For some context, I worked as a sub-acute floor nurse for several years. It was one of my first jobs as a new grad. Admittedly, it is not for everyone. I am sorry you are feeling anxious about this nursing job.
Quote from newgradrn2016
Many of them are complex patients with GTubes, trachs, and blood sugars.
Patients who require trach care, finger stick blood sugar checks, and tube feedings are not necessarily complex. In fact, these tasks are essentials of basic nursing care.
Quote from newgradrn2016
I only had one week orientation and don't feel adequately trained to take on this much at a time.
The brief orientation time is normal. I never received more than four days of training in this setting, even as a new grad nurse. Extended care subacute nursing facilities generally do not have extensive budgets to provide for lengthy new hire orientations. You learn via baptism by fire.
In subacute LTC facilities, time management is fundamental. As mean as these words may come across, always remember that the subacute patients and their families not our buddies. Kindness is expected, but we have no need to chat with them for more than a few minutes. In summary, hurry up, pass the meds, change the dressings, and swiftly start on the next patient. Do not permit any single individual to waste your time
A 'to-do' list kept me organized. If you wish, keep reading to see one of my old to-do lists with names changed due to HIPAA. I worked 16-hour weekend double shifts (6am to 10pm) on a subacute unit years ago and that is how I stayed organized.
I usually had about 15 residents. At the start of the shift I looked over the MARs and TARs and wrote down all tasks that needed to be done in my notebook to formulate my to-do list. As a result, I would not forget to complete my tasks.
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...