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1056chris

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  1. I am assuming you didn t have a preceptor, or at least not one that was with you long enough. I worked in a LTC facility and it was brutal. I rarely got out on time. I had worked in the hospital previously, but still had a hard time. Maybe consider working in a hospital for awhile . You will have less patients and a preceptor that will gradually increase your work load. You ll be able to increase your skills without being overwhelmed
  2. I went from working med/surg in a hospital to working at LTC facility. I worked on the skilled unit. That place was huge and 4 months after being there I was supervisor on one weekend. I ended up sending 4 people to er for various reasons. I got great input from the LVNs involved in their care. There was only 1 patient that me and LVN agreed should. I sent all 4. 3 were admitted, one returned to be monitored. If they didn't t need to go..no harm done. If they stay and should have gone it could be a different story. Assess the patient and situation and do what you think is best for the patient. It is hard when you are new. Sometimes I ask myself if this was my family what would I want done?" Goodluck
  3. I live in Texas and was in the TPAPN program(it was way back in 2002).and at that time they didn't. I would have never been able to go with someone watching me. Try not to let them intimidate you. Just do what you got and you will be OK. Goodluck

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