New Grad RN Orientation - page 2

I've only had experience working at a LTC facility, but I did have 3 semesters of clinicals at the hospital that I am currently employed at. It's been exciting and frightening, all at the same time. My first day orienting, I... Read More

  1. 4
    Gosh, I know that everyone gets tired of my same old rant . . . but here I go again.

    Orientation should be structured - with specific goals and objectives along with a timeline for accomplishment & criteria that will be used to determine 'success'. Orientation is not about teaching clinical skills (that is what nursing school was for), it is about 'validating' skills & teaching "this is how we do it here". So, orientation must include all of the department routines such as how charts are managed - which the OP did not have. Obviously, it should not include 'bad habits' such as block charting and incurring overtime for routine charting - sheesh, don't know why that is even tolerated. Finally, everything should be documented so that OPs progress can be measured and validated.

    I also beg to differ- the preceptor is NOT responsible for the OPs clinical practice. Each licensed person is accountable for her/his own practice. So why in the world would the preceptor need to review all charting before it is done is OP is documenting the care that was delivered? I know it is early days yet for the OP, but it seems as though OP would greatly benefit from greater clarity.
    Flatlander, dawniepoo, KimberlyRN89, and 1 other like this.

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  2. 0
    Have you heard of "Nurses eating their young?" Welcome to the real world dear. People don't like nor do they have the time to train new grads. Like it or not it is a dog eat dog world out their in the REAL nursing world. You're experiences are why many new nurses don't even last three years in the career field. If you're going to survive you have to be head strong and tough as nails. Do the best you can and expect to go home crying for at least the first six months. Things in the world of health care aren't getting any better. Nursing students are coming out of college with less and less hands on skills and expected to do more and more without experience. I don't encourage anyone to go into nursing anymore. It isn't at all what colleges make it out to be and the money isn't as great as people think given the hours, liabilities, and pay. I know many people who have just quit nursing and sought other careers given its challenges these days.
  3. 0
    As a preceptor, some things you posted are bothering me. I think the current approach that you are taking is a little self-centered and very passive. I have had preceptees with similar attitudes to the tone of your post, and had to almost shock them with a cattle prod to get them to do anything without me holding their hands.

    At this point, you should definitely require lots of guidance. I am NOT saying you should be super nurse and know how to do everything. However, you should also be very assertive by this point and able to get help on your own. Use your resources. If your preceptor isn't available, ask the charge nurse or another nearby floor nurse. If no one is available, get out your unit references and policy and procedure manual. If you don't know where they are, ask someone and find out. Get comfortable with speaking up.

    Make sure you are communicating, communicating, communicating. I had a preceptee once who was extremely passive aggressive and I only found out that she needed extra help when other nurses told me after hearing her speaking behind my back. Make sure your preceptor knows that you need help. Discuss your concerns with her. If this doesn't lead to a resolution, then speak to the person who coordinates preceptorships, then kick it up the ladder.

    Your orientation is up to you. If you passively sit back and let it be crappy, it is on you. If you assertively (NOT aggressively) take control of your orientation, you are more likely to have a great experience.

    Best of luck to you!
  4. 0
    How long is your orientation?

    There is something to be said for having a good fit with your preceptor. And it's not inappropriate to ask for a new one. But before you do that, you should talk to your preceptor about your struggles.

    I did a three month new grad orientation program, and I was charting on my second day. My preceptor and I were a great fit and I learned so much without feeling like she was breathing down my neck all the time. But... my preceptor was instrumental in getting two other new grads dismissed before they got off orientation. You really do want to make a good impression with your preceptor.
  5. 0
    yeah true, Iv'e been on orientation for the past five weeks and ive been freaking out about getting off orientation in a month. The problem is i'm also in the float pool new grad program. So after the end of my orientation, i'm moving a to a new unit again I have been asking a lot of questions, although sometimes my preceptor gets frustrated sometimes, i dont really care. I make sure I ask a lot of questions
  6. 0
    Having a preceptor that doesn't tell you things is just as bad as having one (or a few) that tell you too much! In my experience orienting, it seems as though it is a competition between them who can convince you that they know best! It is a hard transition and hard to know what to filter as helpful, accurate information and what is just their own self satisfying advice. You will get your own rhythm and confidence---be patient!
  7. 0
    It's not true that all nurses hate to precept and hate to have students. Where I work, orientation, education and precepting is taken very seriously. All new grads get a 6th month orientation in our ICU. I for one love to precept and help train the nurses of the future. There are only a very few nurses in our unit that refuse to precept, and all things considered it's a good thing they opt out cause they are "icky" people to be around anyway.
  8. 0
    I completely agree with kayem. How can you learn if no one shows you? I am an experienced nurse and have had great orientations and horrible ones. Every hospital is different and it takes time to learn the ropes. Not only is every hospital different, but every doctor is too. Some want things done with their patients a certain way and there is simply no way to know that unless an experienced nurse is there to explain it. When did what is in the best interest of patient go by the wayside?
  9. 0
    you will want to train where they will show you the right way to do things since it will mold you for the rest of your career. on the other side of that, you want to accept any job you can these days. unless they are putting your license at risk or you are absolutely miserable that it affects the care you provide.


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