New Grad RN concerned about new LTC job

Nurses New Nurse

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Hello all,

I was just offered a pt LTC RN position. I just graduated from nursing school.

My training will be 36 hours and then I will work weekends. Two-thirds of the time I am working there will be no supervisor present just myself and a young LPN. My patient load will be 25. I'm concerned.....to say the least. I really would like to work long term but it has to be safe.

I'm afraid the stress can't be good for me either. If I were going to med/surg the training would be 10 weeks and I wouldn't be in charge.

What do you all think??

Thanks :)

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Sounds like a typical LTC setting to me... It's tough work, but I wouldn't say unsafe...

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Specializes in Psych ICU, addictions.

Moving to First Year After Nursing Licensure to help you get more targeted responses.

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I started my first ever RN job in March. I felt the same way...but, now it is June and I feel much more comfortable. You will get used to the routine and it will work out! Stay true to your core and what you learned in the simplest things. After a while you will get into a routine and it will run as smooth as possible in Ltc. You can do it!

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I orient my new grads for a minimum of 4 weeks. Two weeks are spent on the day shift, getting to know the residents and how to do a med pass. Two weeks are spent on the shift where they will be assigned to learn the routine and get to know the staff. After the 4 weeks, we meet to discuss their comfort level and what they feel they need more training on. Also feedback on how they've progressed over the 4 weeks. I have found that I have retained more of my new grads by giving them a fighting chance at the beginning rather than watching them become discouraged because we haven't given them all the tools they need to do the job. It's worked out well for us!

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cienurse....I want to work for you :) Thanks for the input. This is what I decided. I will do my best and I think it will work out. If I'm very uncomfortable I will ask for more guidance and training....I will update later and let you all know how it is going. I'm actually excited about launching my practice. I will also pray A LOT !!!

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