I am hoping to just get some feedback and kind of "think out loud" about my situation.
I am a brand new nurse and I have started a grad-nurse program at a local hospital. I was always interested in neuro and also psychiatric nursing, and have been placed in a neuro progressive care unit. Unfortunately, the neuro part has turned out to be more of a rarity. It is really a step-down unit in general. Tele-unit. Intermediate care unit...you get the idea. I don't really have a problem with that except that I am disappointed. I do not normally complain and I feel that as a new nurse I need to just suck it up in most ways, and I am a super hard worker. I push myself. But in this situation, I feel like I am pushing myself too hard...over the edge.
I am starting to feel like when my orientation is over in about a month, I will definitely not be able to handle the constant admits and discharges, being flexed up to 5 patients on a regular basis, and all of the head-spinning that all that entails. I have already started to blank out when I am trying to remember what to do because there is just too much, my brain is fatigued, and I am physically and mentally unable to keep up. I have been so busy that I have been lucky in each 13-15 hour shift to get 1 bathroom break. I have gone without a bathroom break all day most days, and I am so busy that I don't even realize that I have not gone all day. I am just nervous for my patients when I am completely on my own. All this leads me to say that I NEED to talk to my manager about what to do. On one hand, I think they will just fire me if I say this to them. On the other hand, I feel like they are a huge hospital with 5 locations, all sorts of departments, and they really need BSN-trained nurses which I am. I am confident in my assessment skills, my patient advocacy and my patient education skills. I have a good background in pharmacy before going to nursing school
so meds are not as hard for me as most grads. Of course so many things are new to me, and I am slower than seasoned nurses at most things. In order to be safe I need to be given a chance to not be speed-nursing all day, every shift. I am a valuable asset as a new nurse...just not in a flexed-to-5 tele unit in a high-turnover rate unit. I need them to give me a different unit. How do I not get fired, but also get out of this unit?? Can anyone here give me some concrete ideas of what to say or do? Thank you so much in advance!