I'm a RN new grad, worked at a SNF, assigned to 32 patients, and I tried very, very hard to make it work. The nurses training me hinted that I needed to take shortcuts to do the med pass in time. I told them no, I'm going to do it right (take BP before BP meds, etc.). I never finished my shift on time...then the DON said "no overtime." So I clocked out and continued to chart for 2 hours. I did that for a month. And I had a knot in my stomach the whole time. New admits from the hospital...when I took the time to assess the new patient I was further behind with the med pass.
And then things got worse over the holidays...a CNA and a nurse calling in 2 hours before their shift!! And that's when I realized...I can't do this, I can't stay here. I became attached to some of the patients, I enjoy geriatrics, but I couldn't accept the short staffing, the sloppiness, the culture of not caring---profits, profits.
I know there are better SNFs out there and I would advise any new grad to check the medicare.gov rating of the SNF where you're planning to work. I checked another rating and got some info but I didn't know about the newer medicare ratings until after I was working...Find a good one that respects the dignity and rights of the residents...and doesn't pull them outta bed at 4:00...Geez, that's just wrong!