Quote from Futurenurse.
I got accepted at a hospital, this is my first job at a hospital! I'm seriously nervous because I've been working at a LTC facility as a CNA for only 3 months and that is my current first job experience as a CNA and first job in general. I just want to know what is Med/Surg Ortho like in night shift? Do you like working at the hospital more than a nursing home? Is it more stressful? Pros or cons? I'm really scared of the whole atmosphere and I'm already used to the job I have now and the whole environment. Any advices or tips as a PCT?
Why are you switching jobs after only three months? Are you looking for a better commute? More pay? Experience to decide whether nursing would be a good career for you? If you're feeling some ambivalence about the new job, perhaps you'd be better served by getting a full year of experience in your current job, and then making the transition.
In the nursing home, you develop long term relationships with your patients over time. You may get to know them well, and CNAs are the eyes and ears of nurses in the nursing home. You may spot changes in your residents before the nurses do. Residents are more stable in general. There won't be as many rapid changes in condition or ups and downs.
Folks on an Ortho floor in the hospital are there because they've had some surgery. Knee and hip replacements, back surgery, broken bones set. You'll get young, healthy patients with sports injuries and older and more frail patients with multiple co-morbities. (Probably some of the same patients you'd see in a nursing home, but before they're stable enough to go to the nursing home.)
You will find that what is stressful for some isn't for others. Many, many people want to work with children, but I find that extremely stressful. I love working in the ICU and see nothing stressful about a well-led code. Others find codes stressful and don't want to deal with them. Some people like sticking with the same patients over months or years . . . I like mine to get better and be transferred out after a few days. It's all in what YOU prefer.