New Grad Charge Nurse for Rehab to Home Unit - page 2

by Keila

Hello everyone! I just got hired as a charge nurse for a 20 resident rehab to home unit in a nursing home. I am a brand new graduate, and besides clinicals and a nurse externship, I have never worked in healthcare before. I am... Read More


  1. 0
    Thanks so much, arabstar!
  2. 0
    OP, what ought to start the alarm bells for you right off is that you are now hired, and you have to come here and ask people who can only guess what your job title means.
  3. 0
    Quote from Keila
    Hello everyone!
    I just got hired as a charge nurse for a 20 resident rehab to home unit in a nursing home. I am a brand new graduate, and besides clinicals and a nurse externship, I have never worked in healthcare before. I am very excited and intimidated about my new position, and was just wondering -- can any of you tell me how the rehab to home units work? I have been in a nursing home before to visit a family member, but that's it. Before I got this job, I didn't even know that nursing homes did rehab to home.

    I believe I am in a good facility. I have six weeks of orientation, and when I went in last week to fill out new hire paperwork, I noticed a really good 'team' atmosphere, between all the nursing staff (CNAs to DON), but also between the different disciplines (therapy, social services, etc). I feel like I'm going to be well supported there, but I also want to hit the ground running, and be the safest practicing new grad that I can be.

    Any advice?

    So how have you been doing? I'm looking into a similar position. I'm a new grad as well.
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    I'm so sorry, Heart, I'm just now seeing this or I would've replied sooner.

    Arabstar was right -- I am the 'charge' nurse because I am the direct supervisor for my team of CNAs. From what I've seen of the charge nurse role in the hospital, the two are totally different and, like Arabstar, I would absolutely decline an offer to start out charging in a hospital setting.

    When I originally posted this thread, I did so because I was scared to death (and excited, too) that I had landed my first healthcare/RN position. That transition, from student to nurse, was my most difficult hurdle and lasted about 2 months. It really helped that I had an amazing preceptor who trained me for 7 weeks. The first few days I was by myself, she even called to make sure I was doing okay.

    It's me, an LPN, and four aides for 37 residents. I have the same 18 every day, and my LPN buddy has the same 19. I work 12s, she works 8s, and most of the time another LPN comes in for her hall on the 3-11 shift. There have been maybe 2 times that I've charged all 37 residents with a med tech. There are days when it seems like I don't have enough time to get everything done, but all in all, I love my job. We have great nurses on every shift, so if there's something one shift can't get done, the next one picks it up with no problem. Most of our aides are awesome, and let me tell you, they have really been patient with me. I jump in and help them whenever I can, but since I've never done transfers/toileting, they've had to teach me from the ground up. It's very different when you're transferring a mannequin in CNA school, lol. With a few exceptions, we all help each other, and that makes all the difference in the world.

    So to answer your question, I've been doing great, and I plan on staying with this facility for a long time


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