Started my new job at an LTACH Nov. 11th. I took the job because I wanted new challenges in my career, caring for vent pts and in general higher acuity pts, because I've been caring for more stable pts the last 2-3 years. The nurses draw their own labs here, do all their own VS and blood sugars.
Even though I'm not a completely new nurse, I know my strong suits are not phlebotomy and starting IVs. I know it, but I'm still willing to try. (I used to be able to do it in nursing school
, but I've lost the feel for it since then.)
The bad part is my preceptor. I really like her as a person, and she's been a great preceptor overall. I lost dome time during my orientation due to illness, and now I'm really worried coming off orientation on Saturday that I'm not ready to handle the jump.
I had to initiate a new IV this morning on a pt whose line was due to be changed. My preceptor had already given me hell the night before for being slow (I'd had 4 pts in training, and got bumped up to 6 that night). She was charge nurse last nite, and when I tried (and failed) to get a new IV started on my patient, she and the nurse who was precepting me for the night followed me into the pt's room and discussed my past IV start failures in front of the patient. They were laughing and joking about my incompetence (and giving me hell about it), but I know this pt will prob never let me stick him again.
Making it worse, my preceptor is Filipino, as was the other nurse. We frequently have a lot of Filipino nurses on night shift, and they're always conversing in the other tongue. I know they mean well (and are always quick to help) but it comes at a high cost to my self-confidence as a nurse.
Should I ask for more time on orientation? I hate to do it, because I feel like others will look down on me for being too "slow". (There's a big push to get the new orientees off on regular staffing because my facility was using agency nurses heavily until now.) I'm just scared to go off orientation, because there are a lot of precedural things I'm not clear on, and still feel pretty lost on the general workings of the hospital.
Jus wondering which way I should go...