I've been a nurse for 20 years. First an LPN then RN. All my experience has come from LTC/SNF rehab. About a month ago I applied to a local hospital and was hired to work on the orthopedics floor. I was very excited because I always felt like I cheated myself for not starting out in a hospital. You know how everyone says you should have at least one year hospital experience to be considered having solid experience. This ortho floor was more of a overflow of any type of surgical patient you could imagine.You had at least 6 patient per nurse, had to do your own vitals, if they were post-op it was Q4hr v.s., and you could have 3 discharges and 3 admissions in a 12 hr. shift. Most patients were young adults who were getting morhine every hour. My preceptor was a new nurse one year grad. I'm 48 and healthy so keeping up was not an issue. The charting was on computer and you were luckey to find one that worked plus the Dynamap machines were scarce or not working at all. It was a zoo. Doctor calls, call lights, oh yea and the yougsters who needed morphine every hour. It was like trying to learn to drive a race car on the Daytona 500. Everyone was so busy trying to keep up with their own patients. I started taking 3 patients after one week then it went to 6 one week before going off orientation. My preceptor told the unit manager she felt a disconnect between us? So I was paired up with another nurse but by that time I was so frustated and busy I could hardly do an assessment on my patients. Here I am lost with so many new things to learn like hanging blood, patients with constavacs after having bilateral knee replacements, N.G. tubes, patient need to go to the B.R, take off orders, PACU calling to give you report, ohh, I have another admission? Hold on my I.V is alarming, their calling me overhead your needed in room 409 patient needs pain meds. You know what took me over the edge? Several nurses were so rude and condicending at shift report. Rolling their eyes when I missed something or questioning me about things that they already knew. Finally one night at shift change this same nurse who was an absolute b.... had my group of patients and needed report. I started giving my report and the questions ripped. That was it for me after I got home I called and said I would not be comming back. I was so disappointed. I wanted to work at this hospital for so long and was so excited about it. I just could not put up with all these young nurses who felt superior and could not try and make another nurse feel welcome. What this long post is getting at is it's much harder to go to a hospital setting from LTC/SNF. It's totally different all the way around. Most women are mean and will chew you up and spit you out. You have to be able to fuction on your own very early on and learn alot in a short amount of time with little direction and most orientations are less than ideal. They'll promise one thing and do another. Now I'm not sure what I am going to do next. I think my chances would have been better if I was started on a slower paced unit with more support. Oh, and there are alot of bitter nurses in the hospital who wish they could leave thats probably what was wrong with the ones that gave me such a hard time.