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New LPN/Agency work

So I'm looking for a little bit of information/guidance here. I recently got my LPN license (YAY!) and I have applied to a few positions, one of which is an agency. I picked up a shift through the agency and within minutes realized I was way out of my element.  The facility put me on a COVID unit and though I arrived an hour early to get adjusted to where things are and such it still wasn't enough. I am a very fast learner but with them being understaffed and my being so new to being a nurse I felt I really did a disservice to not only my patients but the facility as well. My question is: Am I just too new to Nursing to have taken on an agency position or was it just the facility that I worked at? Though I was a bit horrified to be thrown on a COVID unit without any kind of hand-off report I really loved the fast pace and the experience was still worth something.

NRSKarenRN, BSN, RN

Specializes in Vents, Telemetry, Home Care, Home infusion.

Any temp agency that will hire a new grad for temp facility staffing is one to run away from --- and inform all your friends to stay away.

New grads need a structured orientation + support of another nurse for at least 3 months to learn the ins and outs of nursing---all the things that were glossed over or not taught in school, developing confidence in hands on skills and communication with health team members--especially physicians.  You worked so hard to earn that license.

Please find a supportive environment to grow your nursing wings.

9 hours ago, NRSKarenRN said:

Any temp agency that will hire a new grad for temp facility staffing is one to run away from --- and inform all your friends to stay away.

New grads need a structured orientation + support of another nurse for at least 3 months to learn the ins and outs of nursing---all the things that were glossed over or not taught in school, developing confidence in hands on skills and communication with health team members--especially physicians.  You worked to hard to earn that license.

Please find a supportive environment to grow your nursing wings.

. . .  and new or not, it’s your license being put at risk.  Being a new nurse with a different group of people all the time is hard enough; adding Covid to that makes it that much more difficult.  Unscrupulous companies take advantage of new nurses by offering the most pay but inadequate training and supervision.  The onus is on you when care falls below the standards of nursing practice because you sign on-boarding paperwork affirming that you are competent, and you take an oath to practice safely.  Also, we are supposed to call Safe Harbor if we feel we are being pushed into an assignment that is not safe.  That’s how the companies gets away with it.

NRSKarenRN, BSN, RN

Specializes in Vents, Telemetry, Home Care, Home infusion.

3 hours ago, Queen Tiye said:

 Also, we are supposed to call Safe Harbor if we feel we are being pushed into an assignment that is not safe.  That’s how the companies gets away with it.

Only Texas has Safe Harbor regulation.

JadedCPN, BSN, RN

Specializes in Pediatrics, Pediatric Float, PICU, NICU.

1 hour ago, NRSKarenRN said:

Only Texas has Safe Harbor regulation.

I believe New Mexico added a Safe Harbor law last year too. But yea, that option is not available in almost all states.

I didn’t know that.  I thought all nurses had the right to invoke Safe Harbor.

NRSKarenRN, BSN, RN

Specializes in Vents, Telemetry, Home Care, Home infusion.

3 hours ago, JadedCPN said:

I believe New Mexico added a Safe Harbor law last year too. But yea, that option is not available in almost all states.

Thanks for NM info...  your correct, found

New Mexico’s Expanded Employment Protections: The Safe Harbor for Nurses Act

https://ogletree.com/insights/new-mexicos-expanded-employment-protections-the-safe-harbor-for-nurses-act/

Remainder 48 states without Safe Harbor protecction

That assignment was unsafe for your license, the patients and "probably" the facility. Facility most likely knows what is going on with the agency. 

 Consider reporting the agency and the facility. In the future, NEVER accept an assignment without a hand off.  

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