Nothing Left.... - page 2
I graduated with my BSN in May and have been working on a Level III NICU since June. I got out of orientation about a month ago and I think I've already burned out. During orientaiton, my preceptor... Read More
Oct 2, '06Us old hens know that you all need more experience and taking a primary locks you into the same assignment everyday and therefore you will miss out on many opportunities....cackle cackle.
To the OP...I'm sorry you are not having an easy time of it. I'd speak to the CNS or nurse educator about what is going on. Do they have a preceptor group at the hospital thru education and training...you can speak to the head of that also. I hope you can work things out.
Oct 3, '06I don't have any advice to give, primarily because I have no experience, but I will be praying for you.
I also want to thank you for posting because NICU is something I want to do (my entire reason for ) and these REAL examples of how things are in a hospital and seeing how experienced nurses respond, is very valuable to me.
Oct 3, '06I really don't mind the admisstions and the work. I want to be confident. I guess my struggle is really with not being accepted. I talked to the person who called me and her response to everything was I guess you've just been targeted.
Nov 11, '06Someone mentioned that they want you to ask for help, this is one thing I cover with my oriente. I try to teach them that they do not have to do everything themself they just have to get everything done. The one I hve now just does not get it, so I keep giving her more and more to where she can't get it all done without help. (I am always there watching, I wont let her hurt the babies), but she just won't ask for help when she does not know what she is doing. I find it scarry when they wont ask. I have had many nurses come back to me later and say that was the best thing anyone tought them. I'll bet there is someone there waiting to help if you ask, and if you don't ask they may assume you have it all under control. Many of the nurses in my unit did not learn that they can ask for help just that they can ask me for help, so I need to work on that more. We sometimes use CNA's to help feed and they will still come to me because they can't ask them. You should never be afraid to ask for help! When I am there I also push them to do more admits as this realy helps with their assessment skills. I make them do the assessment and I do the paperwork even if it is not their admit. Unless I'm orientating a new charge nurse then they do paperwork and I do the assessment. My main statement here is you can't always do it all yourself, and you must get it all done you just don't have to do it all yourself. Ask for help when you need it, we all need help at some time or another. If you watch I'll bet all those old hens in the unit help each other out all the time. Our most senior staff 30+ years is best know in our unit for asking "Can you do me a favor?". Hope this helps.
Nov 13, '06Quote from slu_rnWhew! I am exhausted from just reading your post! I am creeping up on completing my first year in a Level III and I feel your pain! I felt very similar to you for MONTHS (and still do) Right out of orientation, they wanted to give me a really sick 24 weeker, I was pulled to another unit, every vented kid I seemed to get needed a septic workup on my shift....I was drowning. I kept telling myself that my first year is a TEST...meaning if I say I really want to do this for the rest of my career - I had better mean it... ya know?I always feel like I'm behind. I always feel like I give a crappy report..... I don't know that at this rate I"ll last a year...
I also had a meeting with management about more appropriate assignments, etc. and then I was admitting a 22 weeker - I wanted to shout "WHAT HAPPENED TO OUR CONVERSATION!?!?!?!" and of course I got the "Don't worry, we'll be here to help you" only to have everyone in the room disappear and leave me with the Docs staring at me. One asked "Have you done this before?" and I had to say No.
And don't even get me started on the crappy politics going on.....
I love my job, but they are making it really hard for us new nurses to love it and want to stay.
Nov 14, '06Quote from slu_rnThe "targeted" comment is what really stands out to me. This sounds like a hostile environment for a new grad.I really don't mind the admisstions and the work. I want to be confident. I guess my struggle is really with not being accepted. I talked to the person who called me and her response to everything was I guess you've just been targeted.
I have worked in two such units. One was in my first job, in which some of the experienced nurses set up some of the new grads to fail. I eventually "passed" their criteria, mostly when a new batch of grads came in so they had "fresh meat". I have to admit that I did learn a bit on that unit, but I was so tense the entire time and felt that there was really no one to turn to. Thankfully, there were some nurses whom I could approach with legitimate questions and not be laughed at or scorned.
To me, it is imperative that new nurses, including those new to NICU, are adequately mentored. I knew some people in that first job who were scared to ask questions because the "queens" would bite their heads off. Then they learned to not ask questions, and that's when the mistakes started happening.
I stayed in that job for 1.5 years. My skin grew tougher and I was finally accepted. I stayed far too long before finding a job at a wonderful unit in which newer people were mentored and the focus was on care for the infants, not hazing for the new grads.
I would try to talk with a person on the shift whom you respect. Is there an educator, former preceptor, or other experienced nurse who can give you some of the scoop? I would focus on the fact that you can't get others to help you. Come up with some concrete examples. In my first job, even though the "queens" would laugh at many questions, they would help to double check an assessment or start an IV for me if I couldn't get it. Sometimes I had to negotiate this, but it was possible.
I am concerned for your growth as a nurse, but I am more concerned for the patients in your unit. Things can go downhill very quickly in NICU. If you aren't getting backup, there could be a serious problem in the future.
Also, I would suggest looking into working nights. There is less going on there and you would have a friend on the shift. The crappy job that I had eventually had a waiting list for night shift because the night crew was nice and supportive.
Good luck and hang in there. Once you have a year's experience, look for another job. This is not the sort of situation that gets better.
BTW, can you PM me and tell me which hospital this is? I live a distance from St. Louis and have considered commuting in for an occasional NICU shift. I'd like to avoid this place!
Nov 14, '06Wow! I would expect you to be overwhelmed, and to be getting a lot of admits and sicker kids as it is the only way to get experience, which you need when you are new; I would not expect the older, more experienced nurses to make fun of you, ignore you, or stop talking when you come to a group of them, etc. They should be providing support and assistance in your growth process as an NICU nurse. You will get more efficient and organized, and be able to do things more quickly with time and experience, and tips from those who are more experienced. Even a very experienced NICU nurse takes a few months or more to get comfortable when changing to a new hospital. Do you have a Compliance Officer at the hospital? Isn't this a form of discrimination? I'm not sure what to advise you, but I certainly would consider staying there long enough to get enough time and experience under your belt to get another job at a different facility. Believe me, they are not all like this!! I'm sad to hear of your experience there. We older nurses should be mentoring you young ones, we certainly can't do it all as we get older. I've been in NICU since 1979. I will agree, that day shift does tend to have more personalites with an attitude, and be more interrupted as far as the flow of things goes, than nights. However, it does usually offer more experiences, and it certainly is a whole lot better on the body and psyche than night shift is (having done both of them approximately equal time over my years!!). You are definitely in my thoughts. If your nurse manager is aproachable, I'd certainly talk to her/him!