I want to quit first RN job after a few weeks. - page 5

Hello, I've been working at a sub-acute facility for about three weeks now and quite frankly, am having anxiety about the job. I have a high patient load of about eighteen to twenty patients. Many... Read More

  1. by   KeepChugging
    I've been working in a long term care home for about 8 months now. I took the job as a new grad and I was desperate for any sort of work, and this was probably my last choice if I could pick.
    Let me tell you something that I wish I had been told: its a job, it's going to suck, the learning curve is going to be brutal, and it may even be a bit depressing. However, hang in there, and soon you will get the ropes, and when you do, it will be like a daily part of your life.
    I made enough errors and had a few nurses who really didn't want to look out for me. I had my moments of anxiety and regret, but I kept going and refused to be a pushover, and eventually, I caught on and now I'm learning the new software tech being introduced faster than my peers, and I am teaching them.
    So don't worry about it, hang in there, make your money, learn, and keep applying until you get the job you want.
    Good luck.
  2. by   LA1220
    Hello,

    Just wanted to start by saying I can relate to your situation. The (almost) exact same thing happened to me at my first nursing job, which I began in November 2016. This was at a psychiatric facility and I had 26 patients. Orientation was fine, although they did tell us the turn over rate was higher than average. I didn't think much of it because it was my first job after nursing school and I kind of settled. So, like you, I had one week of orientation. In my opinion, that's not enough for a new graduate nurse. I was anxious all the time, I couldn't sleep, and the nurses there would get annoyed if I asked questions. To make a long story short I worked there for maybe a week and a half on my own before I quit, no two weeks or anything. I do regret being so unprofessional, but I couldn't handle going back. I was also offered a job at another facility, although the starting date was months away.
    My personal advice would be have another job lined up and then quit. Also, try to go about it with giving your two weeks, that way they can fill the position in a decent time frame. It's a difficult decision, especially as a new graduate nurse, but you'll make the right decision.
  3. by   Msmedic68w
    What you are experiencing is not abnormal, when I first started my nursing job I would stay 2-3 hours after documenting, it was because I was new and still learning. I too had a week long orientation and was a charge nurse straight out of school with around 20 patients. So it could be that, especially if you are the only one staying behind that long while everyone else is going home. But if you do not like the job then you do not have to stay. But as a responsible adult, you should give them SOME kind of notice, but it does not have to be 2 week necessarily, but you won't be able to use them as a reference. Whatever you do, do not be a no-call no show quitter, it's rude and inconsiderate to do that to your coworker is who waiting to get off their shift and it going to be sitting there wondering where her/his relief is.

    I've had that happen to me -_-
  4. by   nurseburst
    Hey newgrad... I wanted to say I totally understand where you are coming from. I work on the rehab Hall in a 120 bed ltc/rehab facility and began here with 5 days orientation (it was going to be 3 but I asked for 2 morr) as a new grad... no previous experience aside from clinicals.

    I've been there about 5 months now and if you just look at my posts you will see how I struggle! Lol... but I will say this... it isn't as bad as it was when I first began... you do get better at it. You aren't perfect. You are going to make mistakes and that's okay. I am learning to breathe, and when you are being pulled 20 different ways... remember you are the nurse... you decide where to go and what is most important ! You won't believe how many times I have told a patients family member that wants to discuss several things that I may not be able to until after my shift (past 11pm) or they may need to speak to the unit manager the next day... why? Because I get a ton of admissions and gauge that I just won't have the time. I've never had one get mad at me or at least say so... and I want to go over those things I love teaching but you have to prioritize!

    I am still developing my time management skills and prioritization... but it gets easier. The Commuter really nails it about getting organized to know what to do when... who gets what... I do a similar thing on my cheat sheet to tell myself who needs dressing changes, who needs evaluations...etc.

    You got to develop a system that works for you. Ask other nurses at your facility how they plan and manage their day... I still do this lol... and ask for examples. Everyone is different but you will get the hang of it...

    Doesn't mean there won't be a lot of really rough shifts... just hang on... prioritize and do the best you can! Keeping your patients safe is key.
  5. by   sanakruz
    I'm feeling bad for you.
    and all the CRUMMY advice...

    The facility needs more staff.
    Studies can back this up.
    Strive to communicate this. If you are not heard, resign with a letter stating that the facility is unsafe for patients and licensees.
    Move on with impunity. Your're an RN, ferchrissake!
  6. by   TheCommuter
    Quote from sanakruz
    The facility needs more staff.
    Virtually all LTC/rehab/subacute facilities need more staff.

    However, here is the question of the day: who in the hell is paying for more staff and the higher labor costs that result? Medicare and Medicaid reimbursement rates are already dwindling with each passing year. LTC/rehab facilities do not have a variety of payer sources like hospitals do.

    Also, LTC/rehab facilities cannot charge the way hospitals do. For instance, an acute care hospital can pay for nursing staff by doing things such as upcharging patients $5 for their daily aspirin or $298 for that 1 liter bag of dextrose or $40 for that bordered gauze dressing. However, the aspirin, dressings and dextrose are rolled into one paltry daily rate at the LTC facility.
  7. by   vynicolas
    @cat365 If you sign a contract so you can not quit. Why is that?
  8. by   KindaBack
    Quote from TheCommuter
    9-23-20XX
    DIABETICS, FINGER STICKS: Linda (BID), Nora (AC & HS), Billy (AC & HS), Paula (AC & HS), Rex (BID), Jackie (BID), Evelyn (AC & HS), Marcia (0600, 1200, 1800, 2400)

    NEBULIZERS: Marcia, Evelyn, Billy, Jackie, Paula

    DRESSING CHANGES: Paula, Billy, Johnny, Jackie, Lily, Rosie, Lucy

    IV THERAPY: Paula (Vancomycin), Linda (Flagyl), Rex (ProcAlamine)

    COUMADIN: Linda, Rosie, Johnny, Lucy

    INJECTIONS: Linda (lovenox), Lily (arixtra), Rex (heparin), Billy (70/30 insulin), Evelyn (lantus), Mary (vitamin B12 shot)

    ANTIBIOTICS: Paula (wound infection), Rosie (UTI), Rex (pneumonia)
    1200, 1300, 1400 meds: Marcia, Lily, Rosie, Johnny, Merle, Jackie
    1600, 1700, 1800 meds: Rosie, Johnny, Rex, Lucy, Lily, Shirley, Louisa

    REMINDERS: assessments due on Linda, Jillian, and Louisa; restock the cart; fill all holes in the MAR; follow up on Nora's recent fall, fax all labs to Dr. Taylor before I leave, order a CBC on Rex...
    OMG, that sounds f-ing horrible.

    No wonder that the OP wants to quit. That makes me a little queasy even as an experienced high-acuity ED and ICU nurse.
  9. by   RNrunner1
    Most new grad residency programs make you sign a contract that you will work for them for anywhere from 1-3 years after the program. If you break the contract and quit you have to pay back the money they supposedly invest in training you. I have seen the amount to be anywhere from $5,000 up to $15,000. If you get let go, as long as it wasn't for a patient safety or other serious violation they most likely won't end up making you repay it. It's a horrible system, but it just shows how hard it is to keep bedside nurses!
  10. by   Sacyyl
    Been there, have felt that. You almost always give a new job or position at least six months , to fully evaluate it...IMHO. Sometimes it is not you, but your Preceptor .....change Preceptors if that might be an issue.
  11. by   SobreRN
    Indeed, on the acuity 'o meter those SNF patients are what Med/Surg acuity used to be, Med/Surg are what Tele acuity used to be and on it goes but you have insane patient ratios. It does not sound as if you have been there long or had much orientation so you may feel more comfortable given more time. How do long-term staff cope? Use long term staff as a barometer; if they are able to do the work in timely manner that may bode well.
    I started out in acute care and found the whole thing such a God-awful stress marathon never-mind the 3 weeks; I wanted to flee within 3 minutes and, in fact, had a waitress apron in my car from previous work...driving home I longingly gazed at restaurants thinking *maybe today is the day I pop into a restaurant, throw myself into a sobbing heap on the floor and tell them "but I know how to do THIS job!"I kept that waitress apron in my car for years...
    I stuck it out and things did improve. That being said I would suggest giving 2 weeks notice should you decide to leave. Just quitting will came to haunt you and really, someone has to cover those patients so someone will be stuck until SNF finds a replacement...it's an 'at will' work states, not the same as eschewing common courtesy of giving notice.
    Last edit by SobreRN on Mar 25 : Reason: typo
  12. by   AmandaC83
    I had a very similar experience at my first nursing job right out of school. I only worked therw for four weeks. I filled out applications while I was employed there and waited till I was hired somewhere else until I quit. I never put that place on my resume, because I think it looks bad that I worked there for such a short amount of time. Go with tour gut...if tou are not comfprtanle there, don't stay! You need to protect your license. I found that working in a hospital makes me feel much better. I recieved more training in rhe hospital and always have people to go to if I need help or don't know how tp do something.

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