New RN Subacute postion Boston ma

hi everyone! I REALLLY NEED HELP with this decision and i can't seem to find anyone who can help me. Currently i am working at a LTC facility in Springfield. 31 patients- 1 nurse. I absoloutely LOVE IT here BUT i am not learning as much. I've been working for about a month now and will be off orientation soon. Now, i just got hired at a kindred nursing home/ rehab facility working on a subacute floor. I haven't accepted it yet because I am afraid it may be too much for a new grad. They said I will have 22 patients for myself. In total it is 44 patients- 2 nurses, 1 charge nurse, 1 unit manager and 6 aides. Is 22 alot for a new grad and for a subacute floor?? I really love my job and want all the experiece that I can get but i am absolutely terrified of getting myself into something that I have no clue about.. Please help me!
I would stay where you at at. You sound happy there along with the fact that you will learn more once off orientation. Jobs are hard to come by these days also. You may not be able to return to the previous position if the new one does not work out. Go with your gut instinct also.

I am really having a hard time. The subacute is paying me a little bit more and I get to move back home. I keep thinking of the experience that I will gain because as of right now, my LTC patients all have dementia and are pretty stabled...No Iv's, no gtubes, some dress and changes and that is it. All I do mostly is passing out meds. But i love the staff and the patients! :0 Do you know if 22 is alot for subacute? Thank you for your input.

just wanted to give you a heads up, that kindred has a terrible reputation around here (boston).proceed cautiously.leslie

Quote from leslie :-Djust wanted to give you a heads up, that kindred has a terrible reputation around here (boston).proceed cautiously.leslie

thanks guys. Don't hesitate to say anything! i need to know.. I will still debate, I hate the area that I am in but love my job. I just want the best experience.. i am guessing you guys would decline?

Quote from RNsweetsthanks guys. Don't hesitate to say anything! i need to know.. I will still debate, I hate the area that I am in but love my job. I just want the best experience.. i am guessing you guys would decline?

Based on my past experience, I would not accept. My advice would be to stay put for now since you are happy with your current job, get a year or two of experience under your belt, and keep your eye out for better opportunities. I know you want to move back home but it won't be worth it if you are miserable at the new job.

If you are happy, stay put!

I would stay put if you are happy. I am from the Boston area, and work on a subacute unit within a LTC facility. 22:1 during the day/evening shift for subacute is WAY too much, IMHO. Our ratios are 8-9:1 for days/eves, 22:1 at night (which is manageable, but busy).

I work for a Kindred facility on a sub-acute/skilled floor. I am a new grad RN on 2nd shift and I have 10-13 beds but they are not always full. At first I was very very overwhelmed and I didn't think I could do it. Now that I am a few months in I am getting the hang of it. There is absolutely no way I could take care of 22 sub-acute patients. Sometimes I go over on my med pass and then I have treatments. G-Tubes, Wounds, IV's, Trachs... I just don't see how you could do that many patients. As far as working for Kindred, the best thing about it is I work with really nice people who are always there to help me. It is a for-profit company which speaks for itself. Good luck!

Hi tacobarlass! May I ask which facility you are working at? When I met with the admin for the job, she told me 6 pts per nurse but when I spoke to the DON, he told me 22 pts... i was excited and it totally slipped my mind that i was told 6? i will get it all cleared up before I make any moves..

Thank you NurseKatie. I have been trying in Boston to get a nursing home job and this was my only call back. I was offered two positions in Springfield instead. I rather be back home anyday. If its REALLLY too much to handle then i will pass on it.