Quote from Sherijo71
Actually, that's worth a lot so thank you for sharing. I'm stressing out, obviously, and fearful that I won't have the skills that I think I need to be employable and a great RN in a year from now but it's nice to know that this isn't uncommon for multiple reasons.
You don't need IV insertion skills to be hired as a new grad RN. FWIW, some seasoned RNs don't know how to and have no desire to place IVs. Many hospitals have an IV team for that purpose.
Even if you are trained on peripheral IVs in school, wherever you're hired will likely have their own competency in it. I took a peripheral IV insertion work-shop when I was a senior in nursing school
because it was required. The instructor who taught it wanted every senior nursing student to make peripheral IV insertion a goal for their preceptorship. The hospital I did my preceptorship at (and was later employed at) didn't allow students to insert IVs because you had to take their course and do supervised insertions with an IV nurse.
Student experiences are highly variable in school. I, for example, got a ton of feeding tube and central line experiences in my pediatric clinic and preceptorship but none of either in med/surg. The only Foley I ever inserted was on a laboring woman. And in 11 years of being a nurse I've only inserted a handful of them- the only one I remember doing was on a baby with spina bifida whose existing Foley fell out. Most of the patients who needed them when I worked in the hospital had them inserted in the OR. We occasionally had chronically cathed patients with spina bifida who straight cathed during the day and inserted Foleys for overnight but they usually did it themselves if they were old enough or their parents did it since they did it every day.
One of my clinical instructors used to always say that these kinds of things are just tasks and not all that nursing is about. I agree with MotoMonkey, focus on your knowledge and critical thinking skills. The tasks you need to perform for each specific job can be taught then. It's not necessary, for example, to become proficient at accessing a port in nursing school. If you get a job in oncology, you can perfect that skill then. Many other environments you work in won't require that skill.