"It's not just about being able to complete a med pass or work the floor and get out on time, to me the most critical skill a supervisor needs to have is assessment. You will be the person running codes, you will be the one called when someone is on the floor, you will be the one called when someone is having a CVA, MI or is in respiratory distress. The dialysis patient's fistula starts pouring out arterial blood...you will be the one there making the life or death decisions."
I agree that some recent grads don't have the critical thinking, assessment skills intact to be able to take on this type of responsibility. BUT I am a recent grad, (May 2010) and have also worked pre hospital for 13 years with an ALS service and did a one year externship in the ER while in school. I AM the person who responds to the acute, ST elevation MI, the unresponsive CVA with agonal respirations, the multivictim trauma patients you have to triage quickly and starting treating in the DARK, with 3 feet of snow at 2am, I AM the one who is starting an IV, watching the monitor as your PVC's are turning into bigeminies, keeping your airway patent and talking to the hospital via radio giving them my head to toe assessment while keeping myself upright in the back of an ambulance going lights and sirens to the hospital.
So, yes, some recent grads are not ready for this kind of responsibility right out of school. But being a "recent grad" doesn't always mean one isn't knowledgeable, experienced, and able to differentiate between normal mental status change in a pt with dementia or something serious as a subdural bleed.
I too just got offered a supervisor postition in a LTC facility. Do I want the responsibility? Don't know. Am I educated, experienced, able to think critically to run, respond, and stabilize a medical emergency or run a code? ABSOLUTLY!