Discouraged after first day training on new job :(

Specialties Geriatric

Published

I've had an extremely hard time finding a job as a new grad LPN. I sent out applications and resumes to all of the nursing homes, hospitals, group homes, doctor's offices, homecare agencies and staffing companies in my area, despite that most of them said that a year of working experience was required.

I was so grateful to finally be called for an interview, especially because this long-term care facility was one I had had experience in during my clinical training and it was one that I had favored. During orientation, I was told that I would be given three training shifts, and then be put on the floor on our own. The DON said five days of training was ideal but cannot always be fit into the budget. Then I had my first day of training on the floor. I followed an LPN around all day and assisted with the med-pass. There were about 40 patients on the floor, with 1 LPN passing meds and 1 LPN charge nurse working at the desk.

I was pretty overwhelmed when I realized that my entire shift basically consisted of passing meds. They don't tell you that in school....... we learned care plans and nursing diagnoses and a whole lot of things that it doesn't seem like I'll be using much.

The nurse who was training me advised me to speak to the DON if I felt like I needed some more time training. However, when I went to speak to the DON, I found out that she had actually cut a day of my training and scheduled me on the floor on my own after just two days of orientation. I told her that I had come to talk to her about possibly getting an extra training shift after my three days of training, and that I really didn't feel like I was ready to go on my own. I mean I received training in school but I am still a brand new nurse!

She asked how I would feel if she moved me to a slower unit that day (which was originally supposed to be my third training day), with only 30 patients as opposed to 40, and with a charge nurse on during most of my shift if I needed help. I really didn't know what to say but I got really upset by the fact that they seem to want to just throw me out on the floor by myself when I'm still brand new, and didn't even receive the full amount of training I was promised. I agreed to meet with her again after my next training shift and see if I felt any more comfortable. She said she wanted me to feel comfortable, and that if after my next day of training I still didn't feel confident about going on my own, she would try to get someone to come in and train me, but it seemed like she wasn't sure if that would even be possible. I guess that they are really just under-staffed and she was very nice about everything, but I couldn't help but feel like I am being pressured to jump into something I don't think I'm ready for. I know that if I mess up, it's my ass on the line.

I just needed to vent a little and I'm hoping to hear from some of you with experience if or not this is common or if I should just take off running. The thing is I really like this nursing home and the staff and I've wanted to work here for quite some time now, but now I am just unsure about everything and I'm hoping theres some reasoning behind this :(

Specializes in Gerontology, Med surg, Home Health.

My new grads get at least a month of orientation. A few needed 6 weeks. After that, if they can't 'get it', I start to think they never will.

Im back to this thread a year later. Tommorow is my first day orienting after being out of clinicals for 5 months. I passed boards 2 months ago and am very worried I have forgotten what I learned in school. I have 1000 questions. I have no idea what its going to be like tommorow. I never got much chance to shadow a nurse doing nursing school. We were kept too busy doing care plans and CNA type work. Now, I have a CNA to do much of what I coverd myself in clinicals and I dont know the half of what a Nurse does. How do I know when to call the Doctor, what type of charting is expected of me. Are we really going to assess 30 patients on the floor the way we were taught to in Nursing school? A baseline assessment and then focused assessments on each patient? Tell me what to be ready for on the first day?

Specializes in Gerontology, Med surg, Home Health.

You won't have to assess 30 patients from head to toe every day. There simply isn't time. Skilled patients are charted on once a day after the first 72 hours. Most facilities split the charting between 1st and 2nd shifts. Always follow YOUR facility's policy. Call the doctor with any change in condition, abnormal lab, fall, allegation of abuse, and any time you just 'know' something is wrong. Some docs like calls...others like faxes. You'll soon figure out who likes what.Be ready to really listen to the nurse who is orienting you. Bring a notebook to write down questions as they come up so you don't forget to ask.Give yourself some time to learn the routines and the patients. Don't expect to learn everything on day one or even day 10.

I just got hired at a skilled nursing facility. It does seem overwhelming but not impossible. I was given three days of training; I am on my own tomorrow, but I do not work every day. I graduated in 2010.

Specializes in med-surg.

WOW......just came back to this thread and about a year and a half after posting it.....i can see what a long way i have come. i was right.....that first shift was awful. i only did about 4 or 5 patient's meds before i completely lost it and was crying at the med cart. one of the CNAs was nasty to me as well. luckily, my supervisor ended up coming down and helping me pass a lot of my meds. other nurses from different floors came down and took care of my charting, and did treatments for me. i cannot express how much this helped me when i was brand new and just wanted to walk out of the door and leave nursing forever. now, i'm that nurse who always goes down to check on the newbies and offer my help and advice whenever i can. just hang in there it will be okay. as a newbie always try to get there as early as you can, have the nurse from the shift before you give you whatever information she can to help you! print out a list of all the patients, highlight your diabetics, go through and have her tell you who takes pills crushed/whole/in pudding/in applesauce/with juice/thick liquids. these things seem silly but will really save you so much time and save you from having a patient who is now choking on a pill or has aspirated thin liquids and now needs suctioning. hang in there, it will get better! it took months to finally feel comfortable and there are floors that i still don't feel as comfortable on, and always worry about charting last. i would stay behind for months doing my charting, sometimes for an hour or so after- just to make sure everything was done and anyone who told me it would get better, i really didn't believe them but i have to say everyone was right.

I soo needed this thread. Last night was my 1st after 4 days of orientation. It was rough even though I had already made a cheat sheet of how each resident took their meds but I made it though it. I needed to hear that it will get better. I don't feel like nursing school clinicals prepared me at all for handling this client load but I will get into the groove soon.

I was googling about medpass and came across this thread. I am SO glad I am not the only one that feels this way about LTC! This is my very first nursing job after graduation. I am an LVN in an RN bridge program and I took this job to gain more experience. It took me 7 months to land this job. I am grateful to be working in this economy, but needless to say, I am completely traumatized right now!

I had 6 shifts of orientation which I really think was not enough. My first night I was stuck on NOC because they were short staffed and I was told that I was going to handle 59 patients (supposedly on the slow unit), but that another nurse would be floating between two units to help me. Well, just my luck, another nurse called in sick so that one floater nurse only helped me for 1 hour that night. I had 16 diabetics who all needed BS checks and insulin before breakfast, all medpasses before activities, and some that needed to be ready for dialysis appointments. Not to mention I also got stuck with doing med recycling and replacing 200 or so medications for all 3 shifts between 2 medcarts. Another nurse started the process, but I was pretty much responsible for 70% of it...and I had no clue what I was doing. Unfreakingbelievable. :nailbiting:

I didn't leave until 10:00 am the next day. I was supposed to be off at 7:30am! I was in tears. My next (and most recent shift) I was on the floor by myself again, but on AM (day) shift. I started the day off with my cheat sheets, etc. but somehow didn't finish passing morning meds hours later, which made me late for noon meds. I didn't leave until 5pm, and I was supposed to be off at 3:30! Again, I was in tears. Both days I didn't eat lunch, didn't pee, didn't take a 5 minute break. I was literally standing for 8 hours straight until my charting had to be done after I punched out. :scrying:

I am now scheduled to work the PM shift in 2 days and I am not sure if I even want to go back. I am thinking of ways to make my medpass go faster, but HOW? I don't want to give insulin too early in fear of someone going completely hypoglycemic on me...but if I don't start FSBG checks earlier my medpass will fall behind. I am so confused. Experienced nurses, any tips you can share to make med pass easier?

I was lucky enough to have another nurse help me with my labs during my AM shift, but I was reminded that next time I would have to do all the follow-ups on my own. I was grateful for the help, but how in the world can anyone fit all of this into 8 hours and go home at a decent time? Please help. Thank you.:)

Specializes in LTC.

Cape Cod Mermaid - I've worked in a few LTC facilities and the common thread with the training is that it's random. You follow this nurse, then you follow that nurse, then you figure out something that works for you...if you stay around long enough. Could you - or anyone else out there with a good training system - tell me how you structure your training program to give each new grad the best chance possible? Do you have a high retention rate? And what kind of orientation do you give "old" nurses? I'd like to help my facility develop a better training program and retain good nurses. It feels like the revolving door lately...

Not possible, just learn to priortize, I have being doing it for 3years now and still gets off late on very busy days, you will need good coworkers for it to work. Teamwork is the key. Hang in there.

Specializes in Medical Surgical/Telemetry.

How are things now? I'm starting at a skilled nursing facility in two weeks and graduated almost 3 years ago.

Very nice of you to come back years later to let us know how it went! New nursing starting 1 week orientation some and trying to prepare myself for what's to come.

Thanks everyone for responding..although years ago information is still relevant.

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