Hi everyone. I am a new grad RN who graduated last December 2012. I have an ADN and wants to pursue a BSN next year. I passed my boards just this April and was able to find a job in a SNF and Rehab. And now I'm in my 3rd month in that facility. I was hired as a per diem nurse and I am feeling burnt out already. I didn't really quite understand what I got myself into.
As a per diem nurse in that facility, we don't get any benefits and no fixed hours. We just got scheduled into days where we signed up for that we are available. However, I find that I am already working like a full time employee. In a two-week pay period, I work about 80+ hours and the last one, I worked 90+ hours including OT. I also feel that they have a problem with staffing, which annoys me. Coz it feels like they are not hiring enough people to work, and they overwork the ones that are already there. In fact, one time, they wanted me to work double shift.
I was working AM shift one day when the supervisor approached me and asked me if I can also work the PM shift. That's 16 hours straight of work! Oh wait, that wasn't one time. It already happened twice. Then at one time, they scheduled me in PM shift and wanted me to work AM shift the next day, which is really hard for me because it takes me about an hour or two after the shift to finish charting on my patients. When I work PM, I usually get out at around 1 am. Then I wake up at 5:30 to get myself ready whenever I work AM shifts. So if they made me work PM and AM shift, it meant only about 3+ hours of sleep for me. I said NO in both situations.
And it is an emotional battle for me to work there. Sometimes I feel like this is not what I went into nursing school for. Like I said, have been working there for 3 months already and I still can't finish med pass in the "1 hr before and 1 hr after" time frame. I have 28 patients which always asks for PRN pain meds and I finish my 9 am med pass usually around 11 am. Then I would do my BS checks then my afternoon med pass. Btw, I even calculated how much time each resident would get if I do my medpass in 2 hours, and it comes out to 4.28 mins per resident including checking BP and HR for meds with parameters, punching out the meds from the bubble pack, and actually giving it to the resident. To me, this is not the care I want to give my patients. Coz right now, I feel that the only thing I do at work is give meds.
It is really really stressful for me. I actually lost 10 lbs (and counting) since I worked there. I don't know how others do it in 2-2.5 hours. I always stock my med cart right before I start med pass but it's just so hard.
Sorry, but I just had to really vent out my emotions. And I hope that there's any advice you can give to a struggling new nurse like me, coz I don't think I can stick with this situation anymore.