Quote from jenvankempen
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 to the ICU after 8 months on the floor floating between med surg and tele. DUring her two weeks with me, I noticed some red flags. She has a lack of interest in new things ( a code was called and when I told her to jump in she responded with "do i have to?") She has a very blase' about the ICU. Because it was her first two weeks in ICU, the two of us had fairly simple patients, liver failure and respiratory distress/ pneumonia. This was perfect for her to time manage two patients with a lot of charting. She was drowning, even with constant reminders and prodding (and I do realize time management does take time) But most concerning was her lack of basic learning skills. Inability to read basic ekg, what labs pertain to what, what some medications are for, placing a pt on NC at 15L, skin checks, etc. I am concerned enough to give me supervisor a little heads up but i'm unsure how to write an email regarding this type of situation without coming off like a bully. Can anyone give any advise how to word these concerns in a professional manner?
thanks in advance for your help!
I'l be honest...be more concerned about her attitude than her skills. Nursing schools vary DRASTICALLY.
I wasn't taught to read EKG's...I knew the dangers of oxygen, but I couldn't tell you what was an appropriate level and I knew there were different methods of delivery, but didn't fully understand this until I actually started working in the hospital. Not 100% sure of what you mean by skin checks, but if you mean just turning a patient, checking for pressure spots and IV sites? That is POUNDED into our heads...she should know at minimum..that it should be done.
Lab values, are a "once over" and we didn't have extensive training on them, other than fluid and electrolytes. This again, was something that I learned more once I got to working in the hospital.
Yes, I went to a really crappy nursing school, but I was very, very proactive in my learning once I worked in the hospital and I second-guessed everything. If I wasn't 100% of what to do...I ASKED a more senior nurse until I felt like I could make decisions independently.
Time management, was never talked about...it was sink or swim once I worked in the hospital and was the most difficult skill to master. However, I gained this skill by constantly asking other nurses that seemed to have extra time on their hands, "What do you do first? How can I make this process more efficient?"
I would address her attitude and focus on things that you have told her repeatedly that she still cannot master.
I had a preceptor that was an "old school" nurse (30 years experience)...she had this huge preconceived notion about what I should have known when I got out of school. Let's just say her and I didn't work well together and I asked my manager for a change. She put me with another nurse who had been out of school for 5 years. She was more in tune with what was taught and her and I got along very, very well and I flourished, but like I said, I was VERY proactive.
Just keep that in mind when you write your report. Ignoring a code-blue? Seriously...she has no business in healthcare.