What would u do?...

Nurses New Nurse

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Here is the situation. Tell me what u think.

I had some trouble with nclex. Took a few attempts to pass. Was a PCA 2 for about 10 months after graduation. Worked on a busy med/surg floor (diabetes/gi) on night shift.

Now, I have transferred to more of a surgical floor as a nurse. I had 3 weeks orientation on days (to get to know orders/surgeons) and then 3 weeks on nights. I start Monday as my first night on my own. (will be working nights full time).

Anyway, here is the situation.

My husband (works for EMS) told me about this nursing home that he takes pt's to that has an opening for ADON (asst. director of nursing) for this nursing home. It has about 95-100 residents. I would be in charge of staffing, falls managment, care plans, weekly meetings with different departments, overseeing care by LPN's and CNA's, and risk management.,etc. So it would be a management type job. They have 6 doctors total. I would do alternating weeks of call. My husband has never had issues with anyone at the facility and says everyone is nice. Also, there is a hospital literally within walking distance and is about 1 min. away if anything happened.

My question is would u take the ADON position or stay on the floor?

*Granted, they know my background (new nurse, PCA experience), they would be more than willing to work with me, and currently an LPN is acting as ADON.

I went to the facility and met the DON, workers, and residents. They basically offered me the position.

I feel that I am not ready for that and am leaning toward not taking it. I would feel bad for the people at my current job bc they invested so much time to orient me for 6 weeks just to throw it away. Also, I feel as if they are just trying to fill the opening and not nec. thinking of me and my license. Also, I kinda feel like I maybe need to get my skills, confidence, time management/prioritizing down,etc.

I am going to think about it a little more ..but I am going to call them on Monday with my decision.

SO...what would u do?

Specializes in L&D, QI, Public Health.
Here is the situation. Tell me what u think.

I had some trouble with nclex. Took a few attempts to pass. Was a PCA 2 for about 10 months after graduation. Worked on a busy med/surg floor (diabetes/gi) on night shift.

Now, I have transferred to more of a surgical floor as a nurse. I had 3 weeks orientation on days (to get to know orders/surgeons) and then 3 weeks on nights. I start Monday as my first night on my own. (will be working nights full time).

Anyway, here is the situation.

My husband (works for EMS) told me about this nursing home that he takes pt's to that has an opening for ADON (asst. director of nursing) for this nursing home. It has about 95-100 residents. I would be in charge of staffing, falls managment, care plans, weekly meetings with different departments, overseeing care by LPN's and CNA's, and risk management.,etc. So it would be a management type job. They have 6 doctors total. I would do alternating weeks of call. My husband has never had issues with anyone at the facility and says everyone is nice. Also, there is a hospital literally within walking distance and is about 1 min. away if anything happened.

My question is would u take the ADON position or stay on the floor?

*Granted, they know my background (new nurse, PCA experience), they would be more than willing to work with me, and currently an LPN is acting as ADON.

I went to the facility and met the DON, workers, and residents. They basically offered me the position.

I feel that I am not ready for that and am leaning toward not taking it. I would feel bad for the people at my current job bc they invested so much time to orient me for 6 weeks just to throw it away. Also, I feel as if they are just trying to fill the opening and not nec. thinking of me and my license. Also, I kinda feel like I maybe need to get my skills, confidence, time management/prioritizing down,etc.

I am going to think about it a little more ..but I am going to call them on Monday with my decision.

SO...what would u do?

I'd get more experience on the floor. There will always be an ADON position. The fact that they have an LPN (no offense) currently in the position speaks volumes. They need a warm body.

Also, think about your career. If you're starting as an ADON, what's next? If you want to get back to the floor, this might work against you.

Specializes in LTC, Med/Surg, Peds, ICU, Tele.

I think you should do what you want to do and not listen to people on an internet site whom you've never met in your life.

Here is the situation. Tell me what u think.

I had some trouble with nclex. Took a few attempts to pass. Was a PCA 2 for about 10 months after graduation. Worked on a busy med/surg floor (diabetes/gi) on night shift.

Now, I have transferred to more of a surgical floor as a nurse. I had 3 weeks orientation on days (to get to know orders/surgeons) and then 3 weeks on nights. I start Monday as my first night on my own. (will be working nights full time).

Anyway, here is the situation.

My husband (works for EMS) told me about this nursing home that he takes pt's to that has an opening for ADON (asst. director of nursing) for this nursing home. It has about 95-100 residents. I would be in charge of staffing, falls managment, care plans, weekly meetings with different departments, overseeing care by LPN's and CNA's, and risk management.,etc. So it would be a management type job. They have 6 doctors total. I would do alternating weeks of call. My husband has never had issues with anyone at the facility and says everyone is nice. Also, there is a hospital literally within walking distance and is about 1 min. away if anything happened.

My question is would u take the ADON position or stay on the floor?

*Granted, they know my background (new nurse, PCA experience), they would be more than willing to work with me, and currently an LPN is acting as ADON.

I went to the facility and met the DON, workers, and residents. They basically offered me the position.

I feel that I am not ready for that and am leaning toward not taking it. I would feel bad for the people at my current job bc they invested so much time to orient me for 6 weeks just to throw it away. Also, I feel as if they are just trying to fill the opening and not nec. thinking of me and my license. Also, I kinda feel like I maybe need to get my skills, confidence, time management/prioritizing down,etc.

I am going to think about it a little more ..but I am going to call them on Monday with my decision.

SO...what would u do?

I would see if there is anyway to do both. Perhaps a per diem shift at the hospital on the weekends could help keep your clinical skills intact while you test the waters at the ADON job?? Just a thought. Good Luck!

Specializes in Geriatrics/Family Practice.

I was just reading this and yes ZAHRYIA I was offended. I'm obviously and LPN and yes I could handle being a ADON and was offered to work as one but declined due to family life, not because I'm incompetent. It doesn't take a RN to do the job. The facility I work at has a LPN as the ADON and she runs circles around most people that work there with her knowledge and capabilities. As to the original question, I would consider your options. I would definitely take some time to learn how LTC operates by working the floor a little and then the facility will send you to training for state and federal regulations and what to do. I will warn you that you need to be prepared to be called alot of your off time for emergencies. If it operates like our facility they rotate between the DON, ADON and administrator for emergencies. And because LTC is a totally different entity than a hospital, you can start there without tons of experience and they will train you just as they trained you at the hospital. Again, I have to say I'm appauled that the above mentioned person would be so rude and disrespectful.

Specializes in RN- Med/surg.

I don't think she meant to be offensive. But RN's are taught that some of those responsibilities aren't in an LPNs scope of practice. RN's are supposed to write care plans. I worked 5 years LTC though as a CNA and wouldn't have known the difference between LPN and RN if not for school. The LPN's did just as much and were just as capable there.

personally I would stay in the hospital because the thought of a management position turns my stomach. but that is just me. I would ask myself why I would consider the position and do some thinking because it is a totally different position. Also, as a LPN and soon to be RN I hope I never make comments about RNs the way some do. In a LTC in my area there is no difference between LPNs and RNs. there are plenty of LPNs that are ADONs. in fact I have good friend that is one. So for someone to imply that there is something wrong with the facility because the have a LPN is just plain rude.

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