I've been working on a telemetry cardiac surgical floor since February. Been on my own for a little over a month now. I have been working day shift up until this past Friday, will begin night shift Wednesday (by my own choice). Day shift seemed to be a tad bit overwhelming most days. We take 4-5 pts but typically 4. This is due to the fact that we are the CV surgery floor in the hospital, so we take all of the CABG pts after they leave the unit. Day to day it was a struggle to get everything done, and I honestly did fine until I would have times that I felt I needed to be in 2 or 3 places at one time due to actual medical issues (not just people hitting call lights for sprites or ice). The most stressful situations are definitely the days that they bring me 2 patients back from the cath lab at the same time. I have had 1 pt arterial site break loose and bleed and it scared the crap out of me, especially knowing that while I was elbow deep in this lady's groin, I had another patient across the hall who could be doing the same thing but I couldn't get to them so that was the worst moment for me. I can say that the best preparation I had for time management as a tele floor nurse was the several waitressing jobs over the years I held. I know that doesn't really paint a pretty picture, but it's the honest truth from my perspective. I recommend all new grads start out on nights for a while, you have a few more precious moments to think about what you are doing and why you are doing it. Most day shift days, I barely had time to look at lab results or review new orders. We are a very busy hospital and a very busy floor, so it's nothing for me to discharge 4 patients in a day and get them all back which is extremely stressful as well. With all that being said, I can say that it is a good place to start out as a new grad to get some experience and then move on. I could never see myself doing this long term. I think I would end up hating nursing and either be a horrible nurse or find some other profession.