[RNLisa]

Ok, I am about to make myself pretty vulnerable here by admitting something to you all. Being a new nurse for only 5 months or so, I know I am still "green".

I do feel pretty good about alot of my job aspects, but I really became aware that I am still not confident about alot of situations that can come about.

You read about stuff, learn everything you can in school, you know a disease process, meds for that process, etc. etc., but when it comes to real life situations, I feel like I am a deer in headlights sometimes.

Not to go into detail for HIPPA reasons, I just had a situation that I was like "Oh my gosh, what do I do?" I did what I knew, but then was like "am I ready for these kinds of situations?" I feel like a total imposter, I am a nurse, shouldn't I know what to do????? Everything ended up ok, I did ok, called the appropriate ancillary depts, doc, etc. But, after that, I am thinking, will I be able to function in that situation or in other situations appropriately.

I feel so stupid admitting this.

Please tell me I am not the only one who has or does feel this way. I know I will learn as I go, but being on my own as a new grad, I still feel scared.

I pray every day before work that God will only give me what I can handle. I pray he keeps all patients in my care safe and that he will guide me. I know he will, but it still scares me.

[cardiacRN2006]

Originally Posted by RNLisa

Please tell me I am not the only one who has or does feel this way. I know I will learn as I go, but being on my own as a new grad, I still feel scared.

Uhhhh, no. You're not the only one who feels that way! It's only been 5 months! You're still learning...


There have been many, many situations where I am in the room, looking cool as a cucumber, and I am saying to myself, "OK, what do I do now???"

You do what you can do. Then when it's all over, ask your fellow co-workers for feedback.

A few months ago, I had a pt transfer from the ER. He had a pressure of 73, which quickly went into the 60's. He was on one pressor, and I was asking for another. The dr was out in the unit, and I called her over, and asked her to give me some orders. She said, have you started a bolus yet?


I didn't know that I could just do that on my own! When the situation was done, I asked several of my co-workers how I did, and what should I have done better. They all had advice for me, which is nice.


So, you just have to encounter the new situations, and deal with them, and then learn from them. We can't really know what to do if we've never don't it before!


Be gentle with yourself! Nursing is hard, that's for sure. If it wasn't then anybody could do it...

[RNLisa]

The biggest thing is, our hospital is small, and there isn't a doctor there all the time, he comes in at different times of the day, he is the hospitalist; at any rate, the other nurses (there are usually just 3 of us), are all busy with their patients and we are spread out. It seems like the majority of our patients are very ill, elderly patients. They all seem to have respiratory problems, diabetes, or CHF. When they go bad, they go bad fast. I just have been feeling like I am alone. The other nurses are nice and are helpful when they have time to help me.

I haven't been certified ACLS yet, or telemetry; that is to come yet this year (budget reasons), so I don't feel confident enough to know when to call for help before it gets to a code situation. That's scary, I know. If it's a respiratory situation, I call an RT to assist and they are good at coming. We don't have a "rapid response" team, I wish we did, but I am afraid that I would call them when I don't really need them just because I am scared or don't know what to do.

Right now you are wanting me to be your nurse, right??? LOL

[fultzymom]

I think that all of us feel that way. Just when you think you are getting the hang of things, something comes up et you are like, "What NOW?" And I have been a nurse for 4 1/2 years. It is scarry to think that if you do the wrong thing it have serious consequences. Hang in there et it will get better. Remember if you are not sure to ask someone. At first I expected that I should know after nursing school. But reading about something et doing it is totally different. I decided that I would rather feel stupid and ask that do something to mess up.

[cardiacRN2006]

A time will come when you start to believe in yourself, and rely on your judgement.

We have the same thing. Small unit with a hospitalist. Comes to us in the am and then goes upstairs all day.

As long as you take something from each situation like you are describing, and learn from it, you will be fine.

It just takes time.

[janfrn]

I've been doing what I do for close to ten years and there are days when I totally feel like an imposter. Practice and experience will help, but it will never make that feeling truly go away, I don't think. There's no way any of us can experience every single thing that can happen to a nurse-patient pair, life's just not that long! You do the very best you can and you count on those around you for help.

Originally Posted by RNLisa

I haven't been certified ACLS yet, or telemetry; that is to come yet this year (budget reasons), so I don't feel confident enough to know when to call for help before it gets to a code situation. That's scary, I know. If it's a respiratory situation, I call an RT to assist and they are good at coming. We don't have a "rapid response" team, I wish we did, but I am afraid that I would call them when I don't really need them just because I am scared or don't know what to do.

Better to call in the cavalry and not need them than to find yourself alone with a patient in full arrest. Yeah, they might grumble about "alarmists", nervous nellies" and stuff but let "'m! Then pick their brains... "What would you have done in this situation, so I'll know for next time?" Works for me!

[cpgmich]

Thank you all for allowing me a sigh of relief! I too have been an RN for only 6 months and some days are so totally scary that I too have felt like an imposter. Some of the other nurses I work with have forgotten what it was like being a new RN.
I have renewed strength now! Thanks!

[NJNursing]

Everyone had great advice. I just passed my 6th month and sometimes I'm totally confident that I gave the best care possible and then there are some frazzled days where a million things go wrong and the prioritizing comes into necessity of what is most critical to do first or where I'm not even starting my charting until about 5 because I've got a couple of needy patients who take me away from the rest plus my own duties. I can say, however, that I know much more now than I did 6 weeks ago, than I did 3 months ago than I did 6 months ago. I know that the nurses I always go to advice with have been there for years and years and are great pillars of support and knowlege and most are very willing to help someone out and I'm certainly not afraid to go to them and use them if need be.

Good luck!

[blueiwahine]

I feel like an imposter every day...I feel like I really didn't learn anything from school...in my last 8 months I have learned so much from the nurses, that I could ever learn in school...I too, pray everyday on my way to work to God to help me be compassionate, caring and to please not let me harm any of my pts...

[scrubsnhugsRN]

I too have been learning soo much from my more experienced nurses and I think they are appreciative when I ask, they know that when I am unsure I will consult them...bottomline I learn something every single day!!