Quote from JoPACURN
I don't get it. I guess I'm just too thick headed.
I had 1 month as a new grad, with a bunch of different preceptors. Never on the same shift--yeah, that was 17 years ago--on a cardiac, telemetry floor with some real sick people....
I guess they taught differently back then. At the end of my final semester, I had a full load on my own. The nurse I was "with" just sat back and watched me do everything.
Just don't get it.....
I am in a new grad residency and I got hired directly into the MICU. I have completed a 4 week rotation on Med-Surg and was taking 5 patients on my own by the end of the 4 weeks. I am now in my ER rotation and is taking 4 patients on my own, as well as spending a 12 hour shift in triage and a 12 hour shift in Specials.
I will be getting 20 weeks of orientation for MICU directly, which will include classroom time. This is my job I got hired directly for, but I will say my time spent on Med-Surg taught me how to priortize my patients, and how to juggle 5 patients, all with different needs. My assessment skills also improved. My time in ER is teaching me how to respond to traumas, code blues, and I'm really getting good at which patient I will see first. I am also improving on my IV starts and blood draws, as well as straight caths and EKG's.
I graduated in May 2009 with my BSN. This is a second career for me. I spent one year working as a Tech on a Med-Tele floor while in nursing school. When I was working as a tech, I did some foley's, but mostly did IV removal's, I & O, vital signs, and blood sugars. When I was in nursing school, the most patients I had to take care at one time was TWO. Yes, TWO! I did my Capstone partically in the OR and the rest in PACU, and I didnt have to pass meds, or do IV insertions, and I maybe got to insert two foleys at the most.
Prior to my senior year in nursing school, I spent one day in the GI lab doing IV's. I did a total of 10 and got them all on the first try. However, that was in my junior year of nursing school, and I didnt get to do another IV until I started working as a New Grad RN.
I think it's a shame that new grads are graduating from nursing school not having done an IV or foley, or had a full patient load because nursing schools are so focused on "presentations, leadership, and powerpoints". When we complained about the lack of prepariness, we were told we should focus on passing NCLEX, as we will learn all we need to know once we become a RN and working.
I spent 14 years in corporate america, and I can work well under pressure. I understand the "sink or swim" mentality and I think I can adapt and flow accordingly. However, I am grateful for the new grad residency program because I really need a chance to "get it". Nursing school today does not prepare one for the real world of nursing. And please don't get me started on the selling of "the nursing shortgage" dream they gas us up with.