Good afternoon one and all,
I am new to nursing (grad '08, boards '09) and new to hospice though I have had three clinical rotations with the organization with which I am associated. Like all new persons coming into a new role and a new culture, I am clumsily feeling my way, trying to fit in, not come off as an idiot and forge relationships with my team members. Unfortunately, I am a month into the game, and this last week was especially trying, and have had several unpleasant experiences in offending the sensitivities of an LPN, a NP and my boss (a certified hospice nurse) to boot. I am male, early 40's, with hospital experience in cardiac telemetry working with persons living with chronic conditions such as heart disease, lung disease, and so on. I do not, however, have any direct long term care experience, nor have I worked as an LPN or CNA. My position was that of an operations technician, which is a marriage between these two positions, only med admin was outside of my scope. What I am hearing from from the LPN via my boss, is that I am stepping on her toes by not consulting with her in my decisions and choices. I have addressed this and accepted my naivete with her and move beyond that. Second, in my apology and commitment to her to do better, I used the phrase ancillary care provider at some point. I was made aware, again via my boss, that this term was upsetting and left my LPN team member feeling hurt and diminished. Second, my interactions with NPs of late has been equally unpleasant. I am finding some like to be updated, some dont, some like to be faxed, some like to be called, etc.
I am very aware of the hard work, knowledge, experience and intuition that each LPN with whom i work brings to the table. I am grateful to have them as a resource. I admire them, look up to them and can only work to emulate them as I begin my profession. As for the NPs/MDs, school does not provide etiquette and politics lessons on when to call them, or how to speak with them.
I am hopeful some of you can offer some pointers on how to work on improving relationships in my new role. Thanks for your time and your suggestions.