Rehab (post acute) to Telemetry first day

[strawberryfields]

Hello everyone:)

Just kind of want some encouragement as I'm feeling a bit anxious today.

I worked in Post Acute care with 30 patients for about 4 years and recently got a job at one of the best hospitals in the area.

They are giving me 6 shifts since I am a 4th year nurse. And then I'm on my own. Tonight I get 2-3 patients to start with (not even shadow at first ... I feel that my preceptor would be too busy to answer questions...)

Should I be worried? Is that enough for someone that has just left the SNF world and is now starting in Cardiac Telemetry (NOC shift)?

[freckles23]

I worked subacute rehab for about 7 months with 22 patients or more and transitioned into tele/med surg. Honestly, alot from what I learned in the rehab transitioned well with working in the hospital. In rehab you do your own treatments like dressings, wound care, applying wound vacs, pleurx drainages, ivs, its really all about med pass and timing. Once i was in the hospital it was more learning about procedures and who and what to get ready for the patient, also more communication with doctors and using your judgment. Rehab helped me with med pass so in the hospital I am a pro at it. I work night shift with max 9 pts , usually its 6 patients plus any admissions that come in. I believe you will transition okay. Its just different in terms of knowing protocols, policies, who to call for certain issues and more iv insertions you will get better at! :) good luck!