New grad nurse been working long term care and just do not feel like I know anything

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    I was hired on by a small hospital as a full time float nurse. I started in long term care as I was hired on during the summer vacation season and that was the place of most need-but under the impression I would floated to the medsurg unit after a few months. Well..going on 6 months later I finally am scheduled to start my orientation on medsurg now after Christmas.

    I just don't feel like I know anything, and I don't know if these months at long term care have done anything but hamper my admittedly shakey confidence in my nursing abilities. I get along well with staff and residents/family have nothing but great things to say about me but I just honestly not sure if I feel safe as my knowledge just does not seem adequate.

    Going ahead I do have a few education days where i'm doing TNCC(trauma care nursing) course, and well have access to a full 6-8 week orientation on the medsurg unit so i'm hoping i'll gain some confidence going forward. Also reality of the situation that RN's role in LTC is going to be increasingly more minimized going forward-and a general belief that these last few months won't do much for my resume has kinda put a damper on my passion.

    Are these really so left field kind of thoughts for a new grad?
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    Why are you so downplaying yourself??? You've 6 months working experience. I'm sure you've have acquired some skills in pt assessment, some technique performance, documentation, interpersonal relationships with pts, families, peers, other professional team members, prioritorizing, etc etc etc. Am I right???

    I've worked a loooong time at many different things so I truely do know that LTC doesn't have the big bang flashiness that acute care does. It has a much more quiet and subtle approach to the same pt care needs using the same skill sets that ALL nurses require for whatever they do in whichever field they practice. But we all have those skills.

    Think about it - you will be going into MS with a beginner's experience. That is a head-start that many newbies don't have. And you have the luxury that it is the same facility. So you've got a couple strong advantages there. And all that school-learned anatomy & physiology/pathophysiology with S&S, labs, pharm, etc probably just needs dusting off.

    So...give yourself a break. Your LTC experiences have built a foundation for you as you continue further in your professional career. You just haven't used all your attributes in a while, but they're still in there.
    MissRN7 likes this.


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