I just graduated in May from an ADN program. I was hired prn at a local LTC facility. The job market is scarce and I am desperate to take whatever I can get. 5 new grad/new hires including myself got a whole 4 days of orientation and only 2 of those out on the floor. One has already been hired as a 11p to 7a full time charge nurse, one got a full time 3p to 11p shift, and the other got a full time weekend shift. My supervisor tells me, after only TWO DAYS in a new nursing environment that my skills are not up to par, so I got none of the promotions and am still PRN, which really is fine, I guess, because clearly I'm not ready to be tossed to the wolves with no oversight for 30 patients with 20 medications apiece as well as peg tubes, wound care, feedings, etc. However, my boss made me feel like I was 1/2 an inch tall. He made me feel as if I was a substandard nurse and not nearly as good as the others I was hired with. I am somewhat sensitive and I began to tear up, but I did NOT cry. He said "are you tearing up?" with incredulous disgust. I said I was simply tired and I am no crybaby. I graduated with honors and externed at a large hospital. Something about this boss makes me nervous and when he watches me I make stupid mistakes. I don't know how to shake this, and show this guy that I can be a good and capable nurse. I also think it's a bit much to ask anyone to go out on a floor and handle 30 patients after 2 days on the floor. What do you guys think?
P.S. I thought I loved nursing but this experience is making me feel as if I've made a terrible mistake.
Jun 30, '12
by BrandonLPN, LPN
Yeah, probably the best advice we can give is to just develop thicker skin and push on. I wish there was something better I could tell you, but that's the nature of nursing. Your boss sounds like a real jerk (more so than most), but in this line of work you will probably always get crap from someone. If not your boss, then from pts' family, or the doctor, or a CNA. Just let it roll off your back. Jerky people hate being ignored!
As for always falling behind, well, like I said observe how the experienced staff nurses do it. I'm sure they multitask and combine as many things as possible. I'm probably treading on dangerous ground here, but it IS ok to combine med passes in certain instances. Just use common sense. Don't give ambien with the 4pm pass. Don't combine two separate doses of depakote. Obvious stuff. There is NOTHING morally wrong with combining routine meds as long as it does no harm. You are a licensed nurse, and you have the judgement to know when to and when not to combine passes.
Oh, and don't listen to those who tell you the veteran nurses who finish on time only do so because they "cheat" or "cut corners". This is BS. They finish on time because they work hard and know what they are doing. They are your best resource.
Last edit by BrandonLPN on Jun 30, '12
Jun 30, '12
by Super Ultra
Thanks everyone for your responses so far. I know that I do need to grow a somewhat thicker skin because I'm new, but this guy said all this to me after two days of training! I haven't even been let loose on the floor by myself and he's judging my nursing skills as sub par. It's just frustrating to be automatically judged as inept before I've really even done anything. I know it's easy to say "well, I don't need any work, it's just the boss is a you know what" but I am willing to reflect and see if I've done anything egregiously out of place, but even the other new grad I was training with said "you look like you've done everything well so far to me." So it may be that this guy is just trying to control me, but for the time being, I have a job and I desperately need to keep it, so I'm going to "suck it up, buttercup" and do my best.
P.S. The "stupid" mistakes I make are things like having trouble locking the narcotics drawer and fumbling with it, and I accidentally touched the base of my butterfly needle with my glove before I was going to draw blood, but I immediately got a new one. I'm not talking huge mistakes here, but apparently we're going for perfection.
Last edit by Super Ultra on Jun 30, '12