coming out of her odeomatus legs. I had to use wipes wrapped in bandages from a first aid kit. This woman deserved more. I couldn't give it to her and it made me feel ashamed. A resident's drugs ran out and because it was on Friday, the nurse who I was meant to be shadowing (who did no work at al, in fact she forgot to order pharmacy that day!) told me that he wouldn't get them until Monday at the earliest because of ordering. He was upset at this and rightly so. 


 


I know all nursing homes are not the same, but this has been my experience. Luckily I was just hired on their bank and I have been offered a job in the NHS, in what I know to be a very busy ward. However, it feels like anything will be better than this care home. I feel like a failure for doing so, in many ways, but I am not planning on going back. I will work on the NHS bank as a band 2 until I begin my new job in neurology. 


 


My advice is that if you are planning on working in a care home, ask lots of questions at the interview and take into account things like th epresence of medical staff on your ward and the lack of them in the nursing home. The GPs come around once a week on a Monday. Personally I felt very unsupported without them there and without other staff nurses. 

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Rate This | Posted 6 months ago

 

Can someone tell me the difference of assisted living and nursing homes? Planning my mom to enter in Simi Valley assited living facility and i am torn between nursing home and assisted living facility. Thanks!

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Rate This | Posted 6 months ago

 

you would be mad to leave NHS at the moment. Its so hard to even get a job with NHS in the current climate, most vacancies advertised to external candidates are for 6month contracts etc, if you are in, stay in that would be my advice!

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Rate This | Posted 6 months ago

 

I'm a student and I'm currently on my placement in a nursing home, its actually a good home and I've enjoyed the placement. It is very busy as there are 43 residents in this home with only one nurse on duty at a time, it is busy but there is a good team of nurses and carers there so its not overwhelming. The manager is very good and makes sure all prescriptions are ordered so a resident is never short of any medications or dressings. The district nurses visit regularly to dress residential patients wounds etc so they have their patients too look after too. I enjoy working with the elderly and in the care home, I have learnt a lot. But personally I wouldn't work in one when I'm qualified, I like the idea of community nursing and thats where I'd like to work eventually. I guess its swings and roundabouts really with care homes as I know a fellow student who feels completely the opposite and she is not happy with the practice in the nursing home where she has been placed.

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Rated: +1 | Posted 5 months ago

 

Anonymous says ...



I have been qualified as an adult nurse for 2years now, and while I love the people I work with I can't stand the stress of the job any longer.  I have been offered a job in a nursing home with a good reputation but have been told by various workmates that it would be a huge mistake to go down the nursing home route. Reasons being, I would lose my skills, its for crap nurses, and basically dead end work for below par nurses etc.  Surely this can't be right,  despite the many 'standards' being introduced in the NHS basic care is lacking, surely homes are more closely monitored and less stressful?  Are nurses really judged so harshly for turning their backs on the NHS?


 


Don't worry so much on what your peers are saying.  As long as you are happy at what you are doing and is more convenient in what you get, that's enough for change.  As for losing skills, you can always do training on your free time and better yet, develop more skills with regards to your new work.  Good luck!


 


 


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nc.com/concord-home-care">concord home care


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Rate This | Posted 5 months ago

 

Get your degree in nursing and then join an agency.


You will get 3 years off medical training and you can become a doctor