Dear preceptor

Ok, so this is a vent. I apologize for the length of this post. Please note that this is not meant to be a general statement of my opinion on a whole group of people. Don't flame me. I'm mad and tired and don't have anyone else to tell. Nurses Announcements Archive Article

Dear preceptor.. I came to you smiling, full of energy and ready to tackle the last leg of my orientation journey, with your guidance of course. I haven't really gotten any inclination on where that guidance is at. You tell me what patients to take, and I take them. Then when I am at the bedside, communicating with the family (you know that rapport thing?), you decide that it is a great time to tell me *not to touch the patient*, or the machines for that matter unless you are there. What? I did not fall off of the nursing school wagon yesterday. I am new to your facility, but not a new grad. I did get a smug sense of satisfaction when the family told you it was fine and I was handling things.

I see that you do not have any intention of assessing my skill level or evaluating areas in which I need assistance. In your eyes, I have no skill level or even brain stem function because every action on my part is met by you with some sort of resistance or interrogation. You cant wait for me to come out of the bathroom before you call the doc... making me look like some sort of fool that cant call the doctor. Lo and behold the toilet flushes and I am greeted with 75 orders, all of which you *write* but make me *do*. Although I am a critical care nurse, and am comfortable with bedside procedures, it is *imperative * on your part to ensure that I am educated on sterile fields and how to open packages. That makes me feel so great, especially with the doc at the bedside.

Precepting with you has given me a great opportunity to practice dealing with "the cold shoulder, being aloof and unapproachable." I *know* that you aren't any of those things, just preparing me for when I run into someone who is. Thanks! I am now well versed in forced conversation, fake enthusiasm, and being lonely but not alone.

I have been practicing my mental, telepathic and psychic abilities... seeing as how there isn't any verbal interaction between us, its time to take it up a notch. *places fingertips to temples* Can you hear me now?

Here is an interesting thought. You breeze in, tell me how the lights have to be like this, and these lines need to be like this and so on. I am respectful of those requests. I like things a certain way too.. try to be mindful of that. The road goes both ways here. The same goes for documentation. Maybe you could ask me why I wrote a certain thing before you scratch it out and write error... although all the extra embellishments make my flow sheet look freakin fantastic, right?

When I ask you about something, especially when its a policy and the rationale for not following it... I just love when you get mean and flash those *knowing* looks to all your friends at the desk.

Precepting with you has been quite the experience, and as life goes, all things must come to an end. Now that our journey is finished, know that I will *never* forget you.

Love, your preceptee

I too would like to vent regarding my (recent) preceptor experience - First a little about myself; my confidence and ability is lacking, though I know that I as I gain experience my ability/confidence level will increase.

My preceptor told me that I am not at the level she would expect me to be as a 'level 4' student. OK, I can accept that...but when she told me twice (once in front of my instructor) that if she or her family was hospitalized and she saw me coming, she would run the opposite way...wow! Or when she said (again in front of my instructor) that I am like her nephew who has ADD, again, wow (how do I respond to this).

The Nursing care management is either a satisfactory or an unsatisfactory. After twelve 13+ hour days, I received an unsatisfactory. I am looking (and likely found) a positive spin on my having to repeat this course (5-months down the road); but I am angry and frustrated on how this experience progressed.

I am willing to shoulder the responsibility for my actions, but for goodness sakes, don't kick me when I'm down. Have compassion, help me to become a better person even while giving me an unsatisfactory.

I know that I will be a good, competent nurse.

Thank you.

I hope that you get specific feed back about whatever you are supposedly lacking. If it is time management or clinical skills ask for, in fact insist on specific examples. You will only improve if you know what the problem is. Do not accept, "you never finish on time" or "you always ....." When someone gives specifics it will help you to identify if there was something else going on that might explain why you had a problem such as, you didn't get Mr. Jones AM care finished before you had to report off because he was delayed in Radiology all morning.

Also you should not have to wait until the end of your rotation for feed back. In the future I would request input as you progress so that if there is a problem you can correct it and demonstrate you understand the problem and have taken steps to improve. Good luck.

I had to laugh at this one since the scars have just started to fade on my back from the whip lashing (tongue lashing), interchangeable terms by the way, I received from my more than a few of my preceptors. It always makes me think of a psych class I took many years ago. Some learned man put 10 men in the same room and made half the wardens and half the prisoners. Didnt take the wardens very long to assume the role of gestapo.

Take a lesson from her and do the opposite! God is watching:nurse:

Specializes in Numerous.

I think that some nurses really are bullies.And it makes me cringe to think of how that mean streak could manifest in their interactions with vulnerable patients. Please let us all remember that we are personally capable of being positive...generous...kind...compassionate and making it all about providing that consistent high standard of care to our patients ALWAYS...regardless of how many witches are flying around on their brooms in our workplace!!!!!

YES WE CAN!!!!

The Nursing care management is either a satisfactory or an unsatisfactory. After twelve 13+ hour days, I received an unsatisfactory. I am looking (and likely found) a positive spin on my having to repeat this course (5-months down the road); but I am angry and frustrated on how this experience progressed.

Wow I had a very similar experience. I am a recent grad from a BSN program. My final preceptor in level 4 was just like yours. My preceptor was a RN for two years and it was her first time precepting. I told her on the first day I hadn't done inpatient clinicals for 8 months due to being stuck with community clinicals and a OR rotation and that I would have to be reoriented to everything again. I guess she expected a lot more out of me.

She kept looking at me like I should know the answer whenever I had questions. She didn't like me from the first day working together. We avoided each other on the floor if possible. At least your preceptor gave you feedback. My preceptor didn't tell me anything. On the final day she didn't even do a face to face evaluation. She emailed it to instructor and gave me a failing evaluation. I was very lucky there was a day when my preceptor was sent home for the day and I had to precept with another nurse. That nurse was really understanding and had confidence in me and let me do all the tasks for the patients without breathing down my neck and rushing like my preceptor. I used that nurse as a reference to my performance and my instructor new that nurse has a good reputation and she took my side and passed me.

Prior to this experience I never had a problem with any preceptors and received good feddback from clinical instructors. This experience left a bad taste in my mouth about the nursing profession. I noticed there are a lot of control freaks and drill sergeants that go into this profession.

I hope my next preceptor at my first job isn't like this.

Specializes in Geriatrics, Cath Lab, Cardiology,Neuro.

I had the same experience during my externship for my Medical Assistant program. My program instructor was so appalled by my treatment by my preceptor, she refuses to send anymore externs to that doctor's office!

Specializes in long term care/rehab.

Too bad that you had a preceptor that is like that and it is even more unfortunate knowing patients have to be subjected to that kind of a nurse:crying2:. There are way too many of "those" nurses out there:eek:.:igtsyt: I am kind of amused:lol2: and ever so grateful that a patients family members &/or loved ones can see the situation for what it is. :thankya: What makes it better is when they put the Ihaveissues:devil: Nurse in her place:up:. Being a preceptor is a huge responsibility no matter the area/specialty when it comes to the health care field. I have done it and can't imagine treating another nurse that way:down: yet I have seen it throughout my few years in nursing- as a student doing clinical rotations, and in the workplace:barf02:. Yep you got robbed of that experience but i have to say that you will never forget the way that nurse made you feel and hopefully will carry that with you and make a positive situation out of it. Sounds like your critical thinking skills are present & fully functioning; I think you should consider being a preceptor yourself:rolleyes:. Anyone who chose nursing as a profession, has their heart in the right place:redpinkhe, and is able to use the brain that was given to them:idea: can pass that on to others and show Ms. Ihaveissus Nurse, what nursing is truly about.

Specializes in GI/GU surg,Pacu, ct surg, home care, NH.

When they say there is a nursing shortage I know why. So many happy eager nurses are graduating from nursing school ready to take on the challenges of nursing. However these same nurses are confronted with negative critical, over bearing, condescending nurses who take pleasure in torturing the newbies. It is like its some kind of “gang” initiation or something. When they say nurses eat their young, they sure do. I have seen senior nurses congregate at the nursing station where they discuss and gossip like schoolgirls about the new nurse. I once had a nurse who with a smile on her face told me that she made her preceptee cry. Mind you, this new nurse was an experienced nurse from another hospital, she was only new to our facility. This hostile work environment created by some nurses is what drives young and new nurses to quit and leave the hospital. These nurses get burnout because they do not have that support that they should be getting from the senior nurses.

I am not saying that this is what happens the majority of the time, but I am sure that most nurses have either experienced or witnessed this behavior at some point in their careers. It has definitely made me on some occasions question why I became a nurse.

Well witten. I soo feel your pain. I'm in the same situation at my new job right now. Going home at the end of the day feeling like a slug is daunting. The "knowing looks" they flash each other when you ask a question about a policy really make you want to fade into the corner. Unfortunately there are still some nurses who "eat their young" as my instructors warned us about. Hang in there. I'm trying to also.:heartbeat

Specializes in Numerous.

Laurie,

Keep your chin up and just roll with the punches. Those nurses are acting really stupid. Ignore them put them on extinction you are not there to be their BFF( best friend forever). Figure out exactly which nurses you are accountable to and develop communication and dialogue with them. Stand your ground. You have to be large and in charge to survive sometimes.New nurses are threatening to some of those nurses who have been on the same unit forever and think they know it all. Take them out of THEIR comfort zone and they no doubt would have to ask for assistance to get things done. Always say please and thank you and be open minded flexible alert and willing to learn.If you do that you will find some emotionally intelligent nurses who will help you develop your skills. I took my fair share of harassment when I was a newbie too from many sadistic R.N.'s BUT I also encountered an equal amount of sweet intelligent patient R.N.'s who wanted to teach me and help "grow" me into a competent nurse. Looking back I am sure I seemed pathetic hilarious obsessive compulsive slow too detail oriented and someone to giggle about behind my back.I managed to align myself with people who saw me as an asset:):clown:

Wow. I am really sorry you got stuck with suck a jerk for a preceptor. My first preceptor was a bully as well who enjoyed demeaning me. It took me a while to rebuild my self confidence as a nurse. After five years though I've learned a thing or two about dealing with work place bullies. If this person continues to harrass you when you are off on orientation call them out. Ask them: "Have I done something to personally offend because at the moment you are being very hostile with me." Usually people are so suprise and embaressd that they back off.

Your preceptor should not have been scratching our your documentation either. That sounds quasy illegal. She is altering another nurses docmentation. Even though you are on oreintation you are still a licensed nurse. As a preceptor I have made suggestions but I have never changed my orientees documentation.

Finally I would encourage you to become a preceptor yourself so you can mentor new employees in a positive light.

Specializes in Telemetry, nursing education.

I agree with the many other nurses who are appalled at this behavior. If there can be good from this experience may one thing be that you will remember and never treat a new nurse like this. Be the nurse you know you can be!

"Attitude is Altitude!"