this will probably be long...so i apologize in advance!! it's just me venting, so if you don't want to hear it...stop now! lolanyways...i am a relatively new nurse (i graduated in may of '07) and immediately began working on a tele unit. i worked there as a tech first for a year and they offered me a job upon my graduation. i had 12 very short (i seemed that way!!) weeks of orientation and i was put on my own. i did fine. with a 4-1 ratio, the transition was smooth for me. i won't lie, in the beginning there were those days that overwhelmed me and i dealt with them. the bottom line, i went home happy! i felt like i was truly making a difference. only a short time later, we lost quite a bit of staff. to numerous sick leaves, some quit, some transferred....honestly i don't quite know what the story was. regardless, it left us short in the worst way. we are always taking 5 patients now, with constant movement and expected to ship a new patient in the room before the bed is cold. case mgmt is super aggressive with 'pushing' people out, even when i as a nurse, know in my heart they are not ready. i really love patient education...but with what time? i always had that happy balance of time but now with 5 (sometimes even 6) patients, i can't even remember who is who anymore. of course it's those days that someone needs blood, someone needs a drip initiated, someone needs to go to icu...etc etc etc....on days like this, i feel like i cannot make a difference and what the heck am i even doing here? safety for the patients doesn't even seem to be a concern. move 'em in and out.....and quickly. i am not one to not help aides, but i truly don't have time to! everyone on our floor seems to be burnt-out. morale seems so low. they keep having us attend these 'customer satisfaction' seminars and they are really nice and i completely understand their point....but when employees are too unhappy...will it really make a difference?i want to go, run away but i love where i work. it's a non-profit organization who accepts everyone, regardless of ability to pay. i know i make a difference here. these people, the ones most look down upon, are the ones that need our help the most! perhaps this is the root of the whole problem...but i do like the population we serve. most are truly grateful for the care we provide.not to mention everyone says 'it's like this everywhere." is this true? is this what nursing is?? endless charting (or you'll get sued), constant 'customer' satisfaction (whatever happened to just being a good nurse?? ), short staffing...the list goes on and on....is this how it is everywhere your first year?? sorry guys...i just had to vent i really love being a nurse though!