Dear preceptor - page 17

by Ivanna_Nurse

60,062 Views | 175 Comments

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... Read More


  1. 1
    Quote from oldnewRN2009
    I am experiencing something very similar. I am over 40, but have only been a RN for less than 2 years. I recently switched jobs and my preceptor treats me like her gopher. I am not a new nurse to train, but a transporter and a patient baby sitter while she takes extra smoke breaks. Never once has she ever taught me anything. She will answer questions, but the same question, may have multiple answers, even if the scenario is identical, depending upon her mood. I never have any valid insight on any patient and if I fail to obtain IV access, the patient is definitely not a hard stick, even if my preceptor ends up placing the IV in the ventral wrist area.

    Whether one wants to be a preceptor or not, teaching is part of being a nurse. Do you really expect me to believe that a nurse can teach patients, but not other nurses? I think preceptors should be evaluated by new employees and that the feedback should factor into yearly evaluations. If this were the case, I bet even marginal preceptors would get reasonably high marks due to the effort put forth. I'm not asking for a professor, just someone who puts forth some genuine effort to orient me, if not for me, then for the patients I will care for in the future. How can I truly learn any quality skills when you expect me to jump on a moving ride with no explanation or preamble, only correction when I am set up for failure? I cannot know, what I do not know, I need to know.
    I just read your post and preceptor evaluations would be a grand idea. I know its been several weeks since your post I hope that things are improving for you. Ivanna
    camoflower likes this.
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    Its a small community. I have found work though only part time, I'm with wonderful nurses, the way nurses should be working in a clinic. Thanks for asking....and your absolutely right. All those proceptor wanna beees, all those managers that listen to your clonies "lying to you" about newbies- the ones you hire with your smokey voice saying "they will eat you alive on my floor newbie" - you ruin good nurses lives, that ones that weren't raised in your fighting, hateful, jealous, toxic, environment where you bite each other on the back as dogs do. I am learning and learning quick, I'm past your silly games, put me back on your floor and I, not you, would have been the one slamming my fists on my desk...asking 'W?" - I QUIT - To those girls who had nothing better to do than talk to each other about me...you were afraid of me - the patients love me, ask for me, I treated them like my own flesh and blood. I wasn't there only for 20.00 per hour (hospitals are scarey! your doors do not lock, people scream, codes are called) Its called the gift of empathy - something you will never ever own. Don't want to be apart of your toxic arena, you absoulutely have way too much "grandious self love", you are so blind. Those girls have a reputation (Students say stay away from 2 floors this one and THAT one) and the community will respond and go to a "nicer" people friendly hospital. I hear your hospital is fighting to keep the bills paid. lol the other hospital won't even consider giving you a raise if the patients are not happy.
    Ivanna_Nurse likes this.
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    These preceptors did not want to be "Teachers" - nor do they have the "gift" or knowledge of what it means to become a preceptor. Students that are reading this...meet all the nurses you possibly can...YOU choose someone that YOU like. I had two absolutely horrible preceptors...why because I did not know anyone in those hospitals ..but LESSON LEARNED: If you want a decent preceptor I'd almost put an ad in the newspaper - you'll get someone who can read and is a bit on the social side, or I'd post it on the employee bullentin board. Nurses do eat (mostly alone) and stare at the bullentin boards in break rooms. Just because they are know it all nurses doen't mean that they have patience or can teach anything.
  4. 1
    Oh....I could write the same letter to all three of the preceptors that I've had...so lets go!

    Dear Preceptor...

    I came into your unit with wonder, with enthusiasm to start something different...and you stamped on me like an ant that was on the floor next to your patient. No, I am not a new nurse, but I am new to your floor and I would like to know how YOU do things here.

    I know how to do somethings, I am perfectly capable to dialing the phone when a doc needs to be paged, but its funny that I get nasty looks when I say, "Well no one ever showed me how to call a doc because they never let me." Its also hilarious to me when the docs walk into the room for rounds, I'm standing right beside the resident answering questions and then you pie in and say the same things I did with a smirk on your face. Its also hilarious to me when a doc says something for me to do while they're in a room and you say to me "Yeah...thats an order ok?" No way...I thought they were just learning to talk! I also enjoy when I have an idea and you don't agree with it...and when I talk to the doc about it and he likes the idea...that you stick your nose in the air. Or, when a doc and I have discussed an idea and have a few questions for you, you always criticize the idea first, but then go and try to get the supplied for our idea even though you think they don't exist...but they do and our plan works. I LOVE when I get complimented by an attending at the bedside with you standing there and all you say is "Hmmm..." I'm smug, I'm sorry. I also thought it was hilarious when you got your foot run over by a cart coming out of the elevator after a morning of pounding me into the ground with watching me count my narcotics and then counting them yourself (even after 3 weeks after me getting my own), snapping at me because I tried to help a resident draw blood, and making me feel like the size of a pee. Also when you dumped me to care for a crashing patient and left me on the other hallway with a stable patient sitting up in the chair waiting for a bed upstairs....that was fabulous...thanks for the learning experiences that I had 6MTHS AGO!

    To preceptor #2....thanks for interrupting me during my morning routine and then saying I have bad time management because it took me and hour and 1/2 to do one room because you just HAD to get the swan out of the patient and you just HAD to talk for 1/2 hr about central lines. Thanks...appreciate the constructive criticism. Thank you for also making me feel like I know nothing and never opened a drug book in my life. I've never used these drugs before, so I would appreciate a little more understanding. Thank you also for telling me it was inappropriate to tell a patient that her breath smells and if we brush her teeth, her mouth will feel better after being intubated for 3 days...I guess I should have told her that that face you made when she breathed into your face meant it smelled like posies on a warm spring day...my mistake. Thanks for writing that in my orientation book too...so when I get to defend that in front of the manager...oh wait...I won't be able to defend it, but you will be the correct one and I will be the meaningless speck on flesh you passed by that day.

    Thanks again and I look forward to preceptor others myself. Because of my experience with you, I know how NOT to treat young nurses who want to learn. I'm a vicarious learner...and I learn well.


    Love and Hugs! Your preceptee
    Rebecca Edwards likes this.
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    Quote from suanna
    Second, most of the nurses who precept do so because they are the most senior staff. They know more and have seen more than the other nurses on the unit. As a result they tend to hold thier preceptees to a higher standard than thier peers. If I precept someone, I expect they will know almost as much as me before they take over patient care- anything else is a disservice to the patient.
    WOW! You must have an amazing gift for teaching! You imply that you are one of the most senior, and therefore most experienced, nurses on your unit. It has taken you years of experience to learn and know all of the things that you know and yet you can teach a new nurse almost as much as you know in a few weeks of orientation?!? AMAZING! I wish I had you for a preceptor!!!
    hoopschick and inshallamiami like this.
  6. 0
    Reading these posts has got me scared now. I am finishing me last term in nursing school. It is my last clinical and precepting. I went back to school to get away from working in a place where I hated my job and the people that I worked with. Wish me luck!
  7. 0
    Unfortunately nursing is full of women who are insecure and their main purpose is to put others down in an effort to save their own job, not to mention falsely bolster their own low self esteem. Not all preceptors and nurses are to blame for issues with new grads; however, every new grad has different needs based on what opportunities were presented to them while they attended nursing school. Posts on this site are full of mean replies from experienced nurses who should have new grad expectations, not over the top experienced nurse expectations. And for the love of Pete, stop telling new grads how smart you are. If you really are that smart, you would know that even 8 weeks won't bring a new grad to your level. Shame on many of you who intimidate, stomp on the new grads spirit, and suck the life out of him or her.
  8. 0
    Years Exp: 20
    Nursing Specialty: TICU/SICU/MICU/CVICU/ER

    Your story broke my heart!!! When I precept a new person to our units I only ask one thing of them, to teach me something about the Lycox, Vent, prisma, IV drips...etc. And you know over these years they have taught me as well!!
  9. 0
    Dear preceptor,

    Thank you. You took me under your wing. You never made me feel stupid or incompetent. You explained what we were going to do and asked if I had any questions before we went into the patient's room. Every time. You were always there to catch me. You defended me when a PCT tried to put me in a bad position. You gave me patients to care for. You gave me one of your rooms to be responsible for. You asked for a list of my strengths and weak areas. You respected my privacy. You push be to my limits and them some. You didn't say anything in front of the patient when I started that IV and made a bloody mess. You have made me a better nurse and a better person. Even though we only met a couple of weeks ago, I consider you one of my best friends. I am one of the lucky ones to have you as a preceptor. I will likely have more to thank you for in the future, as I am still in my preceptorship.

    Regards,
    Charlie
  10. 0
    they say when you have a preceptor like that you tend to get revenge by becoming like her when you get to have students someday.


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