What am I risking in this job?

Nurses Career Support

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I recently posted regarding an incident at work and some of the responses got me thinking. I'm wondering if I really should be working in the position I am in and whether I am risking my license or not.

Long story short, I am an RN still in my first year after nursing licensure. It took me quite awhile to find a job because I was holding out for a part-time position in order to be at home with my kids the majority of the time. I initially started working two weekends a month at LTC facility. Then I received an offer to work full-time in a hospital setting, which I jumped on because there did not seem to be any opportunity to work in a hospital part-time as a new grad. However I ended up choosing to leave because I really did want to be with my kids more. It was a very hard decision since the job was such a great opportunity!

I am now working for the same LTC company again, as a weekend supervisor. I supervise 3 RN's and 4-6 CNA's in the 60 bed rehab unit. I received very little training for this administrative position and no orientation on working the halls (I guess they thought the 8 days I worked for their company almost a year ago was sufficient), even though I was told I would have to take over working a hall if a nurse called in for that shift. I am usually the kind of person who prefers to learn on the job anyway...but last weekend I was asked to take over for a nurse that called in and found myself totally lost. Even with the help of another nurse most of the patients in my care did not receive their "morning" medications until lunch time or later! I think I might have missed a few wound treatments as well and was there an additional two hours both days trying to get everything done.

It's not so much the extra work and stress that bothers me, it's the issue of whether I'm competent to be doing this and is this safe for my patients. Not to mention my license! Am I overreacting? Most of the time when I am at this job I basically wait around and address any issues that come up (complaints from patients or family members), try to make sure the staff are staying on task, and do things like take phone calls and give tours to prospective families. I didn't know much about how this place was run or what to do when problems happen and have been learning all of that through trial and error. I am just nervous about the fact that if anything serious happened while I was either supervising or working a hall (or trying to do both at the same time), then I would basically be held responsible regardless of how little training/experience I have had. The schedule and pay are great...I'm getting paid to just be there to put out fires, basically! I'm just worried now about what I have gotten myself into.

I would appreciate your honest input. Thanks.

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