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First Rn job at rehab

Ctdwhite Ctdwhite (New) New

So I passed the nclex in March and got my first RN position at a rehab/nursing home in May. When I first started, I heard other nurses complaining about the place but tried not to let it get to me and tried staying positive about it, telling myself it was a good experience. Now, I get it. I've been there for a little over a month, got 2 weeks orientation, and then was put on my own even though I said I wasn't ready. Anyways, since last week, the census has been down from 28 to 20 so instead of two nurses, they only have one on the floor which happens to be me. I have made it clear that I'm not comfortable with it and I need more experience before taking care of that many patients. I'm not getting anywhere and this weekend I'm working again alone. No supervisor and two cnas to assist me. I guess I just want to vent because my nerves are getting the best of me. Also I'm wondering, is this normal? Am I just being ridiculous? I don't mind working hard but I also don't want to effect the patients quality of care. Because I'm new, I'm still not great with Gtubes, IV's, etc. Idk I'm tryin to stay positive being at my job but it's getting harder and harder.

TheCommuter, BSN, RN

Has 14 years experience. Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

I'm wondering, is this normal?
All of what you've mentioned is normal. I have specialty certification in rehab nursing (CRRN). I also spent four years working in LTC/SNF rehab and five years in acute rehab, so I consider it my specialty.

In nursing home rehab, 15 to 25 residents is the norm. A new hire orientation period of two weeks was actually very generous because it's usually three days long at the facilities in the area where I live. Staffing shortages are part of the package.

mmc51264, ADN, BSN, MSN, RN

Has 8 years experience. Specializes in orthopedic; Informatics, diabetes.

I started at a LTC rehab but my pts were mostly total joint rehab. I had between 15-17 on average, the unit held 20 and it was only full one time. I certainly learned time management!

I ended up on an ortho unit at a teaching hosp. I learned so much in the beginning.

TheCommuter, BSN, RN

Has 14 years experience. Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

Moved to the Rehab Nursing forum for more replies.


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