Considering quitting during orientation?

Nurses New Nurse

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Hey guys, I'm a new grad that just passed the NCLEX recently as well as moved to a far-away city from where my program was based at (family reasons). Unfortunately, that means the hospital job offers that I had at the time, I could not accept, and so in my new area, I've started applying for a lot of different jobs. I missed the few new grad residencies in this area (heard they close within hours) due to their due dates being when I was moving in the holidays and accepted an offer from a nearby SNF because there were no hospitals at this time that had any openings that didn't require at least one year of acute experience.

I'm given five days to be oriented to their facility with over 130+ beds, with each station roughly being populated with 50 patients. During the interview, they had mentioned the ratio was 20-25, but on the floor, it's 35. I just feel so unsafe being in charge of such a large amount of patients, passing insane number of meds, doing tx and learning all the necessary paperworks in five days. Doctors come and do rounds, ask a lot of questions about their pts, and I can barely keep my face straight as I attempt to remember who it is they are asking about while I'm pulling meds. I have mentioned feeling extremely overwhelmed to our DON but she just says not to worry, everyone feels this way, you'll get used to it. That's the mantra of every LVN, CNA or RN (there are only two on the floor, me and one other gal) I've met in the facility, except for a technician who admitted to me that a few previous new grads only lasted for a month or two.

The nurses and staff are nice, but I just can't keep the feeling of anxiety when my preceptor leaves at the end of five days (she's moving to another job), and I'm all on my lonesome. Sure the other nurse is always open for questions, but understandably she is just as busy with 35 pts as well. Then there is the "usual" way of doing things, and the "when the state/supervisor is around" way of doing things and it's just so unsafe in my opinion, but what could they do? 35 pts, 8 hrs, and a lot of things happening in between: discharges, change of pt conditions, admissions etc., I can't blame them, but it's wrecking my nerves :(

Asking for some honest advice if anyone went through something like this or similar, but should I just quit, or stick it out?? Thank you in advance :cry:

Specializes in ICU.

Yikes way too many patients. I don't know how they can expect nurses to give meds to such large amount of patients. Those meds have to be crushed and spooned feed to some residents.

Yeah. I'm going in my 3rd day of orientation and I feel like I should give a notice to my DON already :(

You could get the experience and move on or look for something else. Most jobs aren't what they seem or are suppose to be. Eventually you will have to stay somewhere or you will become unemployable. Nursing homes are like that. I started out in 1 and I usually had 20-25 patients but 30 if someone called out. I then went to work in a rehab hospital and now I work on ICU step-down unit.

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