I think I posted in the wrong section, sorry Moderators.
I have a problem... I am a new grad orienting for three weeks so far at a pretty well known hospital on the med surg unit.
I started last week on the floor with a preceptor who did not seem like she wanted to teach or work. She does not do assessments on her patients, check on them unless they call for her. She had taught me that there was no need of assessments because the previous nurse had already did it and from the report given they seem stable. She sits around and copy and paste from the previous nurses assessment throughout the day on the computer. With medication administration, she taught me to save time by compiling all the meds from her patients in one large container, scan the sticker from their charts and then go to the room to give it to them. I asked her if there was a timeframe of giving medications to the patients and she says one hour, but to not worry if it is late because it is easily modified on the computer. For the last 3 days on the unit, I have been sitting with her at the nurses station while she browses on the internet. There was a couple of patients who wetted themselves and called for her, she would tell the secretary to call the CNA to go and clean it up. There were many times I had told her I would like to go and clean the patient up but she refused, telling me it is the CNAs job. I see the CNAs busting their butts off trying to catch up with the amount of patients they have. I want to help them but if my preceptor says no I have to listen to her because she is the one who will be giving me a overall evaluation at the end of my orientation.
I guess it is not only my preceptor that is the problem but also the other nurses there as well. They all questioned me on why I want to work on their floor and told me that I will regret it. During my interview, I specifically asked the DON what is the nurse to patient ratio and she said it was 1:5. When I saw my nurse having 7 patients, I questioned her as to why she has 7 instead of 5. She said that it is normal and usually she would have 9-10 patients.
There are many other things that I've seen on this unit that are unethical in so many ways but I am not going to go into detail as I do not want to be discovered just in case one of the nurses browse this forum.
I worked hard for my license, and I feel as though I am going to jeopardize it if I stay. The problem to this is that I really do not want to burn any bridges with the hospital just in case I decide to return but to a different unit.
I guess my question is; how do I go about quitting without burning any bridges?
The first thing I would do is arrange to get a new preceptor, ASAP. This preceptor has bad habits that you as a new nurse should never pick up. Are you able to speak to the nurse manager or CNS or nurse educator about your concerns? You need to have a preceptor that WANTS to teach you, not one that was assigned to precept unwillingly. Take steps to change preceptors now. You don't want to continue with this preceptor and have her sign off on skills that you have not fully learned. Because once you're on your own, it will show whether or not you can do the tasks required and whether your critical thinking skills are forming. From the sounds of it, she has the ability to lie about anything you did or did not do. Time to make a big change.
Last edit by PacoUSA on Oct 25, '12
Quote from sckimrn
Look up the policy on terminating employment and follow it. In my facility, we have to give a written 30 day notice. In your notice, state that you are thankful for the opportunity, but have decided to take a job with XYZ facility and try to cite some vague reasons, like closer to home or something like that. As long as you follow the policy, there should not be a problem. Also make sure you set up an exit interview with human resources. You can give them a little more insight if you wish. But definitely get off that floor. Unfortunately, during interviews, we are often not told the real truth and sometimes it is because the manager does not know the truth. But she obviously should know the nurse to patient ratio. RUN AND DON'T LOOK BACK!!! GOOD LUCK!! Sorry your first experience was a bad one, it will get better.
Thank you, I will look into my employment handbook. I was so excited to be hired at this hospital and on the med surg unit! I had turned down three job offers for new grad residency because I wanted to be able to solidified myself as a new nurse by taking on the med surg position then move to ICU. I do not plan on outing the nurse because I believe every nurse has their own way of working. She has been a nurse for over 20 years and probably knows what she is doing. Her way of prioritizing is different from what I learned in nursing school and clinical. I had a call this morning for an interview at another hospital for a ICU position, I went ahead and scheduled it.
It really sucks that it has come to me wanting to quit so soon.
Last edit by bella1234 on Oct 25, '12
: Reason: add on