Advice for RN going from SNF/LTC to medical floor

[vegan_nurse]

Hi everyone!

I've been an RN for 4 years, and have been working at a long-term care facility for my entire nursing career. I worked on an Alzheimer's floor for the first 5 months, and for the past 3.5+ years I have been working on the short-term rehab/skilled nursing floor. My patient population is 50/50 skilled nursing patients and long-term care patients, and I typically care for anywhere between 12 and 18 patients. Last week I was offered a full-time position on a medical floor at a local hospital, and I accepted. I am so excited to take this next step in my nursing career! Med-surg nursing has been my dream position ever since I began nursing school. Before my RN, I worked for 5 years as an LNA on a med-surg floor at a local hospital (not the same one I just was hired at) and I also enjoyed my med-surg clinical rotation in nursing school.

I'm writing to ask for any tips or advice as I make this transition from SNF nursing to a more acute hospital setting. I feel I have strong assessment skills, critical thinking skills, etc. I know there is going to be a learning curve. I have about a week between positions, so I plan to review my med/surg nursing textbook and NCLEX books, just so I feel more "up" on things.

Thanks!

Jennifer

[dallet66]

It's been over a year and no one answered you, but I'm hoping by now you know the answer and can help me! I'm in a similar situation having done skilled nursing, dementia care and then recently urgent care. What review do you recommend?