I feel like an illegitimate nurse

Nurses General Nursing

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Half way through nursing school, I started to have serious doubts about whether this was the right career choice for me. I never felt comfortable or confident in clinicals and I kept waiting for someone to collar me and say "there's no way you're ready to be a nurse". But I graduated, passed N-CLEX and told myself I'd try nursing for two years given the massive time, energy and money invested.

I'm at my first job at an assisted living. I do tons of paperwork, organizing, managing meds and labs and almost no nursing skills. No catheders, no trachs, no ostomies. Nothing. Maybe clean and dress a wound. Part of me thinks: Great! I don't have to do any of that stuff I don't feel comfortable with and think, frankly, is gross. Part of me thinks: Someone is going to figure out I have no idea what I'm doing and I'll be outed.

Should I be happy with my sanitary, gross-free, basically desk job? Or should I push myself and move on to a TCU or otherwise where I can learn and practice and gain some confidence? How do other new nurses build their experience? I never worked in health care before nursing school, so I only have this first job. I've been there five months.

Specializes in Emergency Department.

I just read the article that was linked to earlier, and I can definitely say that even men can have "imposter syndrome." Yes, I'm a nursing student, but I'm not unfamiliar with the problem. Back when I first became a Paramedic, I still felt like an EMT, even though I'd been through the whole process and earned my License. It took me a good 5-6 months before I'd fully come to terms with being a Paramedic. I no longer describe myself as an EMT nor do I think of myself as an EMT with a lot more training. I'm a Paramedic, even though I've not been on an ambulance in several years, I'm still a Paramedic. I'm no imposter in that realm.

Now I'm a few weeks from graduating nursing school and I've been told lots of good things about what I do and what I know. Do I feel like I'm that good? No. I'm just doing what I do in the usual way that I do it. Fortunately/Unfortunately from past experience, I know exactly where I am in the grand scheme of things. I'm a beginner. A safe one, but a beginner nonetheless. It's going to be a while before I feel comfortable in my new upcoming role as an RN. Will I feel that I'm a fraud after I've passed the NCLEX? No, just still uncomfortable because of the whole new role for me.

Specializes in Outpatient/Clinic, ClinDoc.

I've been an outpatient clinic nurse for so many years that no hospital would hire me in a med-surg or any inpatient unit unless they were SERIOUSLY desperate. I'm ok with that. :) Although you don't really "lose skills", you do run the risk of not having recent enough experience in whatever field you are applying for if you are in a certain area for an extended length of time.

I am still a nurse and if I had to do a foley for some reason I am sure I could - but that's not what I want to be doing. If you are happy with what you are doing and don't have aspirations of being in Critical Care or OR (etc), then keep at it! I'm a case manager and spend most of my day on the phone - does that make me less of a nurse? I don't think so. :)

Like the others said, you know the important skills. You are coordinating care and prioritizing! Everything else can be taught on the fly. You are doing great, so lose the worry. I started out on in LTC as an LPN then subacute rehab then medsurg/Ortho and now I'm in critical care. No one has ever begrudged having to teach me a skill specific to the unit. I was horrible at drawing blood and starting IVs in the beginning (like incapable) and now I love it. A good preceptor or coworker will take the time to teach you in a comfortable environment so there is nothing to be concerned about.

Specializes in SICU, trauma, neuro.

I'll tell you a little secret. Not everyone who works on my floor (SICU--mostly trauma and neuro, also general surgical, and some CV surgical) is good at starting IVs either. ;) We frequently consult w/ our IV team. Should you decide to find a job more clinical than AL, you will learn all the skills you need.

You are doing the nursing process, no? Assessment, planning, implementation, evaluation? You ARE a real nurse. :nurse:

Specializes in SICU, trauma, neuro.

Plus, how many of us can say we're responsible for an entire apartment complex? That's nothing to be concerned about being "outed" over. :)

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