Job switch -Private duty to TCU and concerns

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Specializes in Critical Care, Rehab.

Hello all:

I am in the process of switching jobs to a Transitional care Unit after a couple of years working in private duty nursing. I have had non-nursing, fast paced jobs within facilities in recent years, so am not too concerned about the pace. I am, however, concerned about this particular facility after just one "shadowing" of the RN. I am being offered three "shadow" days and then I'm on my own. Ratio is 1:16 with 2 NARs and 1 TMA. I think this is reasonable, but training is poor from where I am coming from. And lack of "protocols" and reasonable "systems" in place has me majorly concerned. It appears that, well, they are not defined very well. My gut is saying not to move on this job switch because of what I saw after just one shift. (I haven't had much in the way of job offers from other facilities with just RN-PDN experience)

Questions if anyone has some insight please:

1) Is this 3 shadow days the norm? 2) Is sloppy, late charting more common than I realize? 3) Am I unreasonable with expectations on protocols and follow up? 4) Is it common for the nurse to leave the unit for breaks (and I mean leave-go 3 floors down) leaving no other nurse whatsoever on that floor/ unit? She would need to be called back up from break should a nurse be needed. 5) What does training look like for a new job like this? I understand it is probably different everywhere, but even a baseline of some sort would help me decide. Thanks!

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