Nurse1005, I am also a new graduate and have been placed in situations which I find very disconcerting. Please take the advice of the other nurses here and consider this a learning experience. #1, never pass meds without being fully hired employee of the institution #2, a reputable institution would never expect you to work for free, pass meds and be unsupervised. #3 if you feel within yourself that you are placing your patients or your license at risk, you probably are-run, don't walk from this situation. No job is worth someone's life or you license. As my clinical instructor always said, "baby, you've worked too hard for too long to get your license, don't let your lack of confidence lose it."
As new nurses, we are almost guaranteed to feel inadequate at times, doubt our judgement and lose sleep over what was done or not done during our shifts. When I accepted my very first nursing job two weeks ago, the DON who hired me, told me that she would personally train me so that "I would know how she wants things done, the right way." I jumped at the chance to be trained by the DON. The facility is a 120 skilled nursing facility which accepts PICC, Perm-a-cath and Central line patients as well as long term residents. I was hired as RN evening supervisor. A bit of background on me, I'm in my 40's and just passed NCLEX-RN in February of this year. I have over 7 years CNA experience in a variety of environments from pediatric clinic, to home health to county nursing home and hospital. Anyway, since beginning this job, I have had the sum total of two hours of "training" with my DON. She then pushed me off onto anyone she could think of. She put me with the current LPN supervisor who has only been there a month. He doesn't train me at all and the few times he has sat down with me to attempt to train me, he gets paged or we are interrupted continuously. Two nights since I began, I've been thrown on a med cart "with him." He was to pass the meds and show me how to as well. He gave me the blood sugars to complete, he passed two meds and then was gone........I went to find him-he threw the keys at me and said I would have to finish it myself. This was with absolutely no orientation to the cart, the med pass or the residents. My shift is 3-11, I didn't get to leave until 4am, the second time he threw me on the cart solo, it was 3:15am. Oh, and by the way, 90% of the residents don't have name bands for what ever reason. I asked about the lack of name bands and how I was supposed to adequately identify the residents. "There's a picture on the MAR!" was what he said. Out of 30 residents I was to pass meds to, three have MAR pictures. Last night was the last straw. I won't go into detail, but I will be telling the DON that I'm done putting my license in jeopardy. I resign. I'm not quitting-I'm resigning. I gave it all I had-100%. I'm resigning myself and my license from the practices of this institution.
All that said, find a reputable facility. In the city where I live, the best nursing home is affiliated with the major Magnet status hospital in town. There are 7 hospitals in my area, only one has Magnet status and the employees love to work there so much that the turn over rate is very low. Needless to say, I will be pursuing their nurse recruiter within the next few days. I've applied but haven't heard back from them. Time to step up the search.
Dear one, please know that you are not alone. Most new grads are experiencing a lot of the same feelings you are-it is going to be a learning process no matter what job you take, give yourself a chance and rely on the training you've had. Do not accept a patient assignment when you haven't been properly oriented. Don't be afraid to ask questions. Blessings to you on your search.