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jennsrn has 1 years experience.

jennsrn's Latest Activity

  1. jennsrn

    quitting my per diem?

    Newer nurse here. I have about 11 months of nursing experience. For my first 10 months of being a nurse I worked in a skilled nursing facility 4 days a week. I was considered "full time" and received benefits. I got a per diem job working at a LTC facility for extra money in May and have worked about 2 shifts/month there as that's their requirement. It's OK but I'm not entirely crazy about it. There was a sign on bonus which was a plus and it contracted me to work for them for at least 90 days to receive the full amount. (August 6th marks my 90 days). I recently just changed my status from full-time to per diem at my full-time job for a new job at a subacute facility, which I start next week. I felt like the environment for me to learn will be much better, etc. With this company, I am eligible to work the minimum of 3 days/week to receive benefits, which I need. They are paying me very well, so that's not an issue. I'm trying to decide if I should approach my DON in regards to my schedule and ask if I could start out at 3 days/week (8hr shifts), instead of the four we initially discussed, as I do have two other per diem jobs and am currently in school for my next degree. I figured if I work the three days at my full-time job I can work more at my per diems, and give them availability and compensate with the extra money. but I know that no hours are guaranteed at per diem and I could be potentially cut if not needed. It was not my plan to have two per diem jobs, but the company offered and I accepted because I felt bad I was leaving at such a stressful time, I was an employee of 9 years, and they were short-staffed. I'm conflicted whether I should approach the DON at my new job about my schedule change, or if I should stay at the 32 hrs/week we discussed initially and quit one of my per diems? I obviously make more money at my per diem jobs, so staying at 3 days/week at my full-time wouldn't be a concern, but I don't want to make a bad impression with my new boss, nor do I want to hand in a two week notice to a company I have only been working for 90 days and quitting once I receive my bonus (it will make me look like I was only working for the sign on bonus and that's not true). I don't want to burn any bridges, as I would want to keep my options open in the future with any nursing facility. But I feel as if I were to put my notice in, I may be burning some bridges? My family says to wait and see how I like my job before quitting any of my per diems, but I'm not sure what to do.
  2. jennsrn

    New RN burnt out

    This is another fear of mine. Leaving my current job to go to another job that's just as bad. It's hard making that decision, because I can be just as miserable at my next job. I also think part of the problem is that I started in a facility that has no new nurses. No new grad residency, no other nurses I can express concerns with, and talk about my feelings with. I was given a very short orientation time and felt I was not properly trained on certain things, which I also think hasn't helped my self-esteem and confidence in my abilities. Management never checks up on me, asks how I am, never gives me feedback on what I'm doing good, bad, or what needs improvement, and it bothers me. Unfortunately there are many companies out there that have corrupt and unorganized management. Thanks for your advice!
  3. jennsrn

    New RN burnt out

    Thank you!! I really needed to hear that. I am trying to work on the whole self-confidence issue, especially when speaking with doctors, NPs, etc. I just feel because I am so new, I'll say something stupid or look incompetent. But then I tell myself I rather look stupid than risk a patient's health and/or life, and my license. But I realize I won't be the nurse I aspire to be in month's time. The only thing I can do is keep looking for employment elsewhere, and in the meantime make the best of my current situation. Go into work with a positive attitude, ask questions, and also be open to learning. I think part of my issue is that I started in a SNF that had no "new grad residency", so I was kind of just given a short one month orientation and told to figure it out, so not feeling supported and comfortable in my current environment hasn't helped my anxiety, fear, and incompetency. I have made it 9 months so far though, and I'm sure I have made progress, and I need to give myself at least a little more credit! Thanks for your advice and help!!
  4. jennsrn

    New RN burnt out

    I applied at the facility... management there is terrible I'm finding. No call back, no interview. I figure it's because they don't want me working in the same building as my sister even though I was told that's not a legitimate reason not to hire someone. Which is unfortunate because I really think I'd benefit well in a strict subacute setting, where it's similar to a hospital setting, but not as extreme. I'm going back and forth on the hospital setting. I'm not sure if I'll like it, but I can't imagine not TRYING, even if it's only a couple years to get some med/surg experience. My problem is I worry too much about what others say and think. I don't want people looking down on me because I have no hospital experience, or desire to work in a hospital. My overall goal is to find a nice job outpatient, I do have interests in forensics and case management. I did apply to some hospitals in my area, so hopefully I get a call back. In the mean time I'm trying to stick out my current job until the 1 year mark, and look for other sub-acute jobs with better hours. Thanks for your input and advice!!
  5. jennsrn

    New RN burnt out

    I am a "recent" new grad, I graduated last May with my associate's degree in nursing and started my first RN job at a SNF. I've been unhappy there almost as long as I've been there (9 months), and it's really starting to affect my thoughts, and feelings regarding my ability to be the nurse I want to be and know I can be. It also is not helping that I am a new, unexperienced nurse in the middle of a pandemic. I didn't necessarily want to start in a SNF, because everyone says the hospital is the best place for a new grad. I was feeling a lot of pressure from my peers about "you need hospital experience, go to the hospital", but this has been a company I've been working for, for a long time (9 years), and they were willing to offer me very good money. They weren't able to offer me a position at their subacute facility which is where I wanted to go, but they transferred me to their LTC/SNF facility, so I decided to take the position because I thought it would be OK. Also, with my associate's degree in my state (NJ), it's almost impossible to land a new grad residency without having a BSN. Spots are highly competitive, unless you already have an "in" in the hospital, like as a CNA/PCT at their hospital. I did put a few applications out for just a regular med-surg position, but so far nothing, and it's really starting to eat at me! I feel as though I am not learning at my current job. I have had some experience with wound vacs, IVs, wounds, trachs, catheters, but I feel as though I am all along to figure it out - no guidance, no encouragement from my coworkers, and I just feel they look at me and see "RN", therefore I should know what to do. I am having a really hard time developing my assessment and critical thinking skills because my nurse:patient ratio is WAY too high (1:29), that I can barely think about WHAT it is I'm doing, and WHY. I have improved on my time management, that I'm proud of, but I am scared to ask questions sometimes, in fear I will look like an idiot, I question what situations warrant me to call the doctor or not to call the doctor, and whenever I have to call the doctor I get so scared because I don't want to say the wrong thing, and don't want to look like an incompetent nurse (even though the doctors are VERY nice). I am completely overwhelmed and it's not getting better. I work 3-11, and it also has made me even more upset and depressed that I barely see friends and family. I struggle with anxiety and self-confidence, something I've been aware of since before starting nursing school, but ever since starting my first job, it's been at an all-time high. I am medicated and speaking with a doctor regarding my anxiety and depression, but I am so completely burnt out and feel like I am never going to make progress as an RN and I feel like I am failing. I am so worried that by the time I get my BSN (I am in school now, and should graduate by September 2021), that no hospital will want me because I have no acute care experience and will no longer be eligible for a residency. But at the same time, I don't even know if the hospital setting is for me, and is somewhere I want to be long-term. Almost all nice outpatient jobs require acute care experience, or just nursing experience in general. Since I do have 9 months experience now, I am in the process of looking for a job elsewhere. I thought maybe a sub-acute/post-acute job may be a good place to start, and the setting will help with my self-confidence. I really do truly believe my problem is my job, NOT nursing. My job is very demanding, and that's also taking a toll on me. Also I tend to compare myself to others, and I hate it. My sister is an RN, with two years of experience, and I feel as though I have an expectation to live up to. I am on vacation this week, and I am still being bothered by my scheduler, asking I can work a 16 hour day in the middle of my vacation, because they have no staff. It made me so upset, that even on my vacation I can't be left alone. My family is really encouraging me look elsewhere and think it will help my mental health and happiness to get out of the toxic environment. Anyone have any advice for a new grad dealing with burnout? I think it's important to work for a facility that really supports and guides their nurses (especially new ones), and I am not receiving it at my current job. I feel as though I am just a body to get the job done. I don't even want to go into work anymore, I am feeling a great disconnect. Any advice for a overwhelmed, sad, burnt out, new RN? Thanks!
  6. I am not an experienced LTC nurse, but I've started my nursing career in LTC in September, so I have about 9 months experience. It's a lot of work, and I'd be lying if I said I didn't go to the bathroom and cry on multiple occasions. The patient load is high, as well as the med pass, but as you get more and more used to it, it becomes repetitive. The facility I work at considers themselves as a "SNF", so we do get some rehab patients from the community, so I have had some experience with wound vacs, IVs, colostomies, catheters, trachs, wound care, etc, but caring for these individuals is tough when you have many others as well. Sometimes I rather go work in an acute care setting and take my 5 acute patients. You would be surprised on how many LTC residents are acutely ill. I'm looking to leave to possibly go to another LTC facility and/or subacute facility, because staffing is an issue, but that is usually how it is in LTC. One nurse to 20-40 patients. No wonder they have a high turnover rate. 9 months in, and I'm already burnt out. You'll realize that many of the residents are on many common meds, like Lasix, Eliquis, Metoprolol, Coumadin, Synthroid, psych meds, Insulin, etc, so you get used to them (like to give metoprolol with a meal). If unsure about a medication, just look it up! I wouldn't be so worried about the meds.
  7. I have been an RN for about 9 months now, working in a LTC/SNF. I am burnt out! Any area or specialty of nursing is sure to bring stress, especially as a new nurse, but it's to the point where I get extreme anxiety about going into work. I don't like the hours, management is extremely unhelpful, staffing is an issue, and the nurse:patient ratio is just too much. As much as I hate my current job, looking back to September, I see progress in myself. I still have a lot to learn, but time management, especially in LTC, is something that I greatly improved on. What I'm worried about, especially in the setting I am in, is my critical thinking skills, and my basic nursing skills. I am sometimes SO overwhelmed in my patient load that I just feel as though all I'm there for is popping pills, and that important things such as a change in a resident's status is easily overlooked because I am so caught up in everything else. I can't spend any more than a few minutes with my patients, I get no help, guidance/assistance from my supervisors/managers, and it's weighing on me heavily. I do not know if I'm doing a good job, or bad job, I've been given no feedback by my employer and, and I feel as though I am just a body that fills their schedule. I feel like I am a "fake" nurse, who is just there to get the job done. I am a perfectionist, and that's also part of the problem. I know I need to leave, I have been looking elsewhere for employment, but due to COVID-19 it's been a bit difficult. I have some friends who work in hospital settings, and all I hear are horror stories, the stress, the hours, and especially with this virus, it's only gotten worse. I have been considering the hospital setting, but I am very nervous. I know deep down I am capable (I graduated nursing school, passed NCLEX, so I think I am pretty capable), but I struggle with anxiety and fear of doing something wrong, or looking stupid when speaking with a physician, another nurse, patient's family, etc. I know that time will only boost my confidence, as I grow more comfortable in the job, but I am also hesitant about going into the hospital because I already know I will not like night shift, and that's most likely what I'll be given. Many hospitals in my area also require BSN to even be considered, which I am currently in school for. I just recently started a per diem job at another LTC facility, which I can already tell is MUCH better than my current one, and I am hoping maybe a full-time position opens there. But the whole "get the hospital experience" is weighing heavily on me. Even the nurse educator told me I should go into the hospital to get some experience. I just feel like I am being pressured, and that only "real" nurses work in the hospital, which is why I should do it. At the end of the day, I don't know if my hesitancy is caused by me just having no desire to work in a hospital, or because I'm genuinely scared. I did do a preceptorship in the hospital before I graduated nursing school, and I didn't have many feelings about it, because at the end of the day, I had someone to fall back on, and it wasn't all my responsibility. I'm just looking for some advice! I do plan on graduating with my BSN by the end of next year. I honestly don't know what to do. I get paid great at my two current jobs (more than what the hospitals around me are paying), but there are many cons (work hours, poor management, poor guidance/assistance). I am currently looking for another job in LTC, and/or maybe sub-acute, with better hours, where I can use and develop my nursing skills without being in a hospital. Does anyone have any opinions? I am just in fear that if I don't get hospital experience now, I'll never get it, and it will be a missed opportunity.
  8. jennsrn

    Need advice!

    I think the anxiety and the feeling of being overwhelmed comes not only from the staffing issue but also because I’m taking care of so many people. The unit I work on is a mixture of acute patients (some have trachs, gtubes, catheters), and residents who are just there to live (LTC) and need someone to just administer medications to them. My problem/issue is not acuity. I know med surg is no walk in the park - I have done school clinicals and have witnessed these floors. Like I mentioned no nursing job is easy... but I feel as though LTC is just WAY too much, especially for a brand new nurse who still needs to develop skills. I sometimes feel like I don’t even have time to think because I need to accomplish SO much in an 8 hr period. I also work the floor alone - I do have a supervisor but she rarely will help with orders, labs and won’t touch meds. I have no other nurse that I can work alongside. There’s no teamwork, no communication, no consistency. Acuity is not my problem. I can learn in a fast paced environment and could utilize and build on the skills I learned in nursing school if I had 1/2 the patients I’m taking care of now.
  9. jennsrn

    Need advice!

    I am a new grad RN (graduated May ‘19) and have been working at my current job as a floor nurse at a LTC/SNF for just about 4 months now. I absolutely hate it! I understand whatever area of nursing I get myself in to it will be stressful. I also understand that the first year of nursing is always the hardest... and to just give it time before I feel more comfortable and confident. But I’m starting to think it’s the job that’s giving me anxiety not being a new nurse overall! I feel very overwhelmed. I’ve been caring for a lot of residents (all on my own, I am the only floor nurse on my unit) my highest census being 27 at the moment. I am not comfortable with taking on that big responsibility... something goes wrong it’s MY license at risk. I also feel as though LTC is not for me. I’ve done all my clinicals in a hospital setting so I feel I could benefit better from either a hospital setting or in a subacute setting. Geriatrics is not my issue, but when I’m the only nurse on the floor with help from only 2 CNA’s, it becomes very overwhelming to the point where I lose patience, I lose compassion and I just want to walk out and never come back. And people tell me once I lose the compassion, it’s nursing burnout. It’s very hard walking into work with a positive attitude but I really just hate my job. I hate the hours as well. The facility is very short handed and I find it very difficult to do my job. Most of my residents have end stage dementia, fall risks. About 95% of them have bed alarms and don’t understand their limitations. I can’t even begin to tell you how many times I’ve had to stop med pass to run down the hallway because there are bed alarms constantly going off. Or when I really need to concentrate while putting in doctor’s orders and I have to babysit my fall risks residents. It’s just too much and I feel like I’m not making progress here. Also all the RNs who work at the facility are supervisors, doing admissions and discharges. And LPNs work on the floor. I have yet to shadow an RN doing those tasks. I feel out of place and I feel taken advantage of. I spoke with the corporate nurse at the company recently and expressed my desire to learn more RN tasks and to transfer to their sub acute facility for more acute care; where I have a smaller ratio, I work with other nurses on the floor. She said I wouldn’t be eligible for transfer until 6 months (March), but in the mean time she will try working on me getting some morning hours and working with the supervisors to learn more of the RN’s job and if I feel like a transfer is better suited for me come March, she'll "work out a transfer". I spoke to her almost 3 weeks ago, and securing morning hours, working alongside an RN has yet to happen. I’m trying to hold out until March, but I can’t depend nor trust the nurse to actually secure me a job there. She could have just been saying that to shut me up. Back in July, before my NCLEX, I applied for their subacute facility. I was told no full time positions were available there at the time. Hence why they transferred me to their LTC/SNF facility. The problem is, is that I worked for this particular company for over 8.5 years, so just walking away is difficult for me. And other facilities in my area are paying NO where near close to what I am currently making at my current job. So leaving would definitely result in a significant pay cut. But I don’t wait to wait around until March to be told there aren’t any positions for me at their sub acute facility, and I'm back at square one. I am starting to feel hopeless, depressed, and unsure of my abilities to handle the tasks of a nurse, and I don't know if I should just start looking now for a job, or stick this out to March if she can really work me out a transfer. She has told me that the company would not want to lose me as an employee, that I have great potential, but I also can't continue working at a facility that makes me feel this way. All in all, this is about what benefits me and my career, not what is best for the company! Any opinions on what I should do? I have started a job search... hospitals, subacute facilities, outpatient centers like a physicians practice. This is just weighing heavily on me. It’s very important to me as a new nurse to make sure I’m comfortable in an environment where I feel like I’m learning and making progress as an RN. Any feedback would be appreciated!
  10. jennsrn

    New Grad Trying to Make a Decision

    @Olga It's very overwhelming! And the RNs at my facility seem to forget what it was like to be a new nurse, on their first job, and it's frustrating. I work with an RN that is a year older than me, and has maybe 2 years of experience as a nurse, and I feel like she looks down upon me, and it's frustrating. They call me out on certain things, and while I accept any constructive criticism I receive, especially as a new nurse, I'm beginning to think I'm just being targeted and bullied. It's very "clicky" at my facility, and I feel out of place, and I feel like everything I do/attempt to do, it's WRONG. I know learning and experience comes with time, and that most "experience" comes with working on the job, but I just feel so unsupported in my current environment, that learning is not even a possibility. The ONLY thing that's keeping me there is the $. I make $11 more than what any other facility was willing to pay me, so that's a big difference. But I've stuck it out for three months now, and I'm at the point where the money doesn't even matter, it's my sanity and happiness that does, and if I have to take a big pay cut for a job that is 10x less stress, I am willing! I am seven months as an RN, and if I'm already this stressed being a nurse, then something needs to change! This will be my career for years and years down the road, and I need to be at least content with my job, where I feel like I am learning, gaining knowledge, and feeling supported. I don't feel any of that at my current job. I feel like a robot. Passing medications, putting in orders, providing treatments, documenting. I don't even have time to think about what it is I'm really doing! Not enough time to adequately assess my patient, not enough time to catch on to things that are out of the ordinary. And if there's something wrong with the patient, I usually miss what it is, because I am SO overwhelmed with knowing I need to accomplish so much in the eight hours before I can go home, and I end up feeling stupid that I missed the signs. For example, I had a resident that was being sent out to the hospital for SOB. Usually when a patient has a respiratory issue, you would hold food, etc. Well dinner trays came, and he began eating. He was on 2L O2 of course, but the EMT was yelling and ripping apart the staff on how a patient with a respiratory issue shouldn't be eating. AND that's something I learned in nursing school, so I should have known that. But I was in the middle of 5pm med pass and it completely slipped my mind. I feel embarrassed. I could only imagine what my RN supervisors were thinking. It's just difficult juggling the tasks that LTC demands, and since you work in it, I'm sure you can relate. Taking care of 25-30 residents as a new nurse is extremely OVERWHELMING, and having to do it all in 8 hours is even more crazy. I'm looking into finding a new job. An office setting, outpatient dialysis, and even looking into hospital positions. Maybe something else with a little less demand, so I can go back to school. I think that if we can develop some skills from LTC (time management, prioritization), it will help us in ANY other nursing setting we choose to go into. Many people have told me LTC is a whole different level, and if we can somewhat handle that, we can handle almost anything else.
  11. jennsrn

    New Grad Trying to Make a Decision

    @Nurse SMS It's actually not about "wanting a hospital job so badly", it's me being a new RN grad who is concerned about how her current decisions with job offers may affect her future opportunities. I currently work in LTC/SNF, in which I hear from multiple sources, that once you're in LTC, it's difficult to transition to acute care/hospital setting. In my state, a lot of hospitals offer BSN graduates residency programs. While yes I may be an Associate's degree RN with experience, once I graduate with my BSN, I may be able to transition into a hospital setting. I don't know which state you live in, but it may work differently in other areas. I'm looking for opinions on whether it's a bad idea to start out in another setting, or if I should attempt to find my way in to a hospital while I'm seven months out of college, and considered a "new grad". I have applied for a hospital position, but have yet to hear back. I am only three months into my LTC job, but what my fear is, is making the same mistake twice. The transition from student to RN is difficult and tough, I'm sure you've been there, so I don't know if its my nerves that is holding me back, or if it's truly the fact that bedside nursing is not for me, and that maybe a more administrative, or office-based RN job is better suited for me. As mentioned in my post, I was offered a RN office job at a multi-specialty practice with great hours, yet the pay didn't even come close to what I'm making now, nor what I'd be making in the hospital. I'm looking for insight/opinions on whether taking a position like this can totally prevent me from transitioning back into acute care in the future. It's not that I "want a hospital job badly", it's the "what ifs", and the potential regret. I think it's just me having anxiety on taking that leap as a new nurse and jumping into the hospital setting, and the fear of the unknown.
  12. I am a new RN grad, working at a LTC/SNF facility for three months, and I absolutely hate it, to the point where it's making me hate nursing in general. I realized it's just not the type of nursing I want to do. I am also planning on returning to school early next year to work towards receiving my BSN, so I have more job opportunities, but I can't imagine working this job AND going back to school at the same time. I received a few interviews, and I took a position at a LTC/SNF because the pay was impossible to beat. $11 more than what other subacute facilities wanted to pay me. I am very mad at myself for jumping the gun, and accepting a job solely based on salary without thinking about the job description itself. Yes the checks are nice every two weeks for such a young woman, but is it worth it if I dread going into work everyday? I feel very unsupported where I am now, and for me, feeling the support of your coworkers/administration during the first year is HIGHLY important and truly does make a difference when you're transitioning from student to RN. I have been job hunting, because I am genuinely unhappy. No offense to LTC, but it's just not a good place for me to be. I have applied to hospital jobs, and dialysis centers (many do not require experience), but have so far not heard back. I also applied for a multi-specialty medical practice that was willing to offer me a position M-F 8:30-5p, no holidays and no weekends. I currently work 3-11 4 days a week and I loathe it. Office/clinic work is a DREAM to some RNs, but I'm not sure if it's a smart career move. I'd be able to get experience in a lot of medical specialities, learn how to collaborate and communicate with physicians, and down the road have opportunity to work in their infusion center. The pay ($27/hr) is significantly less than what I am making now ($38/hr), but I don't think it's such a bad idea working these hours, and going back to school. I just don't want to lessen my chances of a potential hospital job in the future, if I choose to want to get into hospital nursing. Does anyone have similar experiences? Once I do get my BSN, would hospitals accept me into a residency program, if I were to work in a office-based setting now? I know many people that started at urgent cares, subacute facilities, and transitioned into the hospital, so maybe I'm just being paranoid, but I'm nervous to make a terrible career move so early on in my nursing career, but I don't know if bedside nursing is for me. I'm extremely overwhelmed at my current job, caring for 25+ patients, and receiving no support or help, which makes me scared for what I could potentially encounter in the hospital setting. And it's tough because I really don't want to make a mistake twice, but I am just trying to figure out what area of nursing is for me.
  13. jennsrn

    opinions on outpatient RN jobs

    I am a new RN grad that is three months in to a position at a LTC/SNF, and I absolutely dread going into work everyday. The workload is intense, and very demanding, and for a new grad, it only makes the situation worse. I have a lot to accomplish in an 8hr evening, and I never get to take my breaks, because I am constantly running around doing something. It also doesn't help that I feel very unsupported by the staff there. I feel like the workers feel as if I'm incompetent, unskilled, and just plain stupid. And some of the nurses aren't too friendly either, which doesn't necessarily encourage me to reach out and ask questions. This is my first nursing job, and I am feeling very discouraged. I primarily took the position because it's for a company I worked for, for many years and the pay they were offering me was impossible to beat as a new RN. They offered me a salary I would have been stupid to refuse, compared to what other places wanted to pay me as a new grad. I am making $38/hr. Which is amazing for a new grad! $11 more than what other facilities (subacute, outpatient clinic) wanted to pay me. But I hate the hours, and I absolutely hate the job, and it's highly affecting my mental health, and sanity. I dread every day that I have to walk into that place. I know it's the job, because on my days off, I am so much more at ease, and can actually think straight. I keep telling myself it's the job, not nursing. The first year after licensure is always the hardest, but being in this environment/setting where I am uncomfortable and feeling unsupported makes the transition 10x worse. I am highly considering going per diem at this facility, and looking for another full time job. I was offered two positions at other facilities. One is for a subacute rehabilitation center, which I think may be a good fit. I get proper training with a preceptor, and will have a similar experience to a hospital setting. It was day shift 7a-7p 3 days a week. The other is working for a big medical practice with many multi-specialties (they have three offices). They were offering me a "float position", where I can gain experience in all specialities, working with physicians, and assisting with procedures, or they mentioned working in their infusion lab, administering medications to chemotherapy patients. This job was M-F 8:30a-5p, weekends and holidays off. They only require 1 Saturday a month, in which I would get a half day during the week. Both facilities offered $27/hr, which is a significant pay cut. I am also looking into some hospital RN positions at nearby hospitals, and dialysis centers (some don't require experience and provide training). I know people say it's not smart or wise to start in an outpatient setting as as new RN grad, because it can really lessen your opportunity for growth in the future, but I feel SO incredibly burnt out being where I am. And I am only 3 months in! I don't know if it's bedside nursing, being significantly understaffed, the atmosphere of LTC nursing, the lack of support, or if it's just the difficult transition from student to RN, but I think for my mental health and sanity, taking a lower paced job, with more stability and organization would be better for me to get my head on straight and figure out what my niche in nursing is. I'm just conflicted because its a big difference in pay, but I also can't go through my career thinking about which job is going to "pay me the most", regardless if I hate it or not, because money really can't buy happiness! Any opinions and or thoughts would be greatly appreciated!
  14. jennsrn

    Why do RNs choose to work in nursing homes?

    I am a new RN grad, working in a LTC/SNF, and being three months in, I'm ready to quit. I went on numerous interviews, mostly for subacute facilities and was offered around the same amount of $, and it was non negotiable due to being a new grad. I then interviewed for a LTC facility, a company I've worked for, for 8+ years. They wanted to offer me $11 MORE than what the other facilities were paying. Some of my nursing friends took new grad residency positions at hospitals, and I'm making more money, so hospital nurses don't necessarily make more money, but it may just be my specific area/region. I would be stupid to turn that job down, right? Well now I'm regretting it. Money isn't everything!! Especially when it's your first nursing job. It's amazing pay for a new grad, but the amount of work it demands definitely gives you a run for your money. Nursing in general is demanding, but LTC is a whole different level. I work on a unit that usually has between 20-25 patients, but beds up to 30. Some are LTC, some are rehab patients who come and go. I am responsible for ALL of them. I do have an RN supervisor who will occasionally help me put in Dr's orders, but other than that, it's all me! Medications, treatments, putting in orders the doctors/NPs write into the computer, dealing with families, dealing with consults. It's very overwhelming. I received one month of training, and then was thrown to the wolves. It also doesn't help that I only have two CNAs (I work 3-11 shift). It makes it very difficult also, when you work with a lot of per diem nurses who just don't care, and they walk out the door without things being done, and it becomes your problem. Some of the residents I have are not easy! I have a lot that have psychiatric disorders, almost all of them have end stage Alzheimer's disease, numerous fall risks, combative residents, etc. In specific, I have one patient who requires A LOT of care. He has a tracheostomy, g-tube, and urinary catheter that requires a lot of my time. He has wound treatments on my shift, tracheostomy care needs to be provided. All in an 8 hour shift! I have to pass medications to all my residents (and it's not easy when they spit it out all over their clothes), provide treatments (a lot of my residents have wounds tx), and let's not forget the documentation! I rarely get out on time, and if I do, it's because I don't take my scheduled 30 minute break. Every time I walk out of that place, I sigh in relief. It's frustrating that I feel this way but I realized that's what LTC nursing is, and that it's just not for me. I'm starting to think money doesn't matter so much at the moment! I rather take the big pay cut for some sanity. It's to the point where I'm beginning to HATE nursing, but I tell myself I hate the JOB, not NURSING. lol. I do have to say though, in the three months of working at a LTC facility, I have developed better time management skills, which I think will help me out in the long run, but it's a lot. I'm starting to think I need a job with better organization, and is more routine, even if it means taking a big pay cut.
  15. jennsrn

    Am I too stupid to be a nurse?

    I feel the same way! I graduated nursing school May, took my NCLEX in July, and started a new job at a LTC/Skilled nursing facility in September. It was and still is a HUGE adjustment. It also doesn't help that my sister (who is an RN as well) works for the same company - so nurses and doctors having high expectations of me doesn't help my nervousness! I am almost two months in and I am having the same problem. I am a very organized person, but I struggle with anxiety and am afraid of not doing the "right" thing, or I know what the right thing to do is, but my mind is consumed with a million other things that it just goes over my head. I took the job mostly because it was my best $ offer, and was WAY more than what other places wanted to pay new grads and I also realized that I shouldn't just accept a job offer because it's better money. Where I am right now at my current job, I am seriously considering quitting and taking the big pay cut, if it means peace of mind for my anxiety. It is very overwhelming, so I understand where you're coming from. I am looking to quit, and I am mad at myself a bit for giving up only after two months, but if you feel like it interfering with your outside life, and you need to leave for your mental sanity, it is always the right choice. Your first year in nursing is a difficult adjustment as it is, so being in an environment where you don't feel supported, makes it 10x worse. Don't quit nursing all together. Like others have said on this topic, maybe "bedside" nursing, or a fast-paced environment is not for you. Or maybe you need to start off slow and steady, build some confidence and maybe years from now, you'll be doing something you never thought you would be doing. In the three months of being employed at a LTC/SNF, I realized that's NOT the nursing for me. Apply to other places! I've been looking into dialysis centers (a lot of them don't require experience!), and doctor's offices, and outpatient surgery centers (although they usually require OR experience). We tackled nursing school and tackled NCLEX. We can do this. Nursing has so much opportunity. Everyone is different, and choosing to work in a slower-paced environment as an RN doesn't make you any less than an RN working in a hospital. It's a matter of preference, and coming from a person who is going through the same exact feelings at the moment, experience will come in time! Good luck!
  16. jennsrn

    First RN job, and I'm having second thoughts

    Bored? Maybe. I feel stupid and incompetent because at my facility, they mostly employ LPNs... very few RNs. A lot of the LPNs there are wonderful... they have a lot of knowledge so for me to start as an RN there, I feel like I should know “everything” and while I know it’s impossible to know EVERYTHING... I feel like if I passed RN school... I should know a lot! It’s a long term care facility where we take care of the same patients/residents everyday. The LPNs have a routine down. We see very little outside subacute rehab patients so the job I can see becoming VERY routine. While I know I will never use “all” of my nursing skills I learned in nursing school in the workplace (no matter where I work) it’s a little discouraging when you feel like everyday is the same. While it can sometimes make the job easier... I’m more interested in higher acuity patients where I can really utilize my nursing judgement and critical thinking skills. I pass meds to my LTC residents, do some wound tx, document a TON, and then put in any orders the doctors write. It’s also taking care of a lot of patients, up to 30, where a majority of them are fall risks, and we are short staffed on CNA’s.

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