HLMRN

I really appreciate your response, validation, and encouragement. So glad I found this site!

I finally got my first nursing job at an LTC/Rehab nursing facility 6 mos. ago. I had 2 days of "training" which essentially was supervised med passes, before being thrown out on the floor alone. I am assigned to a wing with 22 residents. I do AM and Noon med passes, including pre-meal blood sugar checks and insulin administration for 5 residents, all treatments and all wound care. 2 of the residents have complicated wound care that takes at least 15-20 minutes each. we do not have a separate "dementia unit", so I have to handle the behavioral issues, as well. I also must handle contacts with the providers,family members,and outside agencies such as pharmacy and clinics. Typically, I have 2-3 CNAs to help on the floor. Most days I do not have time for a break, sometimes don't sit down until 3pm when I start my charting. The charting must all be done while sitting in the nurses' station. All charting is done by free-texting narrative notes. Only quarterly observations are done by checking boxes that apply. Much of the documentation is still on paper, and alot of the required charting is redundant. My shift is scheduled to run from 0630 to 1500. I punch out between 1600-1700 most days. I feel that the resident's are getting enough attention, and they'd be better off if I had time for more thorough assessments. Yesterday the DON told me my job is "in jeopardy" if I don't start getting my responsibilities completed by 3pm. The other nurses I've talked with say my wing is alot to handle, but the DON says it's just me who has this issue. I am dedicated and work hard, but now questioning my competence, my nursing abilities, and feel unappreciated. Can anyone help make this easier for me?????