My nursing career is off to a rough start. After unsuccessfully applying to a local new grad program, I grabbed a job at a rehab/SNF. This first job promised me extensive training and support, and I accepted it with the understanding that I would be working mostly with patients in short-term rehabilitation. Instead, they placed me on the long term care side of their facility, with just two weeks training, and assigned me 23 patients to care for and chart on, with additional supervisory responsibilities and responsibility for administering IV medications on night shift throughout the facility. Medication pass alone took me six hours, and then I was expected to do extensive charting on patients that I had spent no time with. I thought this was unsafe, so I resigned.
My second job was on a Telemetry/PCU Unit at a hospital. I had only four patients, but they were mostly severely ill with CHF, COPD on BiPaP, and end stage kidney failure patients with heparin and cardizem drips. There were also patients experiencing withdrawal from meth, alcohol and heroin. There were no admit/discharge nurses, no resource nurses, no break nurses, and oftentimes no nurse aides either. I was learning a lot at this job and I wanted to keep at it, but there was too much work and I could not work fast enough to get it all done. I could not get the work done without a preceptor, so I could not get off orientation after three months, and I had to resign.
I'm not lazy. I coffee up, hustle and try to be efficient, but this is just not working out so far. So, where can I get a job in nursing where the pace and the workload are not INSANE? Should I look at small rural hospitals? Should I try for a clinic job? Should I become a school nurse or a public health nurse? What about an ICU job with only two patients? Psyche maybe? I've just spent five years and lots of money getting a BSN degree. There's got to be a job for me out there somewhere, right?