Passed NCLEX-now new job!

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As the title states, I took my NCLEX last Monday and just found out I passed :)

If you've read my previous post, I'm getting ready to start a job on a step down unit. And I'm extremely scared :barf02: I am an LPN and do have LTC experience, but I know I'm now in a different role, and a new grad once again.

I'm a bit concerned for a couple of reasons: The nurse patient ratio on this floor can be 1:5, which after doing my research on here, seems to be a high ratio for a step down unit. My manager said they try to keep it at 1:4 if possible, especially if the patients are on cardiac drips. Fortunately, this floor does not titrate. If they have to be titrated, they have to go back to the ICU. Also, the training is only 9 weeks. I was told if I need more time I could have it, but we all know how that goes. So yes, I'm terrified!

I suppose I just need a bit of encouragement that I can survive the dreaded first year. My LPN experience will hopefully ease the transition, as I have basic skills (caths, dressings, tube feedings etc.) down pretty well, and I have learned time management due to my 20+ patients, but my patients at the LTC were stable.

Any advice on transitioning to acute care would be very helpful. Thanks!

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I think the transition will be easier for you with your long term care experience. I would find the best organized nurse on your unit and see how they organize their workflow.

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I think the transition will be easier for you with your long term care experience. I would find the best organized nurse on your unit and see how they organize their workflow.

Thank you for replying. That sounds like an excellent idea!

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