I worked as a LPN for 2.5 years in ltc; it was a beautiful new facility and relatively cushy compared to most nursing homes (ratio 16-18 pt per nurse on day/evening, 1:32-34 on noc, with 4-5 medicare at the most, only one gt, rarely one IV) or so I am told, I have never been a nurse at any other snf.
Finished my RN bridge in December and despite the last 3 months of applying everywhere my only more acute job offer I have had is a small free standing rehab hospital on the acute unit. I have not yet starting, job offer is pending my background check and physical. But I was told there is a great deal of online simulations and then a minium of two weeks training on the floor, but that could be extended if I needed. There are 14 beds on the unit if I remember correctly, and they are hiring an extra nurse so that there will be 2 on day and night. I will be working noc 12hr shifts.
I am really nervous, it is a short stay facility with most patients in and out in 10-20 days. That means lots of admissions, and I am told they have pretty high acuity: trachs, complex drsg changes, g-tubes, IVs, etc. Any advice for making this successful transition in to a faster paced environment?? I would really appreciate it.