Feeling so lost! NEW GRAD RN THROWN INTO A SUPERVISORY POSITION

Specialties Geriatric

Published

Hi! I'm a new grad RN and I was desperate for a job. I worked a couple months in a hospital in the medsurg unit but had to quit due to family relocating issues. So I tried to apply at other places besides hospital setting since most, if not all hospitals, want somebody with experience. Being a new grad, I had to think outside the box. So anyway, I finally got offered a job in a SNF/LTC facility. However, due to the fact that I have an RN license, the position that the company put me in is for a shift supervisor. I got used to the hospital setting and had to learn the hard way of the difference between hospital setting and LTC. I dont mean to sound like I'm complaining... I just don't know if this is how orientation is typically done in a facility or if facilities usually run like this. I only had 5 days of "orientation" (felt more like a crash course of the facility & everybody's job). But I oriented with different floor nurses & wasn't really given a clear idea of what I do as a supervisor. I was taught to do med pass, treatments, assessments, make sure all orders and labs were in, complete or follow up on any A&I's, make sure the other units are all ok, etcetera. Is it just me or does this sound like this facility is trying to cut corners by giving one person the job of 3-4nurses? I would appreciate if you guys can share and impart some nurse wisdom/advices/tips on how to get through this. I would like to get an idea of what an RN Supervisor does during their shift. I know there's really no "typical" shift, but will anybody share what a supervisor does from the beginning to end of shift? TIA. I would really appreciate it!!!

Sorry to resurrect this post after over a year of inactivity.

I'm kind of in the same situation. I graduated in May '14, passed my boards that August...and just this month, after over a year, I finally landed my first RN position in a SNF/LTC facility. I was told that I would function as a charge nurse and they'd eventually bump me up to RN supervisor. That was fine with me bc at least I'd gain some basic experience first...

So as a recent grad, I asked how long I should expect my orientation to be. They initially said 1 day of introductory orientation, then 4 days of floor orientation--I think this short orientation is expected for the more experienced nurses... I asked if I could receive more orientation if necessary, since I am a new grad--they gave me another 5-10 days. I am currently in the middle of orientation and I still feel so lost with little guidance. They want me to train in all shifts (7-3,3-11,11-7). So far I've oriented with so many different people in 2 different stations (99 bed facility), that I just get confused getting so much different input. One evening (this was my 5th day of orientation) 2 different nurses called off and they asked me to fill in for one of the nurse's shifts. REALLY? Apparently "call-offs" are a frequent occurrence at this facility and the same nurses are always screwed over, pulling doubles. I don't want them to take advantage of me like that. Perhaps this is why they have me orienting all shifts.

Then I find that they are expecting me to fill the RN supervisor position since I will be replacing someone who is resigning in the 11p-7a shift. That caught me by surprise, and I felt like I was misinformed. I don't even know what is expected of me as a supervisor since I've only been training on the floor with the LVN's. When I was finally paired with a RN supervisor to train with for the week, she pushed me off to another LVN to pass meds. At night, I will be the only RN and will have 2 CNA's under me. So I will be in charge of assignments, assessments, admissions, discharges, med pass, charting, charting, charting, and so much more. I feel like I don't have the proper support and guidance/orientation to fill this role.

I spoke to the DON and admin yesterday about my concerns. I told them I feel like I'm not receiving the proper orientation and asked for more orientation than they already gave me, but they said it's not in their budget. Is it in their budget to keep hiring, training, and then rehiring? If they really valued me as a new RN hire, they would have at least been more accommodating. Turnover is high. Why don't they see that...

I honestly don't even know why they would hire a new grad to fill such big shoes. I guess they were desperate. That isn't a very good sign.

I am resigning today.

Specializes in Family Nurse Practitioner.

I think you made the right choice.

Specializes in Allergy/ENT, Occ Health, LTC/Skilled.

Oh SNF, they love to do this. Then you will go down in a ball of flames on something out of your hands and you will be there to blame. Runnnnnn.

I hate to sound so pessismistic but I have seen many SNFs. The only ones who put brand new nurses in a supervisory position are the ones who can no longer con experienced nurses into doing it.

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