u/HungryBodybuilder324

Hi everyone, I’m a new grad RN trying to decide between two offers and I’m a bit unsure about one of them.

The med-surg/tele unit uses a team nursing model on a 32-bed unit. Patients are grouped into teams of about 7–9 patients depending on the assignment. Each team has 2 licensed staff and 1 CNA (either RN+RN+NA or RN+LPN+NA depending on staffing). The RN will get full handoff report on all patients but will divide workload with the other licensed staff. As a new grad, I was told I will only be working with RNs (no LPN pairing) for at least the first year.

They also said the patient ratio varies depending on which team you’re assigned to each shift.

My concern is that even with “team nursing,” each RN still ends up responsible for a portion of 7–9 patients, and I’m not sure how heavy the workload actually feels in practice for new grads.

Has anyone worked in a similar setup? Is this reasonable for a new nurse, or does it tend to feel overwhelming despite the team structure?

Any insight would really help me decide. Thank you!

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u/HungryBodybuilder324 — 16 days ago

Hi everyone, I’m a new grad RN trying to decide between two offers and I’m a bit unsure about one of them.

The med-surg/tele unit uses a team nursing model on a 32-bed unit. Patients are grouped into teams of about 7–9 patients depending on the assignment. Each team has 2 licensed staff and 1 CNA (either RN+RN+NA or RN+LPN+NA depending on staffing). The RN will get full handoff report on all patients but will divide workload with the other licensed staff. As a new grad, I was told I will only be working with RNs (no LPN pairing) for at least the first year.

They also said the patient ratio varies depending on which team you’re assigned to each shift.

My concern is that even with “team nursing,” each RN still ends up responsible for a portion of 7–9 patients, and I’m not sure how heavy the workload actually feels in practice for new grads.

Has anyone worked in a similar setup? Is this reasonable for a new nurse, or does it tend to feel overwhelming despite the team structure?

Any insight would really help me decide. Thank you!

reddit.com
u/HungryBodybuilder324 — 16 days ago

Hi everyone, I’m a new grad nurse and a new immigrant to the U.S. I don’t have hospital experience back home in the Philippines, so I’m starting from scratch and trying to choose my first unit wisely.

My options:

Med/Surg Telemetry — 1:8 ratio with team nursing (higher acuity, faster pace, cardiac monitoring)

Medical Rehab — 1:5–6 ratio (patients with spinal cord injuries, stroke, brain injuries; focus on recovery, mobility, ADLs)

I’m nervous because everything is new to me—U.S. workflow, charting, and patient care expectations.

My questions:

Is Med/Surg Tele (1:8) realistic for a true beginner with no prior experience?

Will it build a stronger foundation, or is it too overwhelming early on?

Is Rehab still good for learning, or does it limit future options?

I want to grow but also survive my first year without burning out. Any honest advice is appreciated 🙏

reddit.com
u/HungryBodybuilder324 — 17 days ago

Hey, do you know of any great matcha lattes in Charleston, WV? I tried Mea Cuppa, but it was a bit watered down. I’m not sure the matcha scene here is the best, to be honest. What do you think?

reddit.com
u/HungryBodybuilder324 — 17 days ago