New Grad LVN for Subacute

[Helpinghand, LVN]

Hello to all my fellow nurses, I recently graduated from my LVN program and got my license as well as my IV certification. However, I am a "Covid Nurse", meaning my clinical rotation and time in skills lab were not as I would have wished. (I never even got to given an IM injections can you believe that?) Anyways, I applied and have gotten the, "When can you start?" from the DON at a Subacute and Rehab facility. The problem I have is, when I asked her the amount nurse to pt ratio, she told me 18 pt in the Subacute and 28 for the LTC side. I know nursing will have some stress and I definitely don't mind but for a new grad nurse it seems as though I would be overwhelmed with the amount patients I would be responsible for as well as the discharge and admission as well as assessment, med pass, monitoring for change of condition, wound dressing changes, etc.

No offense to anyone, in fact I admire Nurses at SNF, Subacute more then anyone but I told myself I would never work in a LTC knowing how much hard work and stress those nurses are in especially since most are short staffed. My thoughts were to work at a Urgent Care Clinical, gain knowledge and experience then after im done with RN school, work in an ER. The part the scares me is not the monitoring the patients or any of that, my main concern is the huge amount of stuff an LVN is responsible for in a short Time frame(ie passing meds on time or before a patient has an appointment to go to, etc). The reason I am considering the job is because I know that I would gain a lot of skills and see a plethora of different diagnosis and ways to treat it, and its also a "forsure" job that I can get and it doesn't hurt that it pays decent. For those who have experience in this can you please chime in with advice and your wisdom.

Another thing to consider is they also offered a part time position I would assume less stressful since less days of working?

[Hoosier_RN, MSN]

Try it, as many acute facilities no longer hire LPNs, it is very area dependent. If you don't like it, you can actively look for another job, but have some skills under your belt. Some corrections hire LPNs as well, and dialysis at larger units