I started my first job as a RN yesterday and was completely overwhelmed with my responsibilities. When I went for my interview and talked with the DON I was under the impression I would be managing and taking care of their 21 bed sub-acute unit with some help, like one maybe two LPNs. Well I did not realize until yesterday, that the unit was mine and only mine. I have 2 CNAs to get the pts. washed, in their chairs, and feed however; that's all they are allowed to do as per their contract and union. So I am left with 21 patients that need all their meds, dressing changes, suctioning, IVs, and documentation. To me that sounds crazy!!! I am fine with doing work and busting my butt, but 21 patients for one nurse seems unsafe. On top of that I was only going to be give 3 days orientation but I asked for more and got 5, which I feel still isn't enough.
I just want some feedback to see what other people think about my patient load and situation. I know being a new grad is hard and everything will come with time but like I said before, I think anyone would feel unsafe with 21 patients.
PS-So it doesnt sound too "extreme"...Not every pt needs dressing changes, has IVs, or needs suctioning. Its like each pt has one "extra" like one pt has an IV the next has a wound and needs dressing changes, the next is a trach and needs suctioning and around the unit we go like that.
