Was your first solo shift toxic?

Specialties LTAC


Hi, 20 year old LPN (I) here and I just finished my first solo shift at a retirement facility and well, it pretty much sucked. I had 4 orientation shifts (2 days 2 nights) and last night was my last orientation shift. Little did I know they were gonna call me to cover the AM shift that morning too.

I was nervous, but mostly excited. I was put in a floor where I was never orientated to, so I know nothing about the residents. The good thing was I just had 13 residents, unlike in other floors where there are a little less than 40. I was confident because I knew I'd have a lot of time. Boy, was I wrong. I started my med run but I feel like I did it slowly as the patients didnt have any identifiers on their body, plus a lot of medications that were not in their personal med box (ie. Inhalers, injections, prn narcotics) so it took time to get everything prepared. Behavior was an issue too. I had people refusing taking their meds and yelling "go away." Plus in this facility, you chart a lot so I had to do a lot of charting too. It didnt help that my care phone kept ringing and ringing, mostly family who wants an update on the residents. Plus the management called for a meeting in the middle of my shift too. Now I'm stuck worrying if I did everything right, most especially the narcotic count since I might have put the wrong amount. I swear i wrote everything down but still, its still a possibility i made an error. Any tips? I felt like crying. I tried my best to prepare the med cart/ emptied garbage plus restock supplies for the next nurse. Is the first shift really hard for brand new nurses?

PS. This is my first job ever!

Specializes in kids.

Sorry your shift was so crappy. I have been a nurse for, gasp! 35 years!!! and done perdiem in LTC for 9 year. I still have days like that!!! Patients should have some identifier, either a wrist band or a photo. It takes time to get organized. Best of luck!!

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