Difficult orientee Difficult orientee - pg.2 | allnurses

Difficult orientee - page 2

Hi everyone. I am a critical care nurse. I love my job and everything that comes with it from my fellow staff members to the puzzles of patients. I was given an orientee who will be transferring... Read More

  1. Visit  Annaiya profile page
    1
    I agree this needs to be discussed face to face with both your orientee and your/her manager or educator. I would ask her why she didn't want to go to the code. Was she scared? Did she feel like she was too busy with her patients, so she didn't have time to help? I think it sounds like she needs to understand that she needs to learn what to do if her patient codes. She can't say no then! I think orienting to the ICU is very different than other areas. It is up to the nurses to make sure people coming off orientation are proficient enough to keep the patients safe. No one else is evaluating this. I would suggest putting together a list of things for her to review at home (EKGs, thorough assessments, O2 delivery, specific lab values that she needs to know, etc.) and then "assign" 1 topic per day and have her report to you what she learned about the topic. Maybe offer some good reference books for her to get, so she has a place to look this stuff up. (For EKGs, "Rapid Interpretation of EKGs" is awesome.)

    Other ideas, she could get up a little earlier and call in to find out what the diagnoses of her patient are for the day and read up on that before coming in, so she can already know what labs to be watching for, etc. Tell her that for 1 week, you will help more with the routine patient care stuff, so that she has time to look up every thing she doesn't know. Take 5 min. at the end of the shift and have her tell you what she thought she did well with that day, and what areas she needs to improve on.

    My perspective is to give her everything she needs to succeed, but don't do the work for her. Give her the tools and let her put in the effort. It isn't your job to teach her all of this stuff, just to provide her with the resources and to help pinpoint what areas she needs help in. If after all of this, she doesn't have the willingness to learn and put in the effort she needs to in order to be a competent ICU nurse, then maybe she doesn't need to work there. The ICU is not a place for people that don't want to continually learn and be challenged. If she doesn't have the desire, then she will never make it. If she is willing to learn and she is just very deficient in her knowledge and skills then maybe she needs a longer orientation, because you can teach that stuff. You just can't teach a desire to learn.
    canoehead likes this.
  2. Visit  jenvankempen profile page
    0
    Thank you everyone for your responses. She is still considered a new grad as she has been working 8 months full time.
    You are all correct in being more concerned about the attitude. I did have a sit down with her explaining why she is here, her goals, that I am her support, etc. All I got from her was I know, yeah, I know. I guess its just difficult to understand not wanting to jump into everything. I remember how exciting a foley was, let alone a code and she just has no desire to jump in. I"m just not sure if she has that drive/personality to be an ICU nurse, let alone a nurse in general.

    Thank you all for your helpful comments!
  3. Visit  OCRN3 profile page
    3
    With an attitude like that and beung a new grad she isn't cut out for med/surg either. New grads not wanting to learn sounds like she is just there for a paycheck. Fail her because she will be an unsafe nurse. If she doesn't like it now, she will really hate it in a few years!

    Sent from my iPhone using allnurses.com
    joanna73, Sun0408, and Esme12 like this.
  4. Visit  Esme12 profile page
    1
    I would really have an open table discussion about her apparent blase attitude. What made her transfer to ICU with less than a year in her current position? what does her previous preceptor/manager say about her? Where does she want to be in 5 years?

    Let her know ICU nurses have to have initiative and drive. That begin an ICU nurse entails more than the minimum effort. Set up a education/orientation/behavior plan with her and your boss.

    Or she may just not be cut out for the position.
    prnqday likes this.
  5. Visit  Nurse ABC profile page
    0
    Maybe she's just over-whelmed and feels like she's gotten in over her head which may explain her attitude. I'm just throwing that out there. I'm just trying to figure out what may make her act like that. I think all the suggestions already given are very good but maybe she wants an out so maybe you should ask her about these things as well.
  6. Visit  NJnewRN profile page
    0
    Hmm... Maybe she needs to be a floor nurse longer. Different strokes for different folks. Maybe she's not meant to be an ICU nurse? Maybe she needs more time. Some people hit the ground running some just need more time.
  7. Visit  NicuGal profile page
    0
    That kind of response needs a sit down with the educator/CNS and manager. Yeah I know doesn't cut it. If she can't explain herself or acknowledge what you said to her, she is not a good fit for ICU.
  8. Visit  serenitylove14 profile page
    1
    Honestly she is probably overwhelmed. If it was her first code I would have been scared to jump in, actually the first 3 codes, she should be able to observe and then go over with her what happened and if she has any questions and if she would feel comfertable trying to do some of the stuff pertaining to codes. EKG reading takes time as well. If she did not want to be in the ICU I am sure she wouldnt have went through the hiring process and started. I think she deserves longer than 2 weeks to determine if she is a good fit in the ICU. Just my opinion.
    prnqday likes this.
  9. Visit  Julius Seizure profile page
    0
    I had a hard time with my orientation. What nearly ended my career before it started was that my preceptor didn't share her concerns with me....she went to the educator and told them I was no good, when I didn't even know I was doing anything wrong because she hadn't said anything to me. So good move on sitting down to talk to her first, even if you didn't get much of a response. Please continue to include her in the discussion.....if there is a sit down with you, the educator, and the manager, the oriented should be there too. I really believe in giving her every chance possible, because I needed more than two weeks too and I like to think that I turned out alright

    That said, yes her attitude is concerning and maybe she's not ready for/a good fit for the ICU. Good luck to her, and to you!
  10. Visit  morte profile page
    0
    Maybe she doesn't plan on being there long term? just to get the pre CRNA experience, and trying to skim by?
  11. Visit  Jory profile page
    0
    Quote from jenvankempen
    Thank you everyone for your responses. She is still considered a new grad as she has been working 8 months full time.
    You are all correct in being more concerned about the attitude. I did have a sit down with her explaining why she is here, her goals, that I am her support, etc. All I got from her was I know, yeah, I know. I guess its just difficult to understand not wanting to jump into everything. I remember how exciting a foley was, let alone a code and she just has no desire to jump in. I"m just not sure if she has that drive/personality to be an ICU nurse, let alone a nurse in general.

    Thank you all for your helpful comments!
    There is your answer right there...she doesn't care.
  12. Visit  msteeleart profile page
    0
    Maybe she doesn't like floor nursing but she wants to get that magical year of experience behind her. Not everyone is cut out for med/surg or ICU but all the instructors pressure you as a new grad to get that year of experience on the floor. A year is a long time to do something you have no interest in. I am going straight into community psych nursing because I really don't enjoy med/surg. I tried to get that year of experience just to get it out of the way but hospitals around here won't hire new grads unless you know someone that can hand them your rsum.
  13. Visit  lmccrn62 profile page
    0
    If that is her attitude the unit needs to cut their loses. I would sit with your manager and discuss the situation. She should then be brought in to discuss the issues and develop a plan. If she doesn't comply say goodbye!

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