Hi, i recently graduated in jan, passed boards first time in march, and landed a job in a STC/Acute care/LTC facility. I have been on orientation for a couple of weeks now. I have been feeling very overwhelmed. Last night i could not sleep due to high levels of anxiety and stress. This morning, overwhelmed with anxiety, i called up the nurse manager and she did not answer. I left her a message on her voice mail that said something like "i do not think i am cut out for your facility. I am stepping down from my position you guys offered to me. I am sorry and everyone there has been great to me though."
A few hours later she calls me back, i missed her phone call. She left me a message and said something like she wishes to speak to me and would like to offer me a slower paced orientation and to call her back. So i call her back and she said she is sorry that i feel that way and she had wished she had checked up on me more. I told her that i m scared and nervous about all the liability, documentation, fast pace environment, Telephone orders, confusing med passes hand written on cardexes, transcribing orders, and other nursing responsibilities.
She told me she doesnt want me to quit, will cut my hours down to 32 a week for orientation and put me on a slower passed unit where i can have more time to ask questions and look things up. This all sounds really great. I was amazed and shocked that she actually wanted me to stay.
Should i be worried about my reputation for throwing in the towel so soon and having the manager having to ask me to stay??? I m beginning to feel concerned about my actions, even though i was and still am truly truly overwhelmed. I have a feeling she is knowledgeable of the "reality shock" most new grads go through and is aware that I am suffering and beginning to go through this transition.
I m assuming they could have kicked me to the curb at that point if they wanted to. Why continue to pay and train someone your company doesnt see as good or adding value? Any input or thoughts from you guys on this type of situation would be great.
Quote from hope3456
Everyone has to start somewhere but IMO the handwritten MARS can be more dangerous to an inexperienced nurse who isn't familiar with the normal dosages of medications, abbreviations, ect.
that was a complaint i brought up to the manager. The floor that i am being moved onto will allow for an orientation that is slower placed and she said i will be able to look meds up until i become more familiar with them. The reason i asked her about this is cause our pharm teacher, in college, looked each one of us in the eyes and said YOU DO NOT ADMIN A MED IF U DO NOT KNOW THE MED! For abbreviations there are facility policies on acceptable abbreviations. I have the whole list on my "orientation clip board". I will not admin a med with a unclear abbreviation without further clarification.
I am worried about medicine transcription. For new admits we have to, in some cases, take the medicine list from the hospital, get them verified and changed by the doctor or aprn and then re-write them onto a cardex type mar. this whole process to me is complex and allows to much chance for error. I know it can be done, but electronic is so much easier as far as i know.
Last edit by DUDERNGUY on Apr 16, '13
Apr 16, '13
by Kayemin, BSN
I'm sorry you are going through this! Just know that your 1st year out of school will be very stress-inducing. It was for most of us. You are not alone. You did the right thing by recognizing that you were overwhelmed and you took a step back. I don't know what advice to give you as far as your particular facility, but I just wanted you to know that what you are feeling is completely normal. It WILL get better
Last edit by Kayemin on Apr 16, '13