Worried about my future as a nurse, and afraid I'll be fired - page 2

I am currently working my first job as an RN on a med-surg/neurology floor. I graduated August 2012 with a BSN. I've been off orientation for under 3 months. This morning after completing my night shift my nurse educator told... Read More

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    Does your hospital have computers in each room? Mine does, so I chart right there in the patient's room while I'm assessing them. That helps a lot with my time management
    PA_RN87 likes this.

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    We have these laptops on rolling carts that we can bring into the room to scan wrist bands for passing meds, etc. I work tomorrow night so I'm going to try bringing that with me when I do my assessments. Maybe I can knock some stuff out as I go.
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    The fact that they are offering constructive criticism with suggestions to help you improve, as well as feedback on your strengths, seems like they genuinely want to see you succeed, and aren't about to fire you. A red flag would be if they didn't give you feedback! It happens...

    Time management a skill that is developed. Its hard not to compare ourselves to our peers, but our perceptions are usually off, so try not to assume they are "getting it" and think, what is wrong with me? Chances are, they are having battles of their own. While you struggle with time management (as do I!!), your fellow new grad may be a naturally organized person, but they have trouble with learning procedures, i.e. IV starts…both of which will ultimately be developed with time.


    The aspect that is harder to teach is the compassion needed to build good patient relationships, and they have told you that are great with that part. So hang in there and take comfort in knowing that you have the qualities it takes to be a great nurse, and that your weakness is a learned skill that you will have down pat with time…





    j_tay1981 likes this.
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    Mlb,
    Thanks so much, that's something I really needed to hear!
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    Quote from j_tay1981
    Do you all prefer to chart as you go, or leave the charting for large chunks after seeing people? I started off doing the larger chunks, but I got really behind and would forget aspects of my assessments. I've recently tried to implement on the fly charting. I think I need to be more diligent with that since 'Chunk Charting' hasn't been my friend.
    I have found that I chart as I go for pretty much everything, except for my assessments. The start of the shift is always so busy... so I can pretty much remember most of the assessment in my head, and I'll write down certain things on my brain to remember for later... such as which side of the body something was on, etc. When I have seen everyone and taken care of the initial stuff, I'll chart the assessments when I have more time to pay attention to detail.

    For everything else, like going into and out of the rooms... pt teaching... lab results... dr. calls... new orders... etc, I will chart as I go, because if I don't, I may forget.
    j_tay1981 likes this.
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    I could have written your post myself. I have been out of orientation for almost 2 months now, and I'm constantly late charting. I make mistakes and spend the nights beating myself up. Charge nurses are nice to me, but I walk around waiting for the day the hospital will hand me a pink slip... And I would not blame'm at all. I feel so stupid, I compare myself to the ppl who graduated w me and feel they have already gotten it, and I haven't. I was one of the top students in RN school. The only one chosen to go to critical care and I can't seem to organize my thoughts and feel as if everything I learned in school has slipped my mind... Whats wrong w me?!
    Walking back to my car after my shift is a true "walk of shame". I wonder if I'll survive as an RN...
    mitral likes this.
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    Quote from Phlavyah
    I can't seem to organize my thoughts and feel as if everything I learned in school has slipped my mind... Whats wrong w me?!
    Walking back to my car after my shift is a true "walk of shame". I wonder if I'll survive as an RN...
    I think every new grad has these exact thoughts and feelings! We all want to have it figured out after a few months... but it honestly takes 6 months or more to really have a routine, and things start to sort of "click". Every now and then you will have to stay late charting for those crazy shifts that happen, but give yourself some more time... you will get there!
    mitral and j_tay1981 like this.
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    I think it is great that you recognize your weaknesses and have the support you need to work on them! I am on my 4th shift as an RN and the drive home from the hospital is always fraught with concerns about things I did/didn't do or should/should not have done. "They" say that it takes at least a year to graduate from Novice to Beginner RN, and for areas with higher acuity it could take longer than that. Nursing school teaches what you need to know for minimum competency, that is all. Keep your chin up and keep investing in yourself.
    j_tay1981 likes this.
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    Phlayvah,
    It sounds weird because what you wrote and what I wrote are so similar, I know how you feel. Despite this, reading your post makes me not only want to tell you to keep your chin up and hope alive but also turn around and say that to myself (and I'm the guy who started this thread!)

    Neither of us would have gotten to this point if we didn't have SOMETHING that could make us successful as RN's. No matter what that thought has helped me through some tough shifts. That there is some spark somewhere inside me that could someday ignite into a more confident RN.

    I hope you have that sense too about yourself.

    Good luck to us both!
    mitral likes this.
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    Quote from Phlavyah
    I feel so stupid, I compare myself to the ppl who graduated w me and feel they have already gotten it, and I haven't. I was one of the top students in RN school. The only one chosen to go to critical care and I can't seem to organize my thoughts and feel as if everything I learned in school has slipped my mind... Whats wrong w me?!
    I could have written this myself. I'll be starting orientation next week, and I start on the floor April 1. I'm so scared, and I always compare myself to others, which only brings me down (you'd think I'd have learned by now to NOT do this...). I'm just hoping that my preceptor works with me, and that I don't do something that gets me fired. I always ask questions if I'm not sure, but I'm afraid I'll seem incompetent. At least I'm not alone in my worries!!!


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