Stressed out by nursing

[Aldilogue]

I had a good look at nursing threads but wanted to talk a bit more.
I finished my degree last year and I'm doing a new grad program through my work which is a private hospital so mainly elective surgery but have some medical.
My problem is I find it hard to switch off and not think about sick patients.
The other day I started my shift at 06:30 and it was handed over by night staff that a patient had deteriorated overnight yet nothing had been escalated.
The patient was vomiting coffee grounds and was regularly incontinent of faeces. She was in significant pain. I had been assigned 6 patients and this one was taking up most of my time ( rightly so).
I asked for assistance and the team leader said the CMO will be coming soon.
Basically the dr came, we did some interventions and she was transferred to another hospital that had an emergency department.
The rest of the day happened and then I went home.
My issue is that I have no support as a New grad and I've asked my NUM and educator fir extra training ( especially IV pumps) but they both say you're doing amazing it's just your first year.
Another issue is that some days I can have up to 10 patients myself.
I have told them it's too many but it doesn't change.
It's a private company so money is closely monitored and the first thing to go is staff.
I love my job but I can't work at this pace ( I'm 48 a late career change) and mum of three.
Any advice what to do about reporting the lack of escalation for the sick patient and the lack of patient ratios.
Nobody listens to me. I don't want to quit, I want to finish my new grad year, it be looks better on my resume if I finish it.
Any advice from senior nurses out there? I'm in Australia by the way but that shouldn't affect good advice. Nursing is hard anywhere.

The first year newly qualified is incredibly hard. I am sure that everyone thinks about quitting nursing several times during that year.
I can't advise what to do about the failure to escalate a very unwell patient, as that depends on the processes where you are. I know what should happen and how to escalate concerns like that in the NHS but I don't know what your organisation has in place. Are there meant to be nurse patient ratios where you are that are being exceeded? I know some countries have legal ratios. Or is it that 10 patients are too many to one nurse and you want to make sure senior staff are aware of that? Are IV pumps and other skills you are asking for training on usually taught in the first year? Where I work (in the NHS) there is a newly qualified nurse programme with study days to ensure protected learning time, which is supposed to include some teaching of additional skills, and a skills passport which outlines what you should aim to be competent at within 18 months of qualifying. Do you have anything like that in your hospital/ in Australia? Would things realistically be any better in a different hospital? It is a long time since I was newly qualified and now I support newly qualified nurses on my ward, but I have no idea what it is like in Australia.

In the public system the union has fought for ratios ( 1 nurse- 4 patients) and has succeeded in most states other than NSW where I am. Private systems don't have mandated ratios.
I didn't know that when I accepted the position.
We do have dedicated paid study days but they are webinars due to Covid so no practical hands on skills. I know most people feel like this first year but at what point enough is enough?
I shouldn't have to feel stressed and anxious because of crappy conditions or do I accept that that's nursing?

No I would say from experience alot more is landed on the nurse in private care. In public hospitals there are docs on call all the time, theres an intern, sho and a reg on call, theres an icu and a and e to filter out the less sick ... I would chose public over private everytime, unless it was clinic work or OPD or routine minor ops

I felt fir sick patients there was more backup

Thank you for your replies and for understanding.
I'm not sure where to go from here but I appreciate that it's a hard question to answer.

I have been a nurse for 22 years now and found my place in the community. I was a District Nurse for 14 years and now have a specialist role. Its not the cutting edge of nursing but I found the lack of hideous shift patterns suited family life far better than an intense hospital environment - could this be an option?

Your other option is too look at rehabilitation nursing.
If your hospital is part of a larger group owned by a company, you may have the option of transferring to another hospital in the group.
Also become a union member, if you are not already, 10 patients to one nurse would normally require union intervention. ( Different if you are in a team with another nurse and sharing the load)

I feel your pain I really benefit from various vitamins (restricted diet due to intolerances/pseudo allergies) like D, B12, iron, Magnesium have tried to consolidate into just taking WellWoman which seems decent and a gentle iron tablet but I expect yours is superior. I feel rubbish whenever I stop for a while, beyond nocebo effect I am pretty sure. I know they won't necessarily impact my mortality that's not what I am after. I am trying to improve gut health too as pp said.

Yes community nursing is an option.
My hospital has a rehab ward but it's like a nursing home which I'm not interested in having done 5 years in aged care facilities. I've done a few shifts there but it's not for me.
My favourite is admissions but I feel like I may lose my skills but I like the interaction with nervous pre op patients.
There may be an opportunity to go to our renal ward and learn dialysis which will give me experience in blood which ultimately I think I want to be.
Yes I've joined the union and will contact them. I just like hearing other nurses perspectives on stuff. Senior nurses are a wealth of wisdom