I just left my first job for this reason. I was given 3 days of orientation as a new LPN in a suppossed retirement facility that really housed 75 residents, and 50% of them were really LTC type of residents. So I was left alone with no other nurse after 3 days. The first night alone, a lady on plavix got a nose bleed and it took me an hour to get the bleeding stopped and her settled down, I thought for sure that she was going to need to be sent out for packing or cauterizing. The second night a resident fell and broke her arm and to make matters worse, the aide came to get me after she had tried to move this lady. I then took vitals, did an assessment and decided that it was likely that this lady should go out. (Keep in mind, I am new and have never sent anyone out to hospital). The next nurse coming on at nights who was an RN, came on about 10 minutes after the fall and I had her confirm with me that this lady should indeed be sent to the hospital. According to the other nurses, nights are usually quiet. I decided that these events were meant to happen early on so I would realize exactly what I was getting into. I decided that I am gone. I don't have the experience or the desire to care for that many residents. I guess I will keep my licence for now.