Discouraged after first day training on new job :( - Page 3Register Today!
- Jul 13, '12 by jadelpnOne of the most difficult parts is trying to figure out who everyone is, and how they take their pills. (crushed, in applesauce, whole???) I would make note of who has bracelets. And in what medium, if any, they take their pills. I don't work in LTC, but did plenty of clinicals there, and it seemed almost impossible! But after awhile, the routine takes over, and you will get your groove. Accuchecks at 4p first, before supper on every patient who needs them with intervention if needed. After supper, anyone who needs a treatment. Then everyone who needs them, starts at 7pm with 8pm meds. And one of the above posters is correct. Make notes, keep them handy, even a list before your shift starts of all of the people on accuchecks, those who are treatments and those who are on 8pm meds. Day shift is more difficult as you have a morning pass for pretty much everyone, and that is where I would take careful observation, and notes. Good luck and best wishes!
- Sep 16, '12 by LTCNSMy first nursing job, as a brand new LPN, the day after I got my license in my hand was at a LTC facility. Because they were so short staffed, I had one whole day of orientation and was on my own. Did I cry a lot? Yes I did, but when I put my two weeks notice in one year later, they begged me to stay because according to the DON and Administrator, I was the best nurse they had ever had to walk through those doors. I was determined to not let it defeat me and I worked very hard to become a good nurse.
Hang in there! It WILL get better and you just might find you enjoy the fast pace. I know I do
- Sep 26, '12 by Isitpossibleonly 4hrs?????? that simply ludicrous... im barely doing it in 8!!
- Sep 26, '12 by Blackcat99I am getting 4 days of orientation and then I am on my own. All I know is that I am going to do my best. That's all I can do.
I have heard of nurses who got fired because they said they weren't ready and asked for more orientation time!!!!!!
- Sep 30, '12 by Anne36Im back to this thread a year later. Tommorow is my first day orienting after being out of clinicals for 5 months. I passed boards 2 months ago and am very worried I have forgotten what I learned in school. I have 1000 questions. I have no idea what its going to be like tommorow. I never got much chance to shadow a nurse doing nursing school. We were kept too busy doing care plans and CNA type work. Now, I have a CNA to do much of what I coverd myself in clinicals and I dont know the half of what a Nurse does. How do I know when to call the Doctor, what type of charting is expected of me. Are we really going to assess 30 patients on the floor the way we were taught to in Nursing school? A baseline assessment and then focused assessments on each patient? Tell me what to be ready for on the first day?
- Sep 30, '12 by CapeCodMermaidYou won't have to assess 30 patients from head to toe every day. There simply isn't time. Skilled patients are charted on once a day after the first 72 hours. Most facilities split the charting between 1st and 2nd shifts. Always follow YOUR facility's policy. Call the doctor with any change in condition, abnormal lab, fall, allegation of abuse, and any time you just 'know' something is wrong. Some docs like calls...others like faxes. You'll soon figure out who likes what.Be ready to really listen to the nurse who is orienting you. Bring a notebook to write down questions as they come up so you don't forget to ask.Give yourself some time to learn the routines and the patients. Don't expect to learn everything on day one or even day 10.
- Oct 1, '12 by Tinkerbell04I just got hired at a skilled nursing facility. It does seem overwhelming but not impossible. I was given three days of training; I am on my own tomorrow, but I do not work every day. I graduated in 2010.
- Oct 2, '12 by SP1CEGRLWOW......just came back to this thread and about a year and a half after posting it.....i can see what a long way i have come. i was right.....that first shift was awful. i only did about 4 or 5 patient's meds before i completely lost it and was crying at the med cart. one of the CNAs was nasty to me as well. luckily, my supervisor ended up coming down and helping me pass a lot of my meds. other nurses from different floors came down and took care of my charting, and did treatments for me. i cannot express how much this helped me when i was brand new and just wanted to walk out of the door and leave nursing forever. now, i'm that nurse who always goes down to check on the newbies and offer my help and advice whenever i can. just hang in there it will be okay. as a newbie always try to get there as early as you can, have the nurse from the shift before you give you whatever information she can to help you! print out a list of all the patients, highlight your diabetics, go through and have her tell you who takes pills crushed/whole/in pudding/in applesauce/with juice/thick liquids. these things seem silly but will really save you so much time and save you from having a patient who is now choking on a pill or has aspirated thin liquids and now needs suctioning. hang in there, it will get better! it took months to finally feel comfortable and there are floors that i still don't feel as comfortable on, and always worry about charting last. i would stay behind for months doing my charting, sometimes for an hour or so after- just to make sure everything was done and anyone who told me it would get better, i really didn't believe them but i have to say everyone was right.
- Oct 2, '12 by itsa307I soo needed this thread. Last night was my 1st after 4 days of orientation. It was rough even though I had already made a cheat sheet of how each resident took their meds but I made it though it. I needed to hear that it will get better. I don't feel like nursing school clinicals prepared me at all for handling this client load but I will get into the groove soon.