I've been an LPN in LTC for a little more than a year. Left to go to a hospital. I'm on a rural med/surg unit where we get a little of everyone and do a little of everything. Tele, peds, and the ubiquitous old folks with the ubiquitous old folks exacerbations of various comorbidities. I'm entering week 4 on the floor. I come from a BIIIIG city and have been told more than once that this a a big part of the problem - including by my NM, who comes from the same city and had a lot of the same problems when she started up here.
After working a few days with my first preceptor I posted an "I Love Nurses!" thread. My NM changes my preceptor. Come to find out the she said I am unsafe and overconfident. No examples, just a "feeling," and she doesn't want to be responsible for me.
I am assigned random preceptor for the next few days. Five preceptors in two weeks. Preceptor two is a great fit. I'm happy. Preceptor Three not so great. I was syaing all day, "I'm not doing well," and all day she's telling me, "It's all good."
Next day I'm back to Preceptor Two. She's off with me. I ask what';s wrong, she tells me she has been told by Two that she has to take this "very seriously" and she's cold. Blows me off for break and lunch. By the end of the day she is yelling at me in the nurses' station. This goes on for a week. She is treating me so badly that I at one point end up sobbing in a vacant room. All of the other nurses are reporting her behavior to the charge and NM. I tell my charge, who agrees, that I need a new precptor. She agrees. Turns out Two has told the NM I'm unsafe. She had to remind me to use a wipe on a port once and once to wash my hands before I got a chance to. She has no examples other than these. She "feels" that I'm overconfident and unsafe.
I get a new preceptor (four). I really like her although she is the most anal nurse with whom I've ever worked. Preceptor Three, who poisoned Two against me, was charge this weekend. She gives us incredibly high acuity patients, even mentions that she shouldn't have given them to us together, and gives the same ones to us ystdy. I am LOUSY with IV's. Of course, these guys all have multiple meds and solutions running, and one had an MI while there (on nights) and is getting her orders changed every 10 minutes. Four ALSO has a second orientee for a total of six patients. One patient can't be left alone on the commode and I spent over two hours of my day ystdy watching to see that she pooped.
I got off of my 7 - 3 shift at 1745.
So my job IS in jeopardy, according to my NM, because 2 have said that I'm unsafe, and even without examples their "feelings" count. I have to make this work.
