Stressed out Float new grad nurse!!

  1. 0
    Well, first off I have to say I'm very lucky to have a job. I'm new grad in California and I just got hired about 5 months ago as a float. I started working at the "easy department's" first postpartum, peds and ICN. Over all I was organized and happy, sometimse I would get a little behind in my work but not much. It was a more easier learning environment. Now I'm on a med-surg tele unit at a county hospital, and Im struggling to keep up, every day I'm behind 1-2 hours in charting. Most of the nurses don't really help me or are just as busy as me so they just don't have time; Since I'm a float I don't really fit in with the normal staff because I'm not one them. It is so frustrating I honestly feel like just giving up! I work the hardest shifts to 15-1130pm and most the other nurses work 12 hours, and I feel like I have the harder patients. I feel like I'm unorganized I will start off good and next thing I know I got 2 Dc and one admission and to pt.s going bad on me, and Residents writing like 20 new orders. I never take a lunch, sometimes they will ask me to work doubles and I will just to get caught up, and then I'm still not even coaught up. The other nurses say I will find my rhythm, but it doesn't feel like it. Last night I was so behind I did not even take my last four vitals and get to changing one my inc pt.s I had a pt. fall, blood transfusion, & so much more, I almost cried on the floor. Ugh!! I really feel like I'm loosing my mind! I need help finding my rountine and staying organised and calm!
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  3. 17 Comments so far...

  4. 2
    Unfortunately your whole post sounds exactly like what a new grad on a busy med/surg floor should be experiencing.

    Try to find a sympathetic, empathetic, co-worker, charge nurse, manager, someone from human resources, etc. and show them this post. Ask for advice, input, feedback, on how to get better organized.

    But there is no magic easy cure. You sound like you are doing a great job. It really is tough out there.
    D.R.A. and GrnTea like this.
  5. 0
    I am having the same problem. I am a new grad nurse in Canada and I am working float on a med/telemetry unit and LTC. The med/telemetry unit is crazy! I am doing so well on the other two units and then when I get to the medicine unit I am completely lost, far behind, and have no confidence in myself. I have needed some help with a few skills I have never done before and some of the other nurses are not too happy to have a new grad there. It makes it for a difficult learning environment and I am terrified of making a mistake. I usually am given the hardest patients at well. According to the staff they are giving me these patients so I can practice and learn better, but it has become too overwhelming. One night I had 5 clients with chest pain. I was completely swamped between giving meds and doing assessments and calling for new orders and to update the doctor; I got no charting done until the end of my shift and some of my co-workers were laughing watching me struggle. I had to talk to the manager about my assignments and I was basically told to suck it up and welcome to medical nursing. I am interviewing for a new job next week on a paediatric unit and I am praying I get it, so I can leave medicine behind. I am so disappointed, because I thought medicine would be a great place for a beginner to learn, but the environment is just not the right fit for me. Its too bad, because I love floating to the other unit.
  6. 0
    Quote from Nursingluv101
    Well, first off I have to say I'm very lucky to have a job. I'm new grad in California and I just got hired about 5 months ago as a float. I started working at the "easy department's" first postpartum, peds and ICN. Over all I was organized and happy, sometimse I would get a little behind in my work but not much. It was a more easier learning environment. Now I'm on a med-surg tele unit at a county hospital, and Im struggling to keep up, every day I'm behind 1-2 hours in charting. Most of the nurses don't really help me or are just as busy as me so they just don't have time; Since I'm a float I don't really fit in with the normal staff because I'm not one them. It is so frustrating I honestly feel like just giving up! I work the hardest shifts to 15-1130pm and most the other nurses work 12 hours, and I feel like I have the harder patients. I feel like I'm unorganized I will start off good and next thing I know I got 2 Dc and one admission and to pt.s going bad on me, and Residents writing like 20 new orders. I never take a lunch, sometimes they will ask me to work doubles and I will just to get caught up, and then I'm still not even coaught up. The other nurses say I will find my rhythm, but it doesn't feel like it. Last night I was so behind I did not even take my last four vitals and get to changing one my inc pt.s I had a pt. fall, blood transfusion, & so much more, I almost cried on the floor. Ugh!! I really feel like I'm loosing my mind! I need help finding my rountine and staying organised and calm!
    You describe me. That is how I feel. Unlike you, I only on this job two months include orientation. I asked the Staff Manager for a full time position but didn't get it. I am glad I didn't get the full time because now I am asking him to work less: 2-3 days per week. I cried on the floor one night already due to made several serious mistakes because of what you just described and then they float me to another wing that has nearly 90 percent confuse pts. I felt like I was going crazy myself. Tomorrow I am going to ask if they could keep me at the sub-acute unit instead of going to the LTC unit. I function better with alert and oriented pts. I feel your patient and in the same boat. Hang in there
  7. 2
    The facility is the one at fault here.It is not prudent or effective to start a new grad in a float position.
    Why are you taking your own vitals? Is this a total patient care setting?
    You may very well BE getting a harder assignment as a float. Scrutinize this for a week, start DOCUMENTING all assignments by acuity. If this is true, take your documentation to management.
    Keep us posted.
    Last edit by Been there,done that on Jan 5, '12 : Reason: spelling
    Meriwhen and fiveofpeep like this.
  8. 0
    Well, except I don't take vitals. My CNAs do.
  9. 1
    Its a county hospital, we draw all our own labs, vitals, and even EKG!!! we also have 0 CNAs, Thank you for all the support. I'm just surprised how hard nursing is on med-surg.
    fiveofpeep likes this.
  10. 0
    Quote from Nursingluv101
    Its a county hospital, we draw all our own labs, vitals, and even EKG!!! we also have 0 CNAs, Thank you for all the support. I'm just surprised how hard nursing is on med-surg.
    That sounds horrible! It's hard enough being a new nurse with ancillary staff.
  11. 0
    Yuck i wouldn't work under those conditions. County hospital or not there should be some sort of UAP on the floor for ADLs when the RNs are really needed for those chest pains, blood draws and hanging blood. Not to mention the meds and doctor phone calls.

    Why is it accepted that conditions like this are OK and safe? I hope you find another position!
  12. 0
    Well, I read your post, but didn't really need to read it. The title says it all. You're so stressed out because you're a float new grad. New grads should not be allowed to float. It's hard enough learning one unit, and one specialty area without doing them all. Floating is reserved for experienced nurses, or should be (and I'm not experienced, but it just makes sense; I know you needed the job, though, and I would have taken it, too, because after all, we need to work to pay the bills). You're floating probably because that hospital is desperate for staff.

    Best of luck to you, sounds like you are doing your best, and trying to be a really good nurse in spite of the crappy working conditions it sounds like you have. No ancillary staff at all? How many patients do you have? Good news: if you can survive this, then wherever you go next, it will seem like a cake walk (if it's a good facility).


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