Hey! Don't overthink it. A new job is always hard in the beginning. I've been an LVN for 4 years and since I got my license, I've worked in a few SNFs. One thing I can definitely assure you is that Skilled Nursing is similar anywhere you go. Similar with different policies. I've worked at facilities where I was assigned 30+ patients at a time. I've had that many patients including ones with GTubes, IVs, fall risks, dementia, etc. etc. It's definitely tough and overwhelming in the beginning. But as long as you're trained properly and aren't afraid to ASK QUESTIONS, you'll get used to it. GET TO KNOW YOUR PATIENTS! The better you know your patients, the easier it will be for you. Develop your own routine and stick to what works for you and for your patient. It'll be nerve wrecking but stay strong. Never be afraid to ask questions to avoid making mistakes. YOU CAN DO IT! Good luck to you! Hope it works out for you! :)