Please Reply. I Need Your Input

Wanting to change from Acute Care med/surg to LTC/Rehab, I recently took a job in a LTC/Rehab facility as an RN, 12 hr. night shifts.

Ratio on my wing is 25-30 pts. from alert and oriented to alzheimers/dementia. Fairly safe and independent residents to total care. I've found that Med-passes and treatments are all mine on this unit for the full 12 hrs. I'm there. Have been promised a Medication Aide but rarely have one.

Staffing on my wing (25-30 residents) consists of Myself, one and rarely two aides to assist people to bed from 6 p.m. until either 8 p.m. or 10 p.m. One aide after that until 6 a.m.

In addition, Trachs, G-tubes, IVs are my total responsibility facility wide....about 100 residents. Also, this facility is computerized and I've been promised, but, have had no training on that. Very frustrating and time-consuming not knowing what I'm doing with that computer.

I was given three days of orientation and requested and received two additional days. I asked for more, but, didn't receive it.

Is this usual staffing for LTC/ Rehab facilities? I'm feeling overwhelmed and that this situation is quite unsafe.

Please reply.