Quote from SunshineAnytime
I'm in the same boat as you. Today was my 2nd full day "shadowing" as a new grad. My supervisor today made me do EVERYTHING... call doctors, and families about patients that I'm not even too familiar with yet. I'm not even 100% familiar with the hands on nursing care, let alone the extras like calling family and delegating to CNA's. Nursing school gradually exposed us to more responsibility, but I feel like I'm expected to know everything about a brand new facility from jump! I'm hoping it will get better for us!! I'm going to talk to my DON about reasonable expectations for me during orientation.
I am not trying to mean here, and this is not directed at any particular nurse but after one graduates from an approved nursing program, with something like 1000 hours of clinical,how can a new grad realistically expect me, as a DNS, to believe that they are not 100% familiar with hands on nursing care? Calling families and MD's and supervising CNA's I can believe comes with time, but are you saying that you really do not yet have a bedside manner, and feel comfortable with what your nursing role is? Hands on nursing care is do the focused assessment, head to toe, and proceed. Don't try to outthink it or change it or reinvent it, just do it.
My nursing school exposed me to 100 Percent responsibility, are you saying that you did not do a preceptorship? Were you never taking care of your own patients prior to graduation?
I don't expect any nurse to know everything about a new facility but I expect her /himto know where the chart is, who the MD is , phone numbers for family, lab book, assignment book, and MAR/med cart, e-kit and the rest will come with time. One day of "paperwork" orientation should suffice for that, and 3-4 on the med cart of the unit that you will work on, and then..... be the nurse. Do the assessments just like in school and take care of the patient. (Will you be slow with the meds, absolutely, but if you are geniune and trying, we will support you, if you spend your time crying and complaining, we won't).THere isn't any special way to do this, the older, more experienced nurses just have more experience under their belt and build a repertoire of knowledge specific to what constitutes acuity vs chronic, that will take time, but KNOWING the patient is in respiratory distress, bowel distress, cardiac distress...that should already be in your knowledge bag. I appreciate your candor and this is helping me understand my nurses better, but my nurses are not new grads, and they have some of the same complaints? Am I missing something here?