I just graduated in May, and got my RN in June. The market here is saturated with new grads, so I took a job at a very nice LTC in my area. I've worked for exactly one week and I'm feeling really sad. I am basically working as a medication aide, not using ANY of my nursing skills, and feel like I was hired because they needed an RN on the unit to satisfy some sort of requirement. All my clinicals and preceptorship were hospital work, I am not used to not looking at vitals, labs, etc. They have PAPER MARs, which totally blows my mind. The residents are the only bright spot, they are delightful. But the autonomy that I expected from this profession is not there. I am pushing a huge med cart around a HUGE facility, medicating 25+ patients 3 times a day plus PRNs, and I'm really down about it. Please help, I really want to work in an acute care setting. Should I keep applying and leave (with notice) if I get an offer? Or should I stick it out for a year? Is this job going to be a stigma on my record? How do I keep my knowledge and skills current?