Before you request an extension of your orientation, ask yourself this question: What do I hope to accomplish with the additional time?
While some will disagree with me, be mindful that orientation is not an extension of nursing school clinical practicum where you get to learn all the skills you did not get the chance to learn in school. It is a time to learn the paperwork, workflow, and locations of supplies, etc. After carefully pondering this question, go ahead and ask for the extension.
I worked in subacute for several years...it was one of my first jobs as a new grad. In the neck of the woods where I work, the typical manager will roll his/her eyes if you dare to ask for more orientation in this setting. To be frank, subacute settings typically do not have extensive funds for training and onboarding, so they want new hires on the floor ASAP. I never received more than four days of training in this setting, even as a new grad nurse.
If your request is denied, do not worry. In subacute, time management is a must. As blunt as this sounds, always remember that the subacute patients and their family members are not your personal friends. While we should always be kind, there is no need to chat with the same patient or family for more than a few minutes. In sum, hurry up, pass the meds, change the dressings, and quickly move onto the next resident. Do not allow any single person to monopolize your time.
A 'to-do' list kept me organized. If you wish, keep reading to see one of my old to-do lists with names changed due to HIPAA. I worked 16-hour weekend double shifts (6am to 10pm) on a subacute unit years ago and that is how I stayed organized.
I usually had about 15 residents. At the start of the shift I would look through the MARs and TARs and wrote down all tasks that needed to be done in my notebook to formulate my to-do list. As a result, I wouldn't forget to do anything.
DIABETICS, FINGER STICKS: Linda (BID), Nora (AC & HS), Billy (AC & HS), Paula (AC & HS), Rex (BID), Jackie (BID), Evelyn (AC & HS), Marcia (0600, 1200, 1800, 2400)
NEBULIZERS: Marcia, Evelyn, Billy, Jackie, Paula
DRESSING CHANGES: Paula, Billy, Johnny, Jackie, Lily, Rosie, Lucy
IV THERAPY: Paula (Vancomycin), Linda (Flagyl), Rex (ProcAlamine)
COUMADIN: Linda, Rosie, Johnny, Lucy
INJECTIONS: Linda (lovenox), Lily (arixtra), Rex (heparin), Billy (70/30 insulin), Evelyn (lantus), Mary (vitamin B12 shot)
ANTIBIOTICS: Paula (wound infection), Rosie (UTI), Rex (pneumonia)
1200, 1300, 1400 meds: Marcia, Lily, Rosie, Johnny, Merle, Jackie
1600, 1700, 1800 meds: Rosie, Johnny, Rex, Lucy, Lily, Shirley, Louisa
REMINDERS: assessments due on Linda, Jillian, and Louisa; restock the cart; fill all holes in the MAR; follow up on Nora's recent fall, fax all labs to Dr. Taylor before I leave, order a CBC on Rex...