I'm an RN who just started working at a SNF and I feel all your pain! I didn't know so many places operate in the same way. I love nursing, but everyday since I started working I feel anxiety ridden & unhappy to go to work. In our short stay one nurse gets 4/5 patients & the other 1/5 plus desk nurse role. It's unfair since the one w/the patient workload still has to do all the paperwork desk work for all 4/5 of the patients. In a regular day I have 25 patients, passing meds, assessing, calling MD, admits, discharges, charting on all 25 pts, talking to fam/other HC providers regarding patients, faxing, putting in orders, doing treatments, coc, etc etc. (some places have a med pass nurse who also just charts- i would be soo happy to be in that position, i do that plus EVERYTHING else as an RN!! We don't even have a desk nurse..so imagine it all..). Weird since we have echart/emar/etar, but they're that tight w/saving $ to help staff. We don't take breaks, lunch is not lunch..it's clocking out & in 30 mins later while working like a dog to attend to 25patients in 8hrs..I can barely eat my power bar! A good day is staying extra 2hrs & a bad day 4-5hrs (w/no pay!! Just to finish work! And no, its not just the new grads! Its everyone!). The administration discourages overtime, so you work like a dog for free..& not approved unless your doing back to back shifts even under many circumstances. All the nurses call in sick or are just so stressed you can feel it throughout the stations. I was a new grad trying to get a job somewhere, but now I wish I didn't look the SNF route. The staff is treated so poorly. Everyday I'm forgetting the reason why I went into nursing, it's impossible to give all 25 patients the care they deserve. I was recommended to this place by a fam friend & now i wish i never even applied. Currently, i'm still on my 90 day probation period. I have 2months left. What would be appropriate steps to resign? I already feel myself getting burned out and I feel this place is very unhealthy for me...it's so hard because you don't want to burn any bridges, but at the same time your license has to be protected. And its even more difficult because new grads need to have experience to get hired anywhere. I found out us new grads at the facility are getting paid way below the minimum around the area compared to other smaller places too. I wish there were more laws governing LTC/SNF. All my patients are basically medsurg, but X5 the ratio...i'm usually a very upbeat, positive individual but these days not sure how I get by each day being here..