Graduate Nurse Hired as Charge Nurse??

[Laurus Nobilis]

Looking for some advice...I recently graduated, passed boards, and was quickly hired as a charge nurse in LTC. Nursing is a second career for me, and I have zero experience in the field of nursing (other than nursing school and clinicals). The thing is I thought I was hired as a staff nurse, not a charge nurse. I didn't know this until they handed me my name badge during orientation! During my interview, I was very upfront and explained that I lacked experience. So far, I've had four days of on-the-floor training. I asked for another two days this week because I am still feeling overwhelmed, however I am scheduled to start working at the end of this week. My question is: do I cut my losses and bow out gracefully before I begin working? I am sooo worried that I do not know enough at this point in my career. I would really benefit from working under someone for some time to feel more comfortable. I just feel like six days isn't enough for me. I don't want to hurt someone and I don't want my hard-earned license in jeopardy. What would you do if you were in my shoes?

[RN403, BSN, RN]

I would definitely talk to your employer about extending your on-the-floor training. If they are not willing and you truly do not feel that you could perform the duties of your job competently then I would personally not stay. Have you told them that you truly thought you applied for a staff nurse position? Maybe you could change positions if they have an opening?

Being a charge nurse comes with a lot of responsibility. As you said I wouldn't risk jeopardizing your license.

[LadyFree28, BSN, LPN, RN]

"Charge Nurse" is a title in LTC; you are not in an administrative position, however, you are in charge of the hall; you also are the lead in terms of your CNAs; they will be your eyes and ears for your residents.

In nursing school, both PN and BSN programs; I was taught that nurses are leaders; I am sure you have had coursework on leadership; hence why we are "Charge Nurses" in LTC.

Learn what you need to know, hone your skills; also get organized and develop a brain sheet. LTC is a hybrid profession that helps develop great time management skills, teaching opportunities, and you get to develop relationships with your residents.

Best wishes!

[HouTx, BSN, MSN, EdD]

You are very smart to be concerned about accepting this responsibility as a new grad. In fact, some states (including mine) have recognized & responded to the inherent danger in this sort of situation - with restrictions on new grad practice to prohibit any type of supervisory position for a specific period of time. Please refer to your own Nurse Practice Act to see if there are any stipulations.

As an RN, you have a legal, professional & ethical responsibility to never accept an assignment for which you are not competent.

[CT Pixie, BSN, RN]

In my facility and the ones around here..the charge nurse is the nurse 'in charge' of the hall/unit. Its the same thing as a 'staff nurse'. Our nurses who are really in charge are the nurse supervisiors. They oversee all the nurses, CNA's on the unit/floor or if its a PM or noc shift then they oversee all the nurses and CNA's in the building.

I was a charge nurse in a LTC facility as an LPN. But I was not 'in charge' of other nurses (LPNs cannot be supervisors of RNs), the nursing supervisor was. During our 11p-7a shift, the nursing supervisor (RN) often worked the floor and she/he was then also a charge nurse of the unit they were working on.

You need to find out what your position truely is. Are you the nursing supervisor or are you the 'charge nurse' on the floor you are working.

[thinwildmercury]

Yeah charge nurse basically is staff nurse in LTC. That's just what they call it. You are overseeing the CNAs and possible LVNs on the floor in addition to your duties. Six days is very short, but unfortunately very common in LTC. If you are uncomfortable, the I would for sure speak with your supervisor and request more time. If they can't comply, then leave. Not fair to you or the patients and you will burn out quick!

[Laurus Nobilis]

Thank you, all, for the advice. I survived my first day flying solo, and so did my residents! Honestly, it wasn't as bad as it could have been, but I still worry what will happen when I experience a bumpier day. Plan B is already in formation: apps filled out and waiting for a call to interview.