New grad, first job on a busy med surg/telemetry floor and I LOST my cool

Nurses General Nursing

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Background: I was a good student. Graduated magna cum laude, excelled in class but felt my clinicals were a bit of a let down. I was basically used as a CNA when I went to clinical.

I graduated in May and got offered a job on a Med Surg/Telemetry floor six days after I graduated. My preceptor is okay. I know she is putting forth every effort with me. I've only had five floor shifts so far. The first 3 were spaced weeks apart because of education classes through the hospital so there was some disconnect there having such a span between training in the floor.

My preceptor is a good nurse. She is great with the patients. This is her first time to be a preceptor. I feel like she and I think very differently. I like her fine as a person i just don't know if she is a great fit for me. But I have been trying to make the best of it.

This past weekend I had two shifts back to back and I was DETERMINED to become vastly more independent. I was pulling meds without my preceptor, passing them mostly without her, charting on my own and doing a really good job with keeping up with the routine of things. She remarked early in the shift how shocked she was at how quickly I was improving and coming along. Then yesterday around the middle of the shift things started to spiral out of control. I got overwhelmed and panicky.

Throughout this orientation, my preceptor has told me she is "OCD and crazy about charting". She does a lot of double charting, sometimes I see the rationale, other times I don't. She's also really critical of those around her...she reviews their charting and pokes fun when she sees a spelling error (usually it's simply a typo). Yesterday she was halfway across the nurse station and hollers over at me (laughing) about a typo I had made. It rubbed me a little wrong...maybe I'm being sensitive....but I'm new. I certainly don't want people to think "Oh, there is that dumb new girl." I just didn't like the approach. Everyone could hear and it embarrassed me.

There really was a culmination of several things....me feeling like I didn't keep up well at the end of the day, wanting to do a perfect job, feeling nit-picked, feeling stupid about a few mistakes I'd made, a reprimand from another nurse that I tried to help by putting her patient on the bedside commode because nobody was around to help him (I had quickly earlier surmised she isn't well-liked and doesn't have the most pleasant or grateful attitude), etc. I was doing chart checks and my preceptor says, "You didn't document reevaluation of so and so's pain". There was a cutting edge to her voice. I could feel myself inside working up to crying...huge internal struggle to keep it together. She kept needling me and wouldn't let up and finally she said, "You're really ticked off at me, aren't you?" I wasn't at all...I was probably just acting awkwardly because I was on the verge of crying. That was it, and I lost it. I just busted out crying right there at the nurses station. It was like a dam broke.

I feel like an idiot for allowing my emotions to overcome me. I knew I'd have days like this. I knew the first 6 months-1 year was going to be draining and difficult. I never thought I'd not be able to keep myself under control though. I figured I could at least make it to my car before the tears came.

Just venting, evaluating, thinking. If you have suggestions, throw them my way.

Specializes in Public Health Nurse.
Your focus is on the wrong area. It is not up to you to evaluate where you preceptor has been or is coming from.

She sounds like Mother Teresa compared to my first preceptor.

This is your time to learn and grow.. not take charge of your orientation.

You heard a "cutting edge to her tone''? Trust me, if you don't like HER tone of voice.. wait until a doctor, supervisor ,or family member starts snacking on you. When the missing documentation was discussed... how did it escalate to "needling'? Seems like all you needed to say was.. "I didn't get to it yet, .. thank you for pointed that out"..etc.

Breaking down in tears is not acceptable, you are not dealing with the stress of orientation. I hope you have an Employee Assistance Program.. and get counseling. Otherwise.. I really don't think you can succeed.

With all the respect that you deserve Been there done that...after reading all the posts on here, I have found yours the most negative. I hope never to have a preceptor with such feelings as you - again, stated respectfully .:bowingpur The way I read your post is as if you have forgotten what it was to be a novice.

I am too a perefectionist (typo inserted on purpose), and I am mentally preparing myself, if that is even possible, for the mistakes I will make, for accepting criticism as long as it is constructive. As my preceptor say what you will, point to my errors so that I will learn to correct them, but do so in private and with respect. That goes for doctors, staff members and families, no one has the right to ridicule, or think that they can disrespect another at lib. One can politely and diplomatically state that behavior is not acceptable.

How was the original poster any more unprofessional; as you stated it, than the preceptor - "Mother Theresa", yelling across the room pointing out an error. The preceptee broke down, it happens, she is human, she is learning, sheesh, give her a break and support her; which is why she came here to do, vent. Just as the preceptor would have gone to a forum, I would expect that forum to support her and give her tips of how to overcome and be better. For the most part, the posts here have been exactly that, and I have the feeling that she will react differently if the situation arises again.

I am happy to see that all ended well, they are both learning their new roles.

I agree with some of the males here, we need to lighten up at times - I will try to remember that and take in jest when possible instead of getting all bent out in a knot. Just my :twocents:

"Your focus is on the wrong area. It is not up to you to evaluate where you preceptor has been or is coming from.

She sounds like Mother Teresa compared to my first preceptor.

This is your time to learn and grow.. not take charge of your orientation.

You heard a "cutting edge to her tone''? Trust me, if you don't like HER tone of voice.. wait until a doctor, supervisor ,or family member starts snacking on you. When the missing documentation was discussed... how did it escalate to "needling'? Seems like all you needed to say was.. "I didn't get to it yet, .. thank you for pointed that out"..etc.

Breaking down in tears is not acceptable, you are not dealing with the stress of orientation. I hope you have an Employee Assistance Program.. and get counseling. Otherwise.. I really don't think you can succeed."

YOU HAVE GOT TO BE KIDDING ME WITH THIS CRAP!!!!! WHAT THE HECK KIND OF ADVICE IS THAT? CERTAINLY NOT HELPFUL!! YOU'RE THE ONE THAT NEEDS COUNSELING!!!!! YOU NEED TO GET OFF YOUR HIGH HORSE AND GET YOURSELF SOME SERIOUSLY ACCURATE PERSPECTIVE....YOUR COMMENT MADE ME PHYSICALLY ILL....

As a nurse of 30 years , my perspective is highly accurate. The OP read my response .. and felt it was spot on. I was not going to condone her emotional response . (cry whenever you want to, just don't let 'em see you sweat).

Nursing positions are difficult to come by these days. Any untoward response to stress WILL be noted by administration.

Have you ever seen a doctor, a pharmacist, a janitor .. break into tears at the nursing station? No, and you never will.

Review the TOS here. Your response to my post is abusive. You have much to learn.

Specializes in L&D/NICU/Pediatrics.
Background: I was a good student. Graduated magna cum laude, excelled in class but felt my clinicals were a bit of a let down. I was basically used as a CNA when I went to clinical.

I graduated in May and got offered a job on a Med Surg/Telemetry floor six days after I graduated. My preceptor is okay. I know she is putting forth every effort with me. I've only had five floor shifts so far. The first 3 were spaced weeks apart because of education classes through the hospital so there was some disconnect there having such a span between training in the floor.

My preceptor is a good nurse. She is great with the patients. This is her first time to be a preceptor. I feel like she and I think very differently. I like her fine as a person i just don't know if she is a great fit for me. But I have been trying to make the best of it.

This past weekend I had two shifts back to back and I was DETERMINED to become vastly more independent. I was pulling meds without my preceptor, passing them mostly without her, charting on my own and doing a really good job with keeping up with the routine of things. She remarked early in the shift how shocked she was at how quickly I was improving and coming along. Then yesterday around the middle of the shift things started to spiral out of control. I got overwhelmed and panicky.

Throughout this orientation, my preceptor has told me she is "OCD and crazy about charting". She does a lot of double charting, sometimes I see the rationale, other times I don't. She's also really critical of those around her...she reviews their charting and pokes fun when she sees a spelling error (usually it's simply a typo). Yesterday she was halfway across the nurse station and hollers over at me (laughing) about a typo I had made. It rubbed me a little wrong...maybe I'm being sensitive....but I'm new. I certainly don't want people to think "Oh, there is that dumb new girl." I just didn't like the approach. Everyone could hear and it embarrassed me.

There really was a culmination of several things....me feeling like I didn't keep up well at the end of the day, wanting to do a perfect job, feeling nit-picked, feeling stupid about a few mistakes I'd made, a reprimand from another nurse that I tried to help by putting her patient on the bedside commode because nobody was around to help him (I had quickly earlier surmised she isn't well-liked and doesn't have the most pleasant or grateful attitude), etc. I was doing chart checks and my preceptor says, "You didn't document reevaluation of so and so's pain". There was a cutting edge to her voice. I could feel myself inside working up to crying...huge internal struggle to keep it together. She kept needling me and wouldn't let up and finally she said, "You're really ticked off at me, aren't you?" I wasn't at all...I was probably just acting awkwardly because I was on the verge of crying. That was it, and I lost it. I just busted out crying right there at the nurses station. It was like a dam broke.

I feel like an idiot for allowing my emotions to overcome me. I knew I'd have days like this. I knew the first 6 months-1 year was going to be draining and difficult. I never thought I'd not be able to keep myself under control though. I figured I could at least make it to my car before the tears came.

Just venting, evaluating, thinking. If you have suggestions, throw them my way.

I think that you should try not put SO much pressure on yourself. I honestly believe that you really shouldn't have cried. Next time, take a ten minute breather to get some fresh air or some coffee. Don't feel like an idiot there's nothing that can be changed, just learn from this and try to not put so much pressure on yourself.

With all the respect that you deserve Been there done that...after reading all the posts on here, I have found yours the most negative. I hope never to have a preceptor with such feelings as you - again, stated respectfully .:bowingpur The way I read your post is as if you have forgotten what it was to be a novice.

I am too a perefectionist (typo inserted on purpose), and I am mentally preparing myself, if that is even possible, for the mistakes I will make, for accepting criticism as long as it is constructive. As my preceptor say what you will, point to my errors so that I will learn to correct them, but do so in private and with respect. That goes for doctors, staff members and families, no one has the right to ridicule, or think that they can disrespect another at lib. One can politely and diplomatically state that behavior is not acceptable.

How was the original poster any more unprofessional; as you stated it, than the preceptor - "Mother Theresa", yelling across the room pointing out an error. The preceptee broke down, it happens, she is human, she is learning, sheesh, give her a break and support her; which is why she came here to do, vent. Just as the preceptor would have gone to a forum, I would expect that forum to support her and give her tips of how to overcome and be better. For the most part, the posts here have been exactly that, and I have the feeling that she will react differently if the situation arises again.

I am happy to see that all ended well, they are both learning their new roles.

I agree with some of the males here, we need to lighten up at times - I will try to remember that and take in jest when possible instead of getting all bent out in a knot. Just my :twocents:

As you are a opthalmic technician.. you are not qualified to critique my response to the OP.

I did support her. I told her how it is in the current nursing environment. She is NOT going to be able to go forward in this brutal environment of nursing/health care/ corporate management.. by breaking down into tears at the nursing station during her orientation.

I have NOT forgotten what it's like to be a novice. I have been doing agency work and traveling for the last 6 years of my career. I have succeeded in 10 hospitals , and I would not have moved on if I would have broken down and cried at any of them.

Lord knows I wanted to .

Specializes in Complex pedi to LTC/SA & now a manager.

Closing this thread for a cooling off period. May or may not be reopened after staff review.

Some good advice and insight has been offered within the responses.

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