So I am a new grad nurse on a surgical unit. I am on orientation and got my 30 day eval today. Come to find out my manager told me my preceptor raised concerns about my critical thinking skills, and being to "rough" with a patient with pulling a central line. They also said my preceptor was concerned because I gave a pain med with Tylenol to early to an actual Tylenol dose (it was one hour early- you get one hour each way to give a med). Now I am so upset!!! I have to spend 2 extra weeks orientating with another preceptor. I feel very betrayed by preceptor. I am the first person she has ever precepted. She has been short tempered with me, and gets fustrated when I ask how to do something over again. It's like she expects me to get remember everything only after one time of being taught. I have been thankful and kind to my preceptor, and honestly feel like I am doing ok at being a new grad nurse. I know I have so much to learn and want to learn the best practices, but I feel as if I got pushed under the bus on this one. I told my Managers I was fine with doing 2 extra weeks of orientation. Now I feel as though I will be labeled as the "dumb" or "bad" nurse on my floor. I work really hard and am giving this my all and it is really tough to hear this after all my time and effort! I have cried for a whole day about this, and I DON'T cry! Two other new grads on my floor, whom I went to nursing school with, have got the ok to go out on their own. This is what is making me feel really inefficient! I heard my preceptor talking with other nurses and CNA's today about me having to do these two extra weeks....so fustrating! I am just hoping for advice on how to handle my situation! I really would appreciate input!
-Lost New Grad
Perhaps your preceptor is being unduly harsh. Perhaps she's not - her observations may have merit. She's certainly being unprofessional by gossiping about you, if you actually heard that correctly.
However....it's only 2 weeks. A total of 6 weeks on orientation is not at all unusual. I think you need to suck it up, keep your head high and your mind open to learning more. You may have a marvelous 2nd preceptor who can teach you many things.
A year from now, I doubt that anyone on your unit (except for you) will have a memory of you taking an extra 2 weeks of orientation.
p.s. There is a world of difference between being "allowed" to give a med one hour before or one hour after the scheduled dose, and giving a safe dose of Tylenol. I hope that you study this issue and realize what your preceptor was objecting to: a potentially unsafe dose of Tylenol due to timing of the doses.
Last edit by roser13 on Mar 29, '11