BAD Preceptor, HELP!

Specialties Emergency

Published

Hello to all, I recently graduated from nursing school, passed my boards, and was offered a job in the ER at my local hospital, where I did my preceptorship. Sounds like a fairy tale right?? WRONG. Here is my dilemma, since I am a "New grad," going into emergency care, there is a 6 month probationary period during which two days of our shift are spent on the floor with our chosen preceptor, and one day a week is spent in the classroom, where we cover basic emergency scenarios and practice how we would react, etc. This is all seemed great at first with wonderful support from the educators running this "new grad orientation to ER," program, until I met with my preceptor. She does not offer any guidance, or support what so ever! I feel like I'm "shadowing" her more than anything, and when I ask her to allow me to participate in providing patient care, she basically IGNORES me. I'm not lying. I ask her questions regarding the patient's we get and why she does the interventions she does, how this affects the patient physiologically, etc., and she answers me with "you should know that." Don't get me wrong, I know that I should research and continue studying to be more prepared, however, isn't a Preceptor's "job," to offer guidance and education, especially if one is actively involved?? I really thought that this is what a preceptor was! PLUS, during our classroom day, we are told that if we aren't asking our preceptor questions, then we aren't doing our job. So in a nut shell, I have gotten to a point where I feel so uncomfortable asking her any questions at all, for fear of a mean reply or even just being ignored by her, that I have considered quitting my job... I feel so stressed everytime I have to go to work, not only because I AM AFRAID I will NOT make it through the six months of the probationary period, but because she is really mean and unwelcoming. I have thought of speaking with my educators regarding this ( they are responsible for us new grads during this probationary period) but I don't want to sound like a tattle tale or an immature person, especially because my preceptor is supposed to be a "REALLY GOOD," experienced nurse. I honestly don't feel like I'm benefiting from the preceptorship experience, especially because I hear the rest of my colleagues speak so wonderfully of their preceptors and how much they learn from them. I'm totally missing out PLEASE ADVISE! God Bless.

"keep a log of patient diagnosis and interventions performed. go home and study the information. you should be able to tell her why she is doing what she is doing if the same diagnosis walks in the next day and if the same diagnosis follows the day after the next you should be able to have a general idea of anticipating what will be the next steps in providing care."

"hi, preceptor-buddy! i went home last night and looked up everything i could find about diagnosis xyz, and this is what i found out: the way it often presents is ..... sometimes it looks like .... related diagnoses are sometimes/often/rarely.... the way we figure out what it is, is these labs/diagnostic imaging/questions to ask .... the most interesting thing about it is .... now, what i'd like to know is, did i miss anything? what did you think about when you first saw the patient we had yesterday with xyz?"

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.

I've found some nurses are good nurses in their own doman/specialty, but are not good teachers. I would be seeing the DON/head of the ER and demanding another preceptor. I would refuse to work with someone like that. Once you are practising pretty much on your own, you won't know much and you could compromise patient safety (well that's how I'd be phrasing it).

Don't put up with that BS. Make an appointment to see someone tomorrow. It is YOUR career on the line, and ur preceptor sounds like a real cow as well. After all, YOUR EMPLOYER is the one spending money on trying to train you, and you aren't learning, so it's a waste of time and money for them.

Let us know what happens, hope u get it sorted.

Wait. You are not suppose to ask your preceptor questions? This is unsafe practice and to be honest the most stupidest thing I have ever heard. I work alone and if I am unsure of something or have a question I can call the NP on duty that night for answering questions. In fact, its encouraged to call and ask questions. You should just educate yourself if you can't learn by asking your preceptor a question.

Specializes in LTC.

You only get one training period for a job. Do what you need to so you can learn what you need to learn.

do not tell your educator!!! do not! if she is this immature and unhelpful then you aren't the first person this has happened to and they know about this. try your best to suck it up any way possible and work through it. in the end you will be better off for it.

i went through exactly what you were doing. i talked to another nurse and apparently the whole er knew that she was like this and was not a preceptor but a facilitator of new grad torture! i thought the right thing to do was to tell my educator. wrong! they were all friends and i had apparently tried to take on the wrong click. when i complained, she suddenly needed proof to back up her reasons for treating me horribly so she got the whole ed to watch my every move write down ever single mistake i made (as a new grad on orientation!) like "she was talking to a patient too long, she wasn't aware that this person may have had a spleen injury, assessments and iv's aren't in in under 5 minutes, she didn't know how to hand an amiodarone drip..." i was new on orientation, please tell me and teach me! nope they used this all against me so she didn't look bad and i quit because i felt the were being unfair.

and you know what i haven't been able to get back into an er since. it's been such a struggle and i've gotten experience in cardiac step down and travel and med surg, but that has been a stain on my resume ever since and it tears me up because i would do anything to get back into an ed. that's the nursing that i love, other nursing is ok but ed is where my heart is and i've effectively been blocked out because of one horrible experience. and i love the ed so much if i could go back and do it all over i would have sucked it up and just talked crap about her after orientation. one nurse told me she was on orientation for a year!

the hospital spends too much money on new ppl to let you go if they don't have to. that's something i didn't know. so if you love it, just pray to god and study and try your hardest. you will make it. don't drop out because these nurses out here will never let you forget it.

nursing is something else....

Hey, guys! First of all, THank you all for taking the time to respond to my post! I know we all have different opinions and views on how to act on these type of situations, so after analyzing the situation long and hard, I decided to speak with my preceptor regarding my thoughts and feelings of our "relationship," she IMMEDIATELY cut me off, and said that "the educators had NO idea how to train NeW grads so she didn't as much as care for their opinion! The nerve of this woman, seriously! After this, I realized that our relationship wasn't going to work well at all because she obviously isn't receptive to any type if feedback and I would be "screwed," ( excuse my language) if I stayed with her. So I decided to speak with my educator last night right before the start Of my shift. I was worried because the situation could totally backfire, as I know they get along VERY well. At this point this was my only choice, so I voiced my concerns in a very professional manner, and he was VERY glad that I has spoken out, and without ms having to ask, he said it was time to stop this "partnership," and that he would pair me up with someone else. I think it helped that he was also my instructor during nursing school, and knows that I was a strong student, Otherwise I would not have been offered the position during my school preceptorship. He did ask for details, and trust me, I tried To be as limited as possible because I really didn't want to cause trouble for this woman and look childish either... So, I will finish this week with my current preceptor, and have a new one next week Yaaaay! I'm so thankful! BY the way, he also made very clear that During a preceptorship, there ISN'T such a thing as TOO many questions, especially being a new grad, because it demonstrates interest in putting the big picture together... So, there it is, I guess the best thing to do in a situation like this, is to follow your gut, and advocate for yourself! ;)

I'm so glad for you that you got some resolution to this :) Hopefully, things will be much better w/the new one, and you'll feel like you're getting the information you need. :)

Consider the nursing process. Always start with assessment. And always start with yourself. What is *your* assessment of *your* knowledge and skill level? Are you asking questions about treatment in front of patients? Are you asking the same questions over and over? If she's telling you that you should already know that, should you? Seriously take a good, hard look at yourself and your own contribution to this situation. Asking for a different preceptor may not be what you need because if the problem is you--wherever you go, there you are.

If you can't be honest with yourself, ask your preceptor to be honest with you. Ask for a meeting off the floor when you can have some time to talk and ask her to be brutally honest about your strengths and weaknesses. Be prepared to cry, bring tissues, because you will most likely get your feelings hurt. But you know what--that's okay. Because it will be a learning experience like no other. And then you take every word she says to heart and really REALLY put her advice into practice.

Then come back and tell us if it's really the preceptor who needs to change.

or you could just go bang your head against the wall :D

Seriously, this is a great idea. It would take a huge amount of courage. I know, I did it. My preceptor in leadership was a graduate of my school. She was using me to prove that the school did not adequately prepare us for the real world. Lucky my instructor knew her and her agenda. I had my instructor sit in and listened to all her comments and complaints. It hurt bad, I believed them all. Some of us take on the problems of the world and blame ourselves. I finished the leadership semester on poor, tense terms with her, which was how it always was. Not once did she make an effort to teach me something, and not once did she ever not find fault with something I did. She was only "nice" to me in front of the Nurse mgr, and the Residents and Interns. Just sayin, sometimes there are two sides to the story.

You only get one training period for a job. Do what you need to so you can learn what you need to learn.

Very wise words :)

Ask for a new preceptor. It won't get better. The, you should know this already is BS. Nursing schools don't teach emergency medicine... they pretty much get you to a point where you can have enough knowledge to learn more when you get a job. She refuses to communicate and is hiding behind her own ignorance and insecurities. How many years experience does she have? I have noticed nurses with only 2-4 yrs experience are horrible preceptors on avg. Find a more exp nurse who is more confident in their skills.

Ask for a new preceptor. It won't get better. The, you should know this already is BS. Nursing schools don't teach emergency medicine... they pretty much get you to a point where you can have enough knowledge to learn more when you get a job. She refuses to communicate and is hiding behind her own ignorance and insecurities. How many years experience does she have? I have noticed nurses with only 2-4 yrs experience are horrible preceptors on avg. Find a more exp nurse who is more confident in their skills.

Hopefully OP is not still being precepted. This thread is almost 4 years old.

I leave the message above for others in case they are searching through this forum. New nurses need to stand up for themselves and not be idle pawns in the game. Advocate for yourself and your pts.

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