Im a newly licensed LVN in California, i got a job in a 140 bed SNF facility.. and the ratio is 1:35 residents. I worked AM/DAY shift. I have tons of insulin and gt feeding.. and i always ended up by 12 noon just struggling giving medications, then i need to prepare lunch medications too so its pretty hectic ive never been stressed in my whole life i felt to give up first they rotate me while training me in different station. Then on my 4th day on the floor they put me in a station that they only trained me 1 day and i will be alone with my own judgement the rn supervisor saw me struggling she helped me medbpass and charting during my shift someone transfered in the hospital due to fever, new admission and hypoglycemia. this coming week im gonna be alone i dont even knew who's who and whenever new admissions, change of conditions, i dont know what to do like my kind went completely blocked that i just end up crying and blaming myself that im so stupid i dont even know how to contact the doctor etc. lots of the staff was telling me you must have your own routine and you will get through it when you got used to it. Im struggling with documentation i ended up going home from day shift at 6pm. It sounds crazy but i m so shocked like i have anxiety im on my feet from 7am until 2pm just doing medpass for morning and lunch with no break no water at all. Any tips how to get through with medpass ?Would you guys give me tips or some survival notes in SNF.