NCBeachRN

Thanks for the advice. I've had some time to reflect and this place is obviously not for me. I did have LTC experience and it was great. I loved it. I really enjoy working with residents in their home, and love the older population. I didn't mean to come across nasty in my original post, looking back on it, it looked that way. I think my problem here is with management. Not my direct manager, but with the DON and Admin; and the work environment. When I referred to it as a hellhole, it was after a long, terrible day. I was venting. I'm typically laid back and can get along with anyone, anywhere. I'm just so taken aback by the lack of professionalism among upper management, and feel so terrible about having a job in an environment I dread. I had an interview in an acute care environment. I felt great about it and mentioned that my current position wasn't a good fit and that I was looking for a position where I would be able to use and improve my skills. I think that as a new grad, acute care may be a better fit while I'm still so wet behind the ears. My heart is with the older population and I hope thy I'll find my place there one day. Again, thanks for the advice!

I'm a new grad...Dec 13. I was hired at a LTC/Rehab facility, initially as a Rehab RN. I've oriented on the LTC and Rehab floors. Rehab ratio 1:12, LTC ratio 1:26. I've "oriented" for about 10 days. By that, I mean I've been thrown on the med cart and have not been trained on any other aspect of the position. I'm supposed to start working on Monday. This floor is a mess. I'm not comfortable working there. I'm constantly worrying about covering my butt. I've walked in to staff in resident rooms, eating breakfast, basically doing a fashion show of new outfits...stuff like that. My Medicare is a wreck...no organization, and it takes me forever to organize it to safely pass meds. Some pts refuse meds and labs because they're not told what they're for and if they knew, they'd consent. The meds are just thrown away. I'm also concerned that there may be some false charting going on. I've also said something to another nurse for antagonizing a resident. I dread this place. I've mentioned to my manager that I'm not okay with the behavior on the floor and that she needs to check into it. I've shown her my mess of a cart, she's started showing up on the floor at random times. So, I have interviews on Tuesday at 2 hospitals. I don't want to look unprofessional by leaving this job so quickly, but I don't want to completely trash the place either. How do I say that I need to get out of this hellhole, eloquently?

I passed NCLEX last month with 75 questions. When I walked out, I just knew I failed. It was down right dreadful. A lot of my classmates were intimidated by the removal of drug brand names. The SATA questions caused me all kinds of anxiety. There were a lot. The exam questions got really difficult and required a lot of critical thinking. I did ATI practice questions for over a year... I had the ATI Nurse Mentor app. Maybe people aren't using test taking strategies. Those helped...we learned those throughout nursing school.

I'm a new RN, beginning my career in sub acute rehab. I'm excited and ready to work. I'm a little nervous, but more excited. I think that was great advice about having a task list. That's worked for me as a student, and most of the nurses I've worked with have used a similar technique.