New Grad nurse @SNF...now on verge of quitting.

Nurses New Nurse

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Quitting while still in orientation: (After reading this, I hope I'm not alone regarding my experience and feelings with SNFs)

I've asked for advice. Friends have told me to hang for now, fellow RN friends/peers who have heard more of my experience in detail agree that its not worth the risk. Morally and ethically I'm against what I've witness and expect to witness in a SNFs

I am a new grad nurse and passed the boards in the early summer. I sent over a hundred applications for acute-care positions, but due to this difficult job market, I wasn't successful. So I went to my last resort which was applying to a SNF. The day after I applied,

I was called in for an interview and hired on the spot. A couple of my other friends were hired at different SNFs prior to me and told me how much they hated it and one even told me how he get nauseous before going to work because of the stress load, but I was really excited just to have a job and the salary $35/hr was much more than I was making. (The money is definitely not worth losing your license) Here are the problems I am experiencing

1) Two weeks into my orientation, It is safe to say I hate this job. The nurse to patient ration is from 1:15 to 1:25... average is over 20 patients per nurse. I don't know if its all nursing homes but it seems to be more emphasis on paper work than actually patient care. I am a very personable person and love talking and building a rapport with patients. However, with this patient load all nurses seem like all they can pass meds. The quality of care these patients are getting is pretty bad, the nurse I shadowed the other day asked why did I apply to a SNF, its not the place to be, and she worked in a hospital prior to moving to this state, and applying here was the worst decision she made, with 20 patients per nurse, an average of 10 medications (not including treatments) per patient and charting (tons of paper work) on each patient, she said she's lucky if she see's a patient for longer than 5mins in her 8 hour shift. One of the patients even made the comment "It seems like you are the dope dealer and I am the drug addict" And it sure feels that way, all we can do is say Hi and Bye.

2) Again, I'm not sure if all nursing homes are like this, but nurses take a TON of shortcuts and are pretty nasty individuals. I rarely see the nurses I shadow wash their hands, put on gloves, or verify the patient before administering medications. One of the other RN supervisors came and told my nurse "the state is coming soon to do surveys so we got to step it up, make sure we don gloves, wash hands every time, and ask the 2 patient identifier before giving meds" and my nurse said "what is the 2 patient identifier" .....i was in disbelief and I shook my head. Every nurse I shadowed has taken shortcuts and said that they have no choice and its so much for them to do, and they tell me "you didn't see me doing this or I didn't tell you this ok, ..but you'll see once you start working on your own".....I don't blame the nurses more than I blame the system itself, but at fault.

3) The DON pulled my supervisor to the side and was pretty stern about an incident. Long story short, the DON was upset that she didn't transcribe an order into the computer to be carried out, but the nurse reasoning was that she didn't receive an "ok" or Dr. signature approving her request. The DON said that the request for application of a certain ointment could of been carried out and transcribed without a signature. BUT! he said if the state comes..don't tell them I told you that, and tell them we always wait for a Dr.signature or "ok" in every situation. (My problem with that, it'll be just my luck that I apply that ointment without a Dr.sig (just approval from DON) and the patient have a major reaction to it)..ITS MY LICENSE AT RISK.

There is alot more things that I can go on & on about. BOTTOM line. This is definitely not safe, the patient load and responsiblities are insane and the stress level is high and mistakes are made daily. Its only a matter of time due to the high stress level. You just have to hope the mistake you make is not the BIG one. I didn't get into nursing to become a med passer, I don't enjoy this at all. I feel like me and the fellow nurses are only there to collect a check.

Lastly, my position is ON-CALL and I currently have less than a week of training before I'm out on my own. I'm definitely don't feel ready, and I have no interest nor passion for this. I pretty sure that my next day of orientation will be my last day. As crazy as it sounds, I would rather go to work making FAR less money doing something "i don't hate" than making more money, everyday risking my license. On the bright side of things. I have an interview for a RN position next week, and I have had 2 recent interviews that went really well and the managers told me the dates for the program (1 in Dec) and (1 in Jan) and they are just working on the exact dates. Nothing was officially signed, and I'm the "got to see to believe it" type of person.

I'm struggling with a similar issue. I graduated in December, applied everywhere but only a nursing home called me back. They offered me a PRN job, which I took, and a week later I interviewed at a hospital. Before even starting my first day of orientation at the nursing home, I was offered a full-time job at the hospital (which I accepted). Now I've done 8 shifts at the nursing home, I strongly dislike it, and want to resign. Similar issues from other people, short-cuts I'm not comfortable with, not enough time for the residents, being taken off orientation after 10 shifts but still not able to do everything unless I stay an extra 2 hours...Some people tell me to stick it out, I only have to work like one day a week PRN, but honestly I never had such awful anxiety at the hospital for my preceptorship. My hospital job starts in one week, and I honestly don't see any positives to keeping the nursing home PRN position, other than the fact I've only been there 3 weeks. However, since I have the hospital starting soon, I just don't see the point in staying somewhere that could put my license at risk and that gives me almost panic-attacks...I'm fully aware there will be issues ANYWHERE since I'm a new grad, I have a lot to learn and there will always be unpleasantness associated with nursing. That being said, this doesn't feel right for me.

to camo angel: keep the prn job until your 90 day at the hospital are well over, here is why i say that...like you, i was offered a job at a snf and hospital at the same time. i decided for the extra money 2 keep the snf job part time. i had an EASY preceptorship at the hospital as it was midnights. about 3 days before my 90 days i was told i was not a good fit and i was asked to resign, huh?

i was friends with the wife of a manager there in the hospital. after i quit i was having dinner with them and told them what happened. they said, oh it had nothing to do with you, they rarely keep new grads, the floors bring them on and let the "Education Department" pay their wages because they have the money allocated for that for 90 days etc. then they use the new nurses to meet nursing hour quotas during busy times of the year. right before they have to start taking money from the funds of the unit they are actually working on, they tell them they don't need them or it is a bad fit and the new nurse-fearing being fired will quit. i personally was even told what to write on my resignation letter! I was told to say I had "personal and family matters to attend to and was not able to maintain my employment at this time." I was so clueless that i did as i was told. i am glad i kept my SNF job as I have been there ever since. I have also worked part time at a Dr's office. I still like the SNF best and they appreciate me as I have been there so long! believe me, ya can't make this stuff up!

Overworked and underpaid. How is California nurses happy over this

Hi, I know this thread is 5 yrs old. I'm an RN new grad and having a hard time finding a hospital job like most of my classmates. I don't mind starting in a SNF/Rehab/ Post-Acute, but the nurse-patient ratio is just NOT SAFE AT ALL. I want to be a part of a change where someday the patient-ratio will be reduced to a level that nurses wont have to worry about risking their licenses.

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