Transition from LTC to hospital

[California_Dreaming, RN]

Hi all,

I've been working as an LPN in LTC for a little over 2 years now. I recently finished school for my RN and am officially an RN now . I just got hired onto a busy surgical unit (or I guess it would be considered med-surg) and am wondering how I can make this transition as smooth as possible. I know acute care can be quite different from LTC, so any tips would be much appreciated. Thanks!

[Cruella de ville]

I made the transition a few years ago.

A few things that were big changes for me was the idea that we are actively trying to save everyone vs LTC where most are DNR and waiting for end of life.

It was a learning curve to call the doctor's with every slight change, rather than trying all the non-pharmacological options and such before calling.

Also, the doctor's actually KNOW their patients so I didn't have to do as much prep work prior to each phone call. I was used to looking up all their medical history, labs, recent tests before ever calling a doctor, now at the hospital I spend more time on a focused assessment, vitals and a quick call to the MD with any change in condition.

You can do this! But it's a big change!!! Best of luck

[Nurse SMS, MSN, RN]

The key to any new grad's success lies in time management, learning to delegate and managing anxiety.

In most hospitals actually the hospitalist/attending does NOT know the patient very well. Usually not at all. Its always helpful to use the SBAR format when communicating with them. Know your pertinent background information.

Good luck in your new role.