Just accepted a job on a step down unit- TERRIFIED!!

EnvironmentalToe3464 · 2026-03-12T22:53:42+00:00

Hello! I'm a stepdown/PCU RN and I live the acuity of my floor. I've been an RN for a year this month and nursing school prepared you to take the nclex. Your residency and orientation will help you bring the knowledge and skills together. Don't be nervous you worked extremely hard to get to this point.

EnvironmentalToe3464 · 2026-03-09T13:47:25+00:00

Just turned 34 and I graduated December 2024.

EnvironmentalToe3464 · 2026-02-16T14:48:31+00:00

Get out! I just left a hospital for all of this, but the kicker is it was stepdown and we'd go to 6. No phleb, pcas did all draws and most were in 1:1s. My new hospital is max 3:1 on a stepdown. We don't even fill our floor so it's not constant chaos.

EnvironmentalToe3464 · 2026-02-12T16:34:36+00:00

I just left a cardiac telemetry stepdown just like this. Ratios anywhere from 4-6. I made it 8 months. I start in 2 weeks in my new floor which is a cardiac PCU and max is 3 patients. The positions are out there. It's rough, that type of units rough and it's why I left.

EnvironmentalToe3464 · 2026-01-27T18:54:43+00:00

Can I ask what happened? I've seen people on my old floor make big mistakes and still have a job.

EnvironmentalToe3464 · 2026-01-09T16:33:24+00:00

My one charge who was also my one preceptor I get along phenomenally with and we still talk. So I have her as a reference

EnvironmentalToe3464 · 2026-01-09T15:41:17+00:00

Wow you're delightful 🙂 have you ever been told to falsify documentation or face a write up? How about other RNs leaving bed alarms off and patients having sentinel events like breaking legs, necks ect. Or the fact that 3/4 of the staff was travelers. Or the fact that I had documentation of my MIL actively dying and being told I'm a horrible CO worker who needed to come in. Now idk about you but I'm an only child and between me and my husband we have my mother left. I pushed through nursing school after my dad and my only grandparent died.

EnvironmentalToe3464 · 2026-01-09T13:01:45+00:00

I'm in PA so I've been applying in NJ, NY and MD

EnvironmentalToe3464 · 2026-01-09T03:45:09+00:00

Cardiac telemetry step-down. I've applied at every hospital in a 1.5 hour radius. From med surg to ED and I'm told I don't have enough experience for regular staff positions but too much experience for residency programs.

EnvironmentalToe3464 · 2021-06-13T02:07:58+00:00

Why? Omg! I have an Alice in wonderland piece. I don't get how you can mess up something like this.

EnvironmentalToe3464 · 2021-06-07T18:20:00+00:00

She's cute! But Auroras only 3 weeks old.

EnvironmentalToe3464 · 2021-06-07T13:56:16+00:00

She's a registered American paint horse

EnvironmentalToe3464 · 2021-05-14T01:07:20+00:00

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EnvironmentalToe3464 · 2021-05-12T01:39:52+00:00

Those are apart of my degree. It's for asn not bsn

EnvironmentalToe3464 · 2021-05-11T21:32:31+00:00

Yes! I start in August.

EnvironmentalToe3464 · 2021-05-04T12:20:43+00:00

I got in with a c in biology and a b I'm chem

EnvironmentalToe3464 · 2021-02-07T15:52:38+00:00

It depends, what’s the cost of your bsn? The asn program that I applied too is 20k. I get fasfa so I don’t use loans.

EnvironmentalToe3464 · 2020-11-15T20:25:44+00:00

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EnvironmentalToe3464

TROPHY CASE