I graduated 7! years ago, only worked a few weeks, long story. Recently completed simple RN refresher course. New med surg job to start next week after months of looking. No one wants an old new grad. Had to pull some strings to get this job. Was told by blunt unit manager that the position was open b/c the other nurses ran previous nurse off. I am glad she was honest about it but wow. I will get 12 weeks of orientation. Told they want ratios to be 5:1, but often they are 8:1, not divided by acuity but by hallway, and that it is a crazy busy unit with tons of admits/discharges. I know I have a steep learning curve, in what may be a hostile environment. Am scouring all of the threads reading, reading, reading. Scouring books, magazines, anything I can find.
I was on a similar unit for 3 shifts during the refresher. I did not see one nurse looking up meds, despite the fact that some pts had a 6 page MAR. Could they ALL possibly know all these drugs well enough to not look up anything? I am reading tons of pharm sites/books trying to learn/relearn all these meds. It has been 7 years after all! I am willing to apply myself and do the work, just worried that the zillion meds combined with the multiple iv's meds combined with my lack of knowledge will lead to error. Told to expect everything, but they get a lot of renal pts, COPD, diabetics, a few peds. I am worried, I want to put in the work to be a great
but am scared I will end up looking like a
Anyone else out a long time then tackling med-surg?