Dear preceptor - page 17
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... Read More
Oct 31I had the same experience as a new grad. Yes a new grad needs more hand holding than an experienced nurse, but these attitudes and nitpicking are totally inappropriate and don't create an atmosphere of learning or trust. I had 3 preceptors, this one almost ran me out, and that takes a LOT from me. The first just wasn't a great preceptor for training a new nurse, the 3rd was amazing and in 3 weeks turned me from someone whose job was on the line because of #2s poor reports that by the end were a result of my complete inability to overcome the anxiety from her insanity to a functioning, independent nurse who was getting great reviews from my whole team.
Funny, we have 2 experienced nurses and 3 new grads on the unit now and she hasn't been given a preceptee. In fact, not one preceptee, experienced or new grad, since me.
She now refuses to take report when she's my relief. And I've found her digging through my charts on my patients that aren't hers, she doesn't do that with other charts.
Nov 1My first preceptor as a new grad was my worst. I came into a Critical Care position that afforded me 5 months of orientation but at 6 weeks in, when my fellow new grad (with different preceptor) was moving from managing 1 patient to 2 (it was a 3 pt assignment in that department), I was still only being given task oriented assignments (as in: give NGTube meds here, now go watch peritoneal dialysis there, watch this chest tube canister change on that one, watch this wound vac dressing change over there...) not growing my full-on big picture skills. In spite of 20 years experience, my preceptor was seemingly disorganized & would stay late (by 1-2 HOURS) to complete her charting and that was without taking a lunch break every 12 h shift! Even her shift report was so interspersed with personal stories & "I forgots" that nights was often delayed in starting while she took 45+mins to report on 3 patients.
Thankfully I was in new grad orientation where we were had regular meetings with staff-ed & the other new grads to talk about our experiences. I sat down with staff ed & told them I was not getting what I needed from my preceptor. By the next morning a plan was in place to move me to nights to work with a different preceptor (it was a day/night rotation position I was going to train on nights anyway but they moved it up a month). It felt like a punishment - the way it was dropped on me, but it was a blessing.
My new preceptor was excellent & I learned a LOT about organizing my shift, charting (paper flow sheets) in a timely manner, and time management. I learned to use the tools at my disposal to see the BIG picture in patients & how small changes could make a huge difference in patient condition.
I dont mean this as a slight to younger nurses but I am glad I became a nurse at a middle age, MY earlier self may have been to meek to speak up about the poor training. As for the preceptor... we were co-workers for less than a year when she moved on but later, she went into teaching (at the school I'd attended). I hope she does a better job with them.