Yours just might be the very first case I've ever heard of of working in a nursing home and losing time management skills. SNFs are notorious for having understaffing, which leads to nurses never having enough time to dedicate as much time as we'd really like for patient care. For every SNF I've ever worked or come across, time management and the ability to prioritize are the KEY skills that are needed to get through each day... So hearing you say specifically that your "
time management skills will be poor if I stay" is a real shocker. Anywho, I digress.
I completely agree with Ruby Vee in that you should worry more about being competent at this job than your next and that if this is your first job as a new grad and you aren't learning anything, then you aren't trying hard enough. Even your most experienced nurses learn something new every day. Slow paced environments are the best places to get your basics down pat. For example, practicing assessments would be a good place to start. Good assessment skills are sooooooo important in nursing no matter what niche you find yourself in in the future. And unlike putting in Foleys, putting in NG tubes, doing dressing changes, or whatever skills it is you think you're not getting enough practice for in your facility, you don't need a doctor's order to assess. All you need is a nice and willing patient... And I'm sure you have at least a few of those. For example, an important part of starting IVs is finding the right vein. In my opinion, that takes more skill than the actual insertion itself, especially if they're a "hard-stick." Start asking those nice and willing patients if you can assess their veins, especially those that are hard-sticks. Even though you're not actually doing the stick, you'll develop your assessment skills just by exposing yourself to different people's veins. You wouldn't want your first exposure to thin, hard, rolling veins to be in an ER with a rapidly deteriorating patient :P