I'm a new grad ADN, recently hired by kindred. They said I would be orienting for 4 to 6 weeks with an experienced RN. 2.5 weeks later, without warning, I was on my own. I did get weekends off and 40hrs per week. However, I'm working Xmas eve, Xmas, Thanksgiving...no one even asked me if I wanted a choice of possible off holidays. You are responsible for 15+ patients, this includes: vital signs, blood sugars (which the aids can't do), insulin coverage (i have 6 diabetic patients), med pass (at 1600 and 2000) no pre-pouring), treatments (dressing changes, ointment applications, change trach dressing, suction trachs, IV flushing and dressing changes, etc..),weekly skin checks, Warfarin orders, Lab booking, transportation booking, neb treatments, nurses notes (if you don't write them all, they will give you a list of "late entry" in a few days that you have to write), pharmacy delivery, occasional adverse events, notify MD, note and post their orders... With all this on your plate, you hope there's no emergency (which has happened, in which case a supervisor just happened to have returned to finish some paper work and was able to help), and you pray that there's no new admission on your shift...the 20 pages of paperwork are redundant and impossible to complete in time. On top of it all, they sent me home 2 hours before my shift was over because the building's (not my unit's) census was down. So i was either expected to do everything 2 hours early, or throw it on to the poor nurse who stayed. This dangerous practice also omits verbal report to the on-coming nurse. Bottom line, good experience: trachs, IVs, G-tubes, Foleys, Meds, Dressings. However, dangerously understaffed. Even if there is no time, do everything by the book for your license's sake. I feel worried and doubtful most of the time, and when I ask questions I feel people just get annoyed with me. I have been thrown to the wolves and trying my best to do right by my patients. But anywhere you go the work load will be heavy. If I could change anything here would be 1- not to send a nurse home 2 hours early...she'll just end up staying later the next day completing notes she couldn't get done, they loose even more money. 2- there has to be a smaller pt to rn ratio, its so unsafe, I feel no desire to stay for a long period of time-- which equals high turn over, and money spend to train new RNs---loose more money in the long run anyways. That's it. Sorry for ranting.