[cotjockey]

I work with an RN who got her licence in December. She started working at the hospital in June of last year as a CNA. In August, they started letting her take her own patients, doing everything except meds and an RN counter signed her assessments, etc. She is a good nurse, very knowledgable, very compassionate, etc, but she is a horrible charge nurse. She still has no sense of urgency, does not prioritize, takes a really long time to get assessments done, call doctors for orders, assess new patients, and do the other things a charge nurse is supposed to do. Seven months later, she is still considered "in orientation" and from seeing her in action, very few of us believe she will function without that other RN there reminding her of every move she needs to make. Usually, we give new grads 12 weeks and push them out of the nest and expect them to function in the job they were hired for. We're a small rural hospital, so as an RN, she's either charge, ICU, ER, or OB...we don't use RNs for primary care unless ICU or OB are closed and they float. This nurse continues to struggle with the very basic things a charge nurse does and if things go belly up for the day, she's lost. I don't know if I just need to vent here or what. It just seems like if she doesn't get it by now, she never will. I have know this nurse since we were in second grade and knowing her personality, I really think she is messing with our minds. My personal belief is that she CAN do it, but chooses not to because she knows someone else will jump in and do it if she "can't." She was supposed to go to night shift in February, but still has a coveted position on day shift. Thoughts on this???

[Marie_LPN, RN]

i'm not a nurse yet, but i can sum that up

7 months she should have been comfortable by now, and not at the level she is at now. even not working with her, i don't see where she's going to 'improve' with more time, and something needs to be done about it instead of catering to her

[teeituptom]

A LOT

[SmilingBluEyes]

ya know some people are NOT cut out for charge duty....now or ever....

and it takes TIME to be a REAL charge nurse! I think we ask a lot of people to suddenly charge when they become RN's. I know, I had to do it at the rural hospital where I used to work. It was tough, to say the very least, especially as we were 2 hours from the nearest level -3 facility and had to deal with level-3 stuff anyhow. I saw some who could not handle it and quit. They were not bad nurses, but not CHARGE nurses. She may not be a CHARGE nurse material. For me, it was 3 months' orientation on our LDRP floor and poof, you are an RN, you automatically charge. It is not for everyone and some cannot ever do it. She may be one of them....

[MishlB]

Charge is a position that requires more experience than 7 months on the job. You make the comment that nurses are pushed out there to sink or swim...you don't see a problem with that? Maybe a more understanding attitude would be helpful, and realizing that not everyone is comfortable in the same amount of time. You say she was a CNA for a while, but that doesn't matter. Charge is a HUGE responsibility, and should not have someone thrown in to sink or swim. Was this a test? She may know HOW, but is a little nervous...why so much pressure??

[Tweety]

Seven months is not enough time to function as a charge nurse. It takes well over a year to become comfortable on the floor IMHO (not that one shouldn't be able to handle things, but you're working on your skills.) (Granted I had to do charge it at six months, but worked with a great staff that was independent and supportive.)

The best charge nurses are experienced. They know what to do in certain situations, they know what their hospital's policys are in a variety of situations.

Also, definately agree with Deb, not all nurses make good charge nurses EVER. I've seen awesome bedside nurses do terrible at charge. We all have our gifts.

[fergus51]

Our charge nurses are required to have AT LEAST 2 years experience at our hospital and take a charge nurse course and orientation. New grads as charge is not ideal, even after 7 months.

[Marie_LPN, RN]

but seven months and showing NO sign of being capable though? I agree, some people aren't cut out for it.

[Zee_RN]

I don't think a new grad should be charge nurse with only 7 months' experience. Or even 12 months' experience. Regardless.

[kimmicoobug]

As a new grad, I also don't think it would be appropriate for a grad of only seven months under her belt should be made charge. At the hospital I work at, they start to wean you into it with lots of guidance after a year