New LVN grad, 3 days of orientation with no pay.

Nurses LPN/LVN

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[color=#ff0099]hello fellow experienced lvn's. i'm a new grad who got hired recently at a six patient acute/rehabilatation facility. the person who did the hiring told me that they do one day of orientation (with no pay) and than leave you to yourself. what i mean "by myself" is it's just me and a cna taking care of all six patients. there will be no one there supervising me giving me advice if i need it. she knew i was a new grad, green as ever but she saw something in me that made her hire me. my first day consisted of her walking me through the house, introducing me and showing me where they keep their disorganized supplies. i saw so many red flags already just from the walk through. we than split up our patients, she gave me the med cart keys and left me by myself. three patients does not seem that bad, however since everything was new to me i did take a while to pass my meds. i lagged like there was no tomorrow because i was reading the mar double checking it making sure i had the right drug and i even pointed out a mistake on the mar for her. once i was done with my day i had to write my nursing notes and they were just ridiculous. the reminded me of swiss cheese with so many holes in them and i kept think "malpractice if you don't document correctly" i couldn't believe how stupid i was that day. i went through nursing school with straight a's. i believed this profession was going to be simple. i was so wrong and so disappointed with my progress during orientation.

after my orientation she told me that if i wanted i can come a couple of more times on my free time to get more oriented so i agreed. the second day she gave me all six patients and no guidance whatsoever. i found myself going back and forth asking her questions. i felt ridiculous. i came home that day and just cried. in the back of my mind i was thinking, how am i supposed to take care of these patient all by myself with no help? what if a patient crashes and i freeze and don't know what to do? i was making mistakes here and there (nothing major, thank god) but no matter what the whole concept of my duties was just not clicking. i would go home and stay up at night running through my day trying to figure out how i can better manage my time and pin point my mistakes. finally by my third orientation/volunteer work because that's what it felt like she told me to come at night from 3-11 pm. this wasn't so bad as the morning shift and i had an lvn give me face to face orientation. i still doubted myself and felt that i wouldn't be able to do this on my own. i wanted to just run away from all of it. when i called her to tell her i wanted more orientation she said they were going to go with someone else.

my biggest fear was losing my license because of some major mistake that i might make. did i make the right choice? was i just being a whiny scaredy cat who was just freaking out? it's not like i had 30-40 patients all to myself so why couldn't i handle six?! i feel like such a loser and seriously think that i may have chosen the wrong profession.

Specializes in Hospice / Ambulatory Clinic.

I'm going to add something that seems to always go unsaid because it's not the ideal situation. I don't disagree with anything said here. You should have been paid and more thorough training would have been ideal. However also your high level of anxiety might have played a factor. If you were asking for more resources that they were prepared to give then the parting of ways is inevitable.

The sad unsaid reality is that for LVN's is we don't get the training and support we need as new grads. I think I know which geographical area you are from and for training the above maybe as good as it gets. This is not ideal and its not right but it is reality. The other reality is you need to work to live and they know it. A few friends of mine worked at facilities described above as new grads and the first few weeks were rough but they got through it.

If they were paying you for orientation they might have given you a better one.

If anyone ever wonders why LVN's don't seem to be as "sharp" or what ever adjective you choose compared to RN's it's not soley because of education it's because of the above. RN's often get residencies and extended orientation and preceptorship. LVN's are expect to be ready to go right out of the box.... Fair? No. What actually happens? Oh yeah.

I would report this place. So many labour laws were broken least of all patients were put at risk AND you were not paid. I would think that they have to pay you unless u signed some form stating you were working as a volunteer. This should not happen to anyone else.

Places that hire new grads usually hire them because they don't come with bad habits. But you need to have faith in your skills and starting at any new place your going to find out that most facilities don't train you like they should. You want to ask more questions in the interview phase and make sure that you can shadow a more experienced nurse.

Specializes in Acute Mental Health.

It is illegal to be working off the clock! If something were to have happened to you or a resident and you weren't legally there, I can't even imagine the legal mess both you and that facility would have been in. I imagine you worked hard to get your license as I did mine. I'm not about to risk it in that way and neither should you.

It's not a place to work period! They did you a huge favor and I think you already knew that it was a dangerous place because you questioned pracitces right off the bat so you do have the basic instincts.

Training stinks at most places, but this place was extra negligent.

They owe you pay from having you work off of the clock. They also will find themselves in a bit of trouble with the state. Please follow through with your complaint, have whatever paperwork or schedule they gave you in a safe place and look into the laws of your state. Gotta love the internet.

Specializes in Hospice / Ambulatory Clinic.

Yeah but they could probably cite that recent ruling that if employees work off the clock of their own free will that they are not liable.

What is the legal definition of "their own free will"? If it means what I think it does, then slavery has once again been made legal.

Specializes in Hospice / Ambulatory Clinic.
What is the legal definition of "their own free will"? If it means what I think it does, then slavery has once again been made legal.

Let me dig up the original article I'm referring to. Initially it was intended to not make the employers liable for employees not taking breaks but it was insinuated that it can be interrupted more liberally. Is it slavery if you agree to it? IDK but its still unfair.

The place I worked when I first graduated did not pay for orientation with another nurse because they couldn't bill for it. So unfair but they have been doing it for years.

http://articles.latimes.com/2012/apr/13/business/la-fi-california-workers-20120413

Specializes in Acute Care Psych, DNP Student.

I happen to know from working in a non-nursing field that in my state it is perfectly legal to be unpaid during an orientation as long as the employer communicated it, and the worker agreed to the terms. This is going to vary by state labor laws. I've never seen this happen in the healthcare field, though. It sounds like a suboptimal employer.

Specializes in Hospice / Ambulatory Clinic.

Although this ship has already sailed in terms of the employer no longer wanting to hire the OP I do wonder if we on AN counsel people out of jobs for the sake of an ideal and not taking into account the circumstances like availability of other jobs. I'm assuming the OP originally agreed to the unpaid orientation because he really needed the job.

Again I'm going to restate that I don't endorse any of this but you do need to eat eventually.

Specializes in Acute Mental Health.

I had no idea that unpaid orientation would be legal. What happens if you get hurt on the job? I'm just shocked that working without being paid is legal in some states.

Specializes in Hospice / Ambulatory Clinic.

I don't know. I would think you were in a bad position either way. I'm irritated because my employer docked my pay 15 mins because the prior nurse documented she left 15 minutes late because I was late which I was not. Grrrr.

I wouldn't pursue any of it any further.

I would move on and act like it never happened.

I would take it as a lesson learned, and an expensive one. I would not fight to be paid for an orientation that I foolishly agreed to.

Don't spend one more second thinking about that place or fighting for a paycheck.

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