new grad RN in LTC- overwhelmed!

This sounds like a very bad situation... I wish I had some advice, but I would not feel comfortable...no way! I think the LVNs will try to take advantage of you (bc they've been there for so long I mean) Your license is on the line...

before quiting definitely find out what exactly they expect of you and see if you can get more orientation first! good luck!! and take care!

This is normal.

Most states have laws that require one RN to be present in the nursing home for at least 8 hours per day. It will be the LVNs who provide all the nursing care, paperwork completion, charting, etc. Your primary function is to be present in the building because the state legally requires an RN to be there.

My former workplace was a 200-bed facility. The RN supervisor basically fulfilled the state requirement by being a warm body in the building. He checked trays in the dining room during meal times, obtained information about census changes, handled staffing issues, was knowledgeable about policies and procedures, and offered assistance if an emergency situation popped up. The LVNs had their own patient loads. The RN supervisor does not have a patient load, although they are responsible for whatever occurs in the facility. My RN supervisor never performed patient care, and he would only do so when hell froze over.

Since you are an RN, you DO NOT need IV certification in order to perform IV therapy, since this was covered during your nursing program. IV therapy is automatically included within the scope of practice of all RNs.

I am an LVN, and I had to take an IV certification class since IV therapy is not automatically included in my scope of practice.

I doubt the LVN would try to take "advantage" of the situation. In most cases there is only one RN on a shift especially during nites. Remember not only is your license on the line so is all the other nurses. I know in my situation as a LPN who works at a LTC i only use the RN for resources or what is your opinion type questions. I assess my assigned residents, call the DR if there are any issues, Send residents out if thier status changes and any other needs. Teamwork is how it should be!!

***Praying through one more semester*****

sorry! That prolly came out wrong! It was rude and I apologize...

I have never worked in a SNF but when I have visited them in a capacity as a PHN or as a visitor for my mom during a rehab after a fall, there is usually only 1-2 RNs. The LVNs seem like they provide the direct patient care. The RNs I saw were either a DON or something like it. Be thankful to have a job and soak everything up like a sponge.
Like time I checked you do not need to have a special cert for basic IVs. You are certified-its called your licence. You should be able to insert an IV which was taught in nursing school. You will be ok. Relax and take one day at a time. I wouldnt quit though-jobs are scare.

Egads, I wouldn't do it. As DNP suggested, you worked awfully hard to get that license. To be an RN supervisor as a new grad sounds completely unreasonable.

Best of luck to you!!!!

I wouldnt work as supervisor as a new grad because if something goes wrong, supervisors are held responsible for it and it can effect their license. I think its good idea to work as a staff nurse for few years, then work as supervisor. You wil be used to all the politics and work of staff nurses so you can direct them in the right direction.

You wont be providing nursing care for the entire building ..You are just there if issues arise . I am sure if you need help with IV's or need some direction the LVN's will step in and help you out...