I just completed my fourth day working the 7-3 shift at a 5 floor LTC as a new graduate LPN nurse. I am very stressed to say the least. I have worked on two floors and today was my second day on the dementia unit where I believe I will me working permanently. Today was also my second med pass to 26 patients which took over 3 hours. The other nurse completed her meds in about an hour and a half. I was just informed that as of Monday I am working 8-4 and expected to pass the 5 o 'clock meds, which start after my shift but essentially I was told if I start early I should be finished (as if I'm not already upset about the length of my current med passes)...but wait there's more. Because I'm in orientation the charge nurse took half of the floor and I took half of the floor. In reality one nurse is in charge of the 50 patient floor for the entire shift; meaning that next week I will be passing all of the meds to 50 patients in the morning and expected to give 5:00 meds to 50 patients. Why, if I'm passing 5:00 meds would my shift end at 4, and if it took me 3 hours to pass to 26 patients how do I manage 50? I was already stressed out about the time it's taking me to complete the med pass but now I'm purely overwhelmed. I am a perfectionist and as a new grad have high hopes for the role of a nurse. Not only do I precisely check what I'm giving and how much, but I also want to understand my patients condition and for their safety and my own be able to properly assess them and chart details efficiently. I have had to locate the patients whom I don't even know yet and stay with them until they finish, try to figure out where all of my medication is located in my drawer and constantly run around in chaos. In all of the madness I can't comprehend how I can efficiently complete med passes and still have time to check the status of a patients condition for charting. I didn't even get started with the fact that I'm supposed to run morning report with 50 patients whom half I haven't met and the other half I still have trouble recognizing. I am desperate to know how to balance med passing so that I at least have time to worry about the rest of my job. I keep reading about colored tabs, lining meds up etc. but there are no tabs at this facility and every medication comes in a 30 tab package, meaning you have to pop them out individually. Sorry for venting onto the website but I am on overload! I hope it gets easier!