I understand what you're saying, but I think that what you've been hearing is the difference between an overly confident-verging-on-arrogant new nurse and yourself, who may feel confident that you can learn anything given the oppoortunity?
I have another example for you. On my old unit, we had a new grad who was orienting with a preceptor and she was of the overly-confident-verging-on-arrogant variety. She was a really sweet girl, but she was just totally sure that she could do it all by herself. I think she was worried about looking bad, or incapable, or stupid in front of her new teammates. I mean, as we all know, coming to a new unit is a little scary- new people, don't know who to trust, sometimes friendliness doesn't work, etc.
If this girl had an assignment composed of two vented micro-preemies, she would end up handling them all night long, despite the suggestion that she should cluster her care or let them rest. She would smile, but she would go right back to doing what she had been doing, confident that she wasn't doing anything wrong. She just didn't seem to understand that they needed minimal stimulation. To her, part of her job was to change the linen and bathe the babies. So, she would come in and lift and roll and manipulate those babies- she'd take them off of the ventilator unassisted and put them on an external scale, she never asked for help. She'd give them lengthy sponge baths trying to scrub away all the flaking skin, etc. She didn't seem to understand how to prioritize, and numerous people tried to speak with her about it but it all fell on deaf ears. It should come as no surprise that her babies frequently extubated (wonder how that happened?) or needed around-the-clock sedation or often desaturated and needed to be bagged, etc.
We had another new grad who would refuse to re-draw lab specimens if the lab called up and said they were clotted. Nevermind that the MD had ordered a STAT level, she insisted that it was the lab's fault and that either they come up and re-draw it or it wouldn't get done.
We had another new grad who never asked any questions. One baby's OG tube had to be re-taped, and her preceptor asked her to do it. So, rather than ask (or maybe this never even OCCURRED to her!), she re-taped the OG tube. She taped it correctly, used the right technique. She taped it correctly with SCOTCH TAPE.
And we had yet another new grad who, rather than be bothered to ask for help, would do this: If a vented baby was desaturating, she knew that he/she needed O2. If suctioning didn't fix the problem, she'd put an O2 mask by the baby's face.
I'll give you a second to let that sink in! LOL! A vented baby. O2 mask by the face. See the problem here?
That last one would also flick the soles of a baby's foot if he/she was desatting, and would give O2 to a bradying or apneic baby.
I think the difference is that these nurses, and those that we talk about on this board that you've read about, are unsafe because they are confident. We weren't talking about *you*!
You don't have to change the person that you are!!! It's possible that what you might be feeling are simply personality differences! If you're really worried about making the wrong impression, why don't you tell her? Ultimately, it sounds like you are being very conscientious about learning more about your new job, which is something to be proud of. Keep asking questions, be open to new information, and learn as much as you can- your preceptor is a great resource for you. Most of all, though, don't be afraid to ask for help. It's *not* asking that will get you in trouble!
Congratulations on your new job!
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) Thanks again!
