Reality Shock!!!! Please answer a few questions about when you were a new nurse! - page 2

by LoveActually

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Hello Nurses :wink2: My name is Beth and I'm graduating in two months. :D I am doing a project along with my clinical group on "Reality Shock", and I am polling nurses about their experiences. :typing I would greatly appreciate... Read More


  1. 2
    many thanks!!!!
    1. how long have you been a nurse? 20+ yrs

    2. what type of school(s) did you go to?
    hospital nursing school community college bsn msn doctorate other degrees
    adn, bsn, msn
    care to share your school(s)?
    prince georges community college, the catholic university of america and university of cal san francisco
    3. did you have any experience working in a hospital before becoming an rn?
    not a lick, i worked as a chef

    nurse aide lpn other

    4. what kind of floor/unit was your first position? adult med surg: ortho/neuro

    5. how long what your orientation/training period as a new nurse? 12 weeks

    6. how prepared did you feel after graduating from nursing school and beginning training?
    i don't think i even realize how little i knew and how unprepared i was.

    7. how prepared did you feel when you finished your training, and began working on your own?

    fair again, i don't think i realzied how little i knew.

    8. what was your experience(s) with your preceptor(s) like?

    poor my preceptors were older (i was 20) and they were very burned out, not thrilled with me- they were from trinidad and weren't happy to have this young naive new nurse to train.

    9. in your opinion was your training period long enough? yes
    this was 26 years ago and the pts weren't as sick as they are today
    10. did you experience “reality shock”as a new nurse? yes how we were taught vs how the "real world" operated was very different. there was no way i could practice with my 13 pts as i was taught.

    11. please describe in a few sentences what your first few weeks/months were like:
    i was so disorganized and didn't know how to prioritize tasks. i didnt get off on time and i worried about things that i forgot. did i chart that pain med? it was a full year before i didn't go to bed and wake up thinking about my previous shift.
    12. what would you recommend, or what advice would you give to new nurses? work in some sort of healthcare while in school! i didn't and it was a huge liability. i teach today and can tell immediately who of my students are cna's or unit secretaries. (don't work too much though.) take a job that has the least amt of stress if possible, ie, dont start off in a critical care unit as a new grad. get 1 good year at 1 hospital before looking elsewhere- work full time or close to it for consistency. the pts today are sicker, in the hospital shorter time and go home with services- sicker then when i graduated.
    hope this helps and good luck!
  2. 2
    Many thanks!!!!
    1. How long have you been a nurse? 3-5 yrs

    2. What type of school(s) did you go to?
    BSN

    Care to share your school(s)? I'd rather not.. sorry.

    3. Did you have any experience working in a hospital before becoming an RN? No

    Nurse

    4. What kind of floor/unit was your first position? A 36-bed telemetry/IMC unit.

    5. How long what your orientation/training period as a new nurse? 12 weeks.

    6. How prepared did you feel after graduating from nursing school and beginning training? Fair

    7. How prepared did you feel when you finished your training, and began working on your own? Good

    8. What was your experience(s) with your preceptor(s) like? Very Good

    9. In your opinion was your training period long enough? Yes

    10. Did you experience “Reality Shock”as a new nurse? Yes

    11. Please describe in a few sentences what your first few weeks/months were like: Stressful, overwhelming. My very first twenty minutes of my first shift with my preceptor he handed a patients kardex and said "ok, go". I had no idea what to do. All those years of school do not prepare you for actually having to be responsible. You really don't know what nurses "do" until you graduate and work.

    12. What would you recommend, or what advice would you give to new nurses? Relax. It'll get better
  3. 0
    Hey Everyone ~ Just wanted to say thank you SO much for your replies- they are SO helpful, much appreciated and full of some really great insight!

    Beth
  4. 0
    Anyone else feel like taking a moment to answer? This is SUCH a big help! Thanks again!
  5. 1
    1. How long have you been a nurse? Less than 1 year 1-2 yrs 3-5 yrs 5-10 yrs 10-20 yr s 20+ yrs
    7 months
    2. What type of school(s) did you go to?
    Hospital nursing school Community College BSN MSN Doctorate Other degrees
    Community College ADN (and proud!)
    Care to share your school(s)?
    Mesa and Arapahoe CC's

    3. Did you have any experience working in a hospital before becoming an RN? Yes No
    But I volunteered quite a bit.
    Nurse Aide LPN Other

    4. What kind of floor/unit was your first position?
    Med/Surg/Detox
    5. How long what your orientation/training period as a new nurse?
    Six weeks
    6. How prepared did you feel after graduating from nursing school and beginning training?

    Excellent Very Good Good Fair Poor
    Fair, I felt school gave me the basics to pass boards and then start my real training in the hospital.

    7. How prepared did you feel when you finished your training, and began working on your own?

    Excellent Very Good Good Fair Poor
    Good. I had a great preceptor, but there is a lot of learning to cram into six weeks!


    8. What was your experience(s) with your preceptor(s) like?

    Excellent Very Good Good Fair Poor


    9. In your opinion was your training period long enough? Yes No

    10. Did you experience “Reality Shock”as a new nurse? Yes No

    11. Please describe in a few sentences what your first few weeks/months were like:
    A blur. I've learned so many new things, gained/perfected some really neat skills, and had some great experiences. But then its also been the scariest, most terrifying and stressful 7 months ever. I still get a kick of looking at my name badge and seeing "RN" in big, bold letters under my name.
    12. What would you recommend, or what advice would you give to new nurses?
    Don't ever, ever, ever hesitate or be afraid to ask for help. Also though, have some faith in yourself and your experience to date. Never stop learning. Treasure your "good" patients. Remember to take care of yourself.
    outlawofsherwood likes this.
  6. 2
    Quote from loveactually
    hello nurses :wink2:
    my name is beth and i'm graduating in two months. :d i am doing a project along with my clinical group on "reality shock", and i am polling nurses about their experiences. :typing i would greatly appreciate if you could take a few minutes and answer these questions. just copy and paste into your reply. you can put a star or 'x' next to your answer.

    many thanks!!!!
    1. how long have you been a nurse? less than 1 year 1-2 yrs 3-5 yrs 5-10 yrs 10-20 yr s 20+ yrs

    2. what type of school(s) did you go to?
    hospital nursing school community college bsn msn doctorate other degrees

    care to share your school(s)?

    3. did you have any experience working in a hospital before becoming an rn? yes no

    nurse aide lpn other unit secretary, student nurse aide

    4. what kind of floor/unit was your first position? med-surg

    5. how long what your orientation/training period as a new nurse? 1 week with another nurse, 1 week with my own 2 patients and another nurse, 1 week with 4 patients and another nurse, 1 week with 6 patients and another nurse, all on days; then i went to nights and did a week with another nurse and we charged the whole floor, including meds, charting, iv's, admissions, pre-op, etc.; then the same on 3-11 for a week;

    6. how prepared did you feel after graduating from nursing school and beginning training?
    excellent very good good fair poor


    7. how prepared did you feel when you finished your training, and began working on your own?
    excellent very good good fair poor


    8. what was your experience(s) with your preceptor(s) like?
    excellent very good good fair poor it varied.


    9. in your opinion was your training period long enough? yes no

    10. did you experience “reality shock”as a new nurse? yes no

    11. please describe in a few sentences what your first few weeks/months were like: surreal, scary, challenging, rewarding; i gradually realized that i could really do what i needed to be able to do.

    12. what would you recommend, or what advice would you give to new nurses? go in early and get settled. put your coat, lunch, etc. away, get your coffee if you drink it, , call home to check on the kids, use the restroom if necessary, be ready to work at the appointed hour. try to get your list of assigned patients early and go look at each one. check for correct names in the correct beds, type of iv they are getting, bed low/locked, oxygen flow rate via what type of device, where is iv located and how does the site look (red, puffy, leaking, indurated, disconnected, or normal), are rails up (if allowed), is call bell handy, along with kleenex, tv remote, water, etc., is there a foley? if so, what's it draining?
    other drainage tubes? dressings? where? drainage on them? type, amount, odor, etc.? this should be a quick check, preferably without the patient being awake or you engaging with any visitors, just to note what the present condition is. once you get report and have time to review the orders/kardex, you will know what needs correction and what is being done right. who is npo? who is going for a procedure/surgery? i always found that once i had laid eyes on my patients, i felt more relaxed, so i did it early. listen carefully to report, let the person give you report and then ask whatever you still need to know. follow the lead of your preceptor. if you 2 don't hit it off, politely but clearly ask for someone else. not everyone is good at teaching. be courteous but not overly friendly. it's ok to be nervous. do not be cocky.










    much gratitude for taking the time to fill this out!

    "the definition of insanity is doing the same thing over an over and expecting a different result." -albert einstein
    wishing you well!
    take your breaks, you need them. oh, be realistic. rome wasn't built in a day. and, in the immortal words of curly (3 stooges), neither was syracuse. nyuk, nyuk.

    oh, and take in some donuts or bagels once in a while for the gang. nothing works like a little kindness.
    outlawofsherwood and oncnursemsn like this.
  7. 0
    Thanks Everyone so much who replied! I would love a few more replies if possible! =)


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