Quote from ladytopaz
I am a first year nurse, graduated in June of 2005. I am having one heck of a time being able to give report off to the next shift without the oncoming nurse making rude comments, rolling of the eyes and what not. What the heck am I doing wrong? I spoke with my mentor and she told me that each nurse wants different things. Some only want what has happened to that patient just during your shift, others want 'everything'. Shouldn't everything be the same?
This is a second career for me, I am 48, used to work in management and am by no means a 'dummy' but I am really getting to feel inferior as to my skills and am starting to question as to whether I really made the right decision to go into nursing.
I am on the verge of going to our unit manager and having a talk with her it has gotten so bad. (As in my mentor getting complaints about how I give report. That's when she told me about how some want report and some don't)
Has anyone else run into this type of problem? If so, how did you handle it?
Thank you in advance for all your suggestions/ help.
It's kind of pathetic that there are folks out there who take delight in rattling someone else's cage. It has been my experience that people who operate in this petty fashion nearly always go after those they perceive as weaker, ie. those who can't or won't call them on it.
The next time you see eye-rolling or any other disrespectful behavior, stop and say, "Excuse me. Is there a problem?" Ask nicely and then just wait. If she has a legitmate gripe (you're giving too much information or presenting things in the wrong order), ask how she would do the report. Hear her out, tell her you will consider her suggestions, and thank her for the information. Then more on. If she says, no, there isn't any problem, continue with your report. If she does it again, repeat the process. Keep your cool and your dignity.
If others have spoken with your mentor, find out the nature of the complaints. Common denominators merit further effort on your part to tailor your delivery. But, if the gripes are all different, it could just be a way of keeping the new kid in her place. Pricklypear had a good idea. Make yourself a checklist or work off your cheat sheet for your own shift and come up with a way to organize the information you're presenting. You may be throwing in everything but the kitchen sink but if it comes across as disorganized, it can be hard for an oncoming nurse to take in.
Think about the reports you are given.
If you ever have time, listen to other nurses report off. Come up with a head-to-toe checklist. Think also of what you would tell a doc if you had to call for problem.
Chief complaint. Other relevant diagnoses. Allergies. Current S/S. Meds. Test results. Tests scheduled. Other info such as med holds, NPO, need for extra fluids. Activity level. Ancillary services (RT, OT, PT). Equipment
and extras such as TEDS, CPM, walker, bedside commode, etc. V/S. Head to toe assessment by exception.
Ask yourself what you would want to know if you were the oncoming nurse. Remember that you're recently out of school where you could get dinged for not knowing and presenting every last particle of information about a patient. You're operating under a much more streamlined standard now. In a very short time, you'll get a feel for how much to relate. In the mean time, tell yourself that the impatience of the more experienced nurses says more about them than it does about you.
I'd advise against involving the nurse manager if you can help it. Be open to constructive criticism, but refuse to cave in on yourself.
It might help you to know that long timers sometimes do the eye-rolling thing (most of them subconsciously, but a few intentionally) to size up the newbies and decide how much guff they'll take.
Don't let the poor choices of others make you doubt yourself or your career choice. Sometimes it's tough being the new kid, especially if you've already been around the block a time or two. The effective message to communicate is, "I'm a new nurse, but I have lots of life experience under my belt. It's to your advantage to help me learn, but if you rather keep being disgusted, I guess I'll learn to work around you."
I wish you success and confidence.