New grad here. As a new nurse in Southern California, with only a two year degree, it is impossible to land a gig in the hospitals. So, I accepted a position at a SNF/Rehab facility. About 60% of the residents live there long-term or are on hospice. The other 40% are there post acute care.
I have been assigned to the most demanding med cart with 26 residents. And with 8 hour shifts, I simply dont have enough time to do everything I need to do. Pass dinner and evening meds, monitor blood sugars, check blood pressures, do rounds, answer call lights, chart weekly assessments, follow up on change of conditions, and assist with admissions and discharges.
During orientation I saw sooo many nurses document assessments they didnt do, pass dinner and bedtime meds at the same time, and document bogus blood pressure readings and pain scores. There simply isn't enough time or resources to do everything correctly. Soooo many corners are being cut.
It's in a less than desirable neighborhood and the company is known for being cheap. I feel so bad for the residents who arent getting the care they deserve. So many are neglected or their concerns brushed off because no one has the time to address them.
I am looking for another position. It's been three weeks and I already know I can't practice like this. I have stayed 2 hours passed my scheduled time since I have been left alone on my cart. I was giving my last meds at midnight.
Are all LTC/SNF facilities like this? Is this generally what nursing has become? Leaving the bedside to pass meds and chart? It's so disheartening.